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Chaptera01:aLeading,aManaging,aandaFollowing
Yoder-Wise:aLeadingaandaManagingainaNursing,a7thaEdition
MULTIPLEaCHOICE
1. Aanurseamanageraofaaa20bedamedicalaunitafindsathata80%aofatheapatientsaareaolderaadu
lts.aSheaisaaskedatoaassessaandaadaptatheaunitatoabetterameetatheauniqueaneedsaofatheaol
deraadultapatient.aUsingacomplexityaprinciples,awhatawouldabeatheabestaapproachatoatake
aforaimplementationaofathisachange?
a. Leverageatheahierarchicalamanagementapositionatoagetaunitastaffainvolv
edainaassessmentaandaplanning.
b. Engageainvolvedastaffaataallalevelsainatheadecision-makingaprocess.
c. Focusatheaassessmentaonatheaunitaandaomitatheahospitalaandacom
munityaenvironment.
d. Hireaaageriatricaspecialistatoaoverseeaandacontrolatheaproject.
ANS:aB
Complexityatheoryasuggestsathatasystemsainteractaandaadaptaandathatadecisionamakinga
occursathroughoutatheasystems,aasaopposedatoabeingaheldainaaahierarchy.aInacomplexity
atheory,aeveryavoiceacounts,aandatherefore,aallalevelsaofastaffawouldabeainvolvedainadec
isionamaking.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
2. Aaunitamanageraofaaa25bedamedical/surgicalaareaareceivesaaaphoneacallafromaaanurseaw
hoahasacalledainasickafiveatimesainatheapastamonth.aHeatellsatheamanagerathataheaverya
muchawantsato
comeatoaworkawhenascheduledabutamustaoftenacareaforahisawife,awhoaisaundergoingatr
NaRaIaGaB.C
eatmentaforabreastacancer.aAccordingatoUMaSslow
N’saTneedahiOerarchyatheory,awhatawouldab
eatheabest
approachatoasatisfyingatheaneedsaofathisanurse,aotherastaff,aandapatients?
a. Lineaupaagencyanursesawhoacanabeacalledainatoaworkaonashortanotice.
b. Placeatheanurseaonaunpaidaleaveaforathearemainderaofahisawife’satreatment.
c. Sympathizeawithatheanurse’sadilemmaaandaletatheachargeanurseaknowathatathis
anurseamayabeacallingainafrequentlyainatheafuture.
d. Workawithatheanurse,astaffingaoffice,aandaotheranursesatoaarrangeahisasch
eduledadaysaoffaaroundahisawife’satreatments.
ANS:aD
Placingatheanurseaonaunpaidaleaveamayathreatenatheanurse’sacapacityatoameetaphysiologic
aneedsaandademotivateatheanurse.aUnsatisfactoryacoverageaofashiftsaonashortanoticeacould
aaffectapatientacareaandathreatenatheaneedsaofastaffatoafeelacompetent.aArrangingatheasch
eduleaaroundatheawife’saneedsameetsatheaneedsaofatheastaffaandaofapatientsawhileasatisfy
ingatheanurse’saneedaforaaffiliation.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
3. Aagrievanceabroughtabyaaastaffanurseaagainstatheaunitamanagerarequiresamediation.aAtat
heafirstamediationasession,atheastaffanursearepeatedlyacallsatheaunitamanager’saactionsaun
fair,aandatheaunitamanageracontinuesatoareiterateatheareasonsaforatheaactions.aWhatawoul
dabeatheabestacourseaofaactionaatathisatime?
a. Sendatheatwoadisputantsaawayatoareachatheiraownaresolution.
b. Involveaanotherastaffanurseainatheadiscussionaforaclarityaissues.
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c. Askaeachapartyatoaexamineatheiraownamotivesaandaissuesainatheaconflict.
d. Continueatoalistenaasatheapartiesarepeatatheirathoughtsaandafeelingsaabo
utatheaconflict.
ANS:aC
Foraresolutionaofaconflict,aoneashouldaaddressatheainterestsaandainvolvementaofaparticip
antsainatheaconflictabyaexaminingathearealaissuesaofaallaparties.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
4. Ataaasecondanegotiationasession,atheaunitamanageraandastaffanurseaareaunableatoa
reachaaaresolution.aWhataisatheaappropriateanextastep?
a. Arrangeaanotherameetingainaaaweek’satimeasoaasatoaallowaaacooling-offaperiod.
b. Elevateatheanextanegationasessionatoatheanextamanager,aonealevelaabove.
c. Insistathataparticipantsacontinueatoatalkauntilaaaresolutionahasabeenareached.
d. Backatheaunitamanager’saactionsaandaendatheadispute.
