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Leading And Managing In Nursing 7th edition (2024/2025 Latest) A+Grade
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Leading And Managing In Nursing 7th edition(2024/2025 Latest) A+Grade
Chapter 01: Leading, Managing, and Following
1.
As the nurse manager who wants to increase motivation by providing motivating factors,
which action would you select?
c.
Implement a model of shared governance.
2.
A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member
who begins to complain loudly about the quality of care his mother is receiving. His behavior
is so disruptive that it is overheard by staff, physicians, and other visitors. The family
member rejects any attempt to intervene therapeutically to resolve the issue. He leaves the
unit abruptly, and the nurse is left feeling frustrated. Which behavior by the charge nurse
best illustrates refined leadership skills in an emotionally intelligent practitioner?
a.
Reflect to gain insight into how the situation could be handled differently in the future.
3.
The chief nursing officer has asked the staff development coordinator to facilitate the
development of a clinical competency program for the facility. While making rounds on the
units, the staff development coordinator overhears RN staff complaining that they feel it is
insulting to be required to participate in a competency program. Which behavior by the staff
development coordinator is most appropriate in this situation?
d.
Facilitate a meeting so nurses can articulate their values and concerns about a competency
program.
,4.
As a nurse, you are responsible for teaching ostomy patients self-management skills
postoperatively. Mr. Jones is 2 days postoperative after an abdominal perineal resection. In
spite of patient-controlled analgesia, Mr. Jones acknowledges inadequate pain relief and
rates his pain as an 8, utilizing a 0-to-10 pain scale. When you approach him for teaching, he
turns away and closes his eyes. Which approach incorporating Maslow's hierarchy of needs
motivational theory is most appropriate in this situation?
b.
Intervene to improve his pain management control and return later in the day to reassess
his readiness to learn.
5.
You overhear a newly graduated RN telling one of your colleagues that leadership and
management belong to the unit manager and not to her. As a nursing colleague, your
response demonstrates understanding that the perception of the new graduate:
b.
Would benefit from further understanding of her role as a professional, whose influence
may affect the decision making of patients, colleagues, and other professionals.
6.
You walk into Mr. Smith's room and find him yelling at the LPN, Miss Jones. He is obviously
very upset and after you speak with him regarding his behavior, you determine that he has
not slept for three nights because of unrelieved pain levels. The LPN is very upset with Mr.
Smith and calls him an "ugly, old man." You acknowledge her feelings and concerns and
then suggest that Mr. Smith's behavior was aggressive, but is related to lack of sleep and to
pain. "Can you both, together with Mr. Smith, determine triggers for the pain and effective
approaches to controlling his pain?" This approach demonstrates:
c.
Leadership behavior.
, 7.
After assessing an older adult patient in long-term care who has been slowly deteriorating
for weeks, the nurse manager calls the family and asks them to come in, as the patient is
dying. The nurse manager's decision and actions are based on:
d.
Tacit knowledge.
8.
Chart audits have revealed significant omissions of data that could have legal and funding
guidelines. As the unit manager, you meet with the staff to discuss audit findings and to find
approaches that will address the gaps in charting and achieve desired goals. This is an
example of:
b.
Management.
9.
A family is keeping vigil at a critically ill patient's bedside. Other, distant family members,
not yet able to come, call the unit continuously, asking for updates and wanting to express
concern. You speak with the distant family members and suggest that you are going to refer
them to the hospital social worker, whose role is to work with such situations. What role are
you assuming through this action?
a.
Manager
10.
In response to the situation in Question 15, you approach the unit manager to apprise her of
your concerns that the family dynamics of the patient involved may lead to staff-family and
patient-family conflicts. You suggest that the physician may need to discuss the treatment
plan with the family. The unit manager advises that he will arrange this discussion. If, after
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