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LEADING, MANAGING, AND FOLLOWING YODER-WISE: LEADING AND MANAGING IN NURSING, 7TH EDITION CHAPTER 01: EXAM QUESTIONS WITH COMPLETE ANSWERS$11.49
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LEADING, MANAGING, AND
FOLLOWING YODER-WISE: LEADING
AND MANAGING IN NURSING, 7TH
EDITION CHAPTER 01: EXAM
QUESTIONS WITH COMPLETE
ANSWERS
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
adults. She is asked to assess and adapt the unit to better meet the unique needs of the
older adult patient. Using complexity principles, what would be the best approach to
take for implementation of this change? - Answer-b. Engage involved staff at all levels in
the decision-making process.
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse
who has called in sick five times in the past month. He tells the manager that he very
much wants to come to work when scheduled but must often care for his wife, who is
undergoing treatment for breast cancer. According to Maslow's need hierarchy theory,
what would be the best approach to satisfying the needs of this nurse, other staff, and
patients? - Answer-d. Work with the nurse, staffing office, and other nurses to arrange
his scheduled
days off around his wife's treatments.
3. A grievance brought by a staff nurse against the unit manager requires mediation. At
the first mediation session, the staff nurse repeatedly calls the unit manager's actions
unfair, and the unit manager continues to reiterate the reasons for the actions. What
would be the best course of action at this time? - Answer-c. Ask each party to examine
their own motives and issues in the conflict.
4. At a second negotiation session, the unit manager and staff nurse are unable to
reach a resolution. What is the appropriate next step? - Answer-b. Elevate the next
negation session to the next manager, one level above.
5. The manager of a surgical area has a vision for the future that requires the addition of
RN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on
the staff have always practiced in a primary nursing-delivery system and are very
resistant to this idea. What would be the best initial strategy for implementation of this
change? - Answer-a. Exploring the values and feelings of the RN group in relationship
to this change
, 6. As the RN charge nurse on the night shift in a small long-term care facility, you've
found that there is little turnover among your LPN and nursing assistant (NA) staff
members, but they are not very motivated to go beyond their job descriptions in their
work. Which of the following strategies might motivate the staff and lead to greater job
satisfaction? - Answer-b. Allow the LPNs and NAs greater decision-making power within
the scope of their
positions in the institution.
7. The nurse manager wants to increase motivation by providing motivating factors for
the nurse on the unit. What action would be appropriate to motivate the staff? - Answer-
c. Implement a model of shared governance.
8. 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 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? - Answer-a. Reflect to gain insight into how the
situation could be handled differently in the
future.
9. 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. What behavior
by the staff development coordinator is most appropriate in this situation? - Answer-d.
Facilitate a meeting so nurses can articulate their values and concerns about a
competency program.
10. The nurse manager has been asked to implement an evidence-based approach to
teach ostomy patients self-management skills postoperatively. The program is to be
implemented across the entire facility. What illustrates effective leadership in this
situation? - Answer-d. An RN who is already familiar with the new approach of
volunteers to take the
lead in mentoring and teaching others how to implement it.
11. You overhear a new graduate RN telling a nurse colleague that leadership and
management belong to the unit manager, not to her. As a nursing colleague, what do
you know to be true in regard to the statement? - Answer-b. The new graduate would
benefit from further understanding of her role as a
professional, whose influence may affect the decision making of patients,
colleagues, and other professionals.
12. The charge nurse walks into Mr. Smith's room and finds him yelling at the LPN. He
is obviously very upset. The charge nurse determines that he has not slept for three
nights because of unrelieved pain levels. The LPN is very upset and calls Mr. Smith an
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