ANS:aB
Partaofaleadershipaisaunderstandingaconflictaresolutionaandaabilityatoanegotiateaandamana
geaforaresolutionaofaissuesaandaconcerns.aThisasituationahasafailedaaasecondanegotiationa
session,aelevationatoaaamanagerawithaadditionalatrainingatoafacilitateaconflictaresolutionai
saimportantaatathisapoint.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
5. Theamanageraofaaasurgicalaareaahasaaavisionaforatheafutureathatarequiresatheaadditionaof
aRNaassistantsaoraunlicensedapersonsatoafeed,abathe,aandaambulateapatients.aTheaRNsao
natheastaff
haveaalwaysapracticedainaaaprN imaRryanIursiG
ng-
B.C M
d eliv ery
UaSaNaT
systemaandaareaveryaresistantatoathisaidea.aWhatawouldabeatheabestainitialastrate
gyaforaimplementationaofathisachange?
a. ExploringatheavaluesaandafeelingsaofatheaRNagroupainarelationshipatoathisachange
b. LeavingatheaRNsaaloneaforaaatimeasoatheyacanathinkaaboutatheachangeabef
oreaitaisaimplemented
c. Droppingatheaideaaandatryingaforatheachangeainaaayearaorasoawhenasom
eaofatheapresentaRNsahavearetired
d. HiringatheaassistantsaandaallowingatheaRNsatoaseeawhatagoodaadditionsatheyaare
ANS:aA
Influencingaothersarequiresaemotionalaintelligenceainadomainsasuchaasaempathy,ahandling
arelationships,adeepeningaself-
awarenessainaselfaandaothers,amotivatingaothers,aandamanagingaemotions.aMotivatingaoth
ersarecognizesathatavaluesaareapowerfulaforcesathatainfluenceaacceptanceaofachange.aLeav
ingatheaRNsaaloneaforaaaperiodaofatimeabeforeaimplementationadoesanotaprovideaopportu
nityatoaexploreadifferentaperspectivesaandavalues.aAvoidingadiscussionauntilatheateamacha
ngesamayanotapromoteaadoptionaofatheachangeauntilathereaisaopportunityatoaexploreapers
pectivesaandavaluesarelatedatoatheachange.aHiringaofatheaassistantsademonstratesalackaofa
empathyaforatheaperspectivesaofatheaRNastaff.
TOP:a AONEacompetency:aKnowledgeaofatheaHealthaCareaEnvironment
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6. AsatheaRNachargeanurseaonatheanightashiftainaaasmallalong-
termacareafacility,ayou’veafoundathatathereaisalittleaturnoveraamongayouraLPNaandanursin
gaassistanta(NA)astaffamembers,abutatheyaareanotaveryamotivatedatoagoabeyondatheirajob
adescriptionsainatheirawork.aWhichaofatheafollowingastrategiesamightamotivateatheastaffa
andaleadatoagreaterajobasatisfaction?
a. Askatheadirectoraofanursingatoaofferahigherawagesaandabonusesaforaextraaw
orkaforatheanightaLPNsaandaNAs.
b. AllowatheaLPNsaandaNAsagreateradecision-
makingapowerawithinatheascopeaofatheirapositionsainatheainstitution.
c. Hireaadditionalastaffasoathatathereaareamoreastaffaavailableaforaenhancedacar
e,aandaindividualaworkloadsaarealessened.
d. Askatheadirectoraofanursingatoaincreaseajobasecurityaforanightastaffabyahavin
gathemasignacontractsathataguaranteeawork.
ANS:aB
Hygieneafactorsasuchaasasalary,aworkingaconditions,aandasecurityaareaconsistentawithaHer
zberg’satwo-
factoratheoryaofamotivation;ameetingatheseaneedsaavoidsajobadissatisfaction.aMotivatorafac
torsasuchaasarecognitionaandasatisfactionawithaworkapromoteaaasatisfyingaandaenrichedaw
orkaenvironment.aTransformationalaleadersauseamotivatorafactorsaliberallyatoainspireaworka
performanceaandaincreaseajobasatisfaction.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
7. Theanurseamanagerawantsatoaincreaseamotivationabyaprovidingamotivatingafactorsaforathe
anurseaonatheaunit.aWhataactionawouldabeaappropriateatoamotivateatheastaff?
a. Collaborateawithatheahumanaresource/personneladepartmentatoadevelopaon
-siteadaycareaservices.
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b. Provideaaahierarchicalaorganizationalastructure.a
UaSaNaT
c. Implementaaamodelaofasharedagovernance. O
d. Promoteatheadevelopmentaofaaaflexibleabenefitsapackage.
ANS:aC
Complexityatheoryasuggestsathatasystemsainteractaandaadaptaandathatadecisionamakinga
occursathroughoutasystems,aasaopposedatoabeingaheldainaaahierarchy.aInacomplexityathe
ory,aeveryavoiceacounts,aandathereforeaallalevelsaofastaffawouldabeainvolvedainadecisio
namaking.aThisaprincipleaisatheafoundationaofasharedagovernance.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
8. Aachargeanurseaonaaabusya40-
bedamedical/surgicalaunitaisaapproachedabyaaafamilyamemberawhoabeginsatoacomplainalo
udlyaaboutatheaqualityaofacareahisamotheraisareceiving.aHisabehavioraisasoadisruptiveatha
taitaisaoverheardabyastaff,aphysicians,aandaotheravisitors.aTheafamilyamemberaleavesathea
unitaabruptly,aandatheanurseaisaleftafeelingafrustrated.aWhichabehaviorabyatheachargeanur
seabestaillustratesarefinedaleadershipaskillsainaanaemotionallyaintelligentapractitioner?
a. Reflectatoagainainsightaintoahowatheasituationacouldabeahandledadifferently
ainatheafuture.
b. Tryatoacatchaupawithatheaangryafamilyamemberatoaresolveatheaconcern.
c. Discussatheaconcernawithatheapatientaafteratheafamilyamemberahasaleft.
d. Notifyanursingaadministrationaofatheasituation.
ANS:aA
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