Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
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Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 8th Edition
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MULTIPLE CHOICE x
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is
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asked to assess and adapt the unit to better meet the unique needs of the older adult patient.
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Using complexity principles, what would be the best approach to take in making this change?
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a. Leverage the hierarchical management position to get unit staff involved in assessment and
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planning.
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b. Engage involved staff at all levels in the decision-making process.
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c. Focus the assessment on the unit, and omit the hospital and community environment.
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d. Hire a geriatric specialist to oversee and control the project.
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ANS: B x
Complexity theory suggests that systems interact and adapt and that decision making occurs
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throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
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voice counts, and therefore, all levels of staff would be involved in decision making.
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REF: Page 8 x x TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has
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x called in sick five times in the past month. He tells the manager that he very much wants to
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x cometo work when scheduled but must often care for his wife, who is undergoing treatment
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for breast cancer. According to Maslow’s need hierarchy theory, what would be the best approach to
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satisfying the needs of this nurse, other staff, and patients?
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a. Line up agency nurses who can be called in to work on short notice.
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b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
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c. Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse may be
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calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off
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around his wife’s treatments.
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ANS: D x
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic needs
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and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
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patient care and threaten the needs of staff to feel competent. Arranging the schedule around
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the wife’s needs meets the needs of the staff and of patients while satisfying the nurse’s need
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for affiliation.
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, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
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REF: Page 10x x TOP: AONE competency: Communication and Relationship-Building
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3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
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mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit
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manager continues to reiterate the reasons for her actions. What would be the best course of
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action at this time?
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a. Send the two disputants away to reach their own resolution.
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b. Involve another staff nurse in the discussion so as to clarify issues.
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c. Ask each party to examine her own motives and issues in the conflict.
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d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
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ANS: C x
Ury, Brett, and Goldberg outline steps to restoring unity, the first of which is to address the
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interests and involvement of participants in the conflict by examining the real issues of all
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xparties.
REF: Page 16x x TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution.
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It would now be best to:
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a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
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b. Turn the dispute over to the director of nursing.
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c. Insist that participants continue to talk until a resolution has been reached.
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d. Back the unit manager’s actions and end the dispute.
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ANS: B x
According to the principles outlined by Ury, Brett, and Goldberg, a “cooling-off” period is
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recommended if resolution fails.
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REF: Page 16x x TOP: AONE competency: Communication and Relationship-Building
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5. The manager of a surgical area has a vision for the future that requires the addition of RN
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x assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the staff have
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x always practiced in a primary nursing–delivery system and are very resistant to this idea.
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x Thebest initial strategy in this situation would include:
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a. Exploring the values and feelings of the RN group in relationship to this change.
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b. Leaving the RNs alone for a time so they can think about the change before it is
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implemented.
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c. Dropping the idea and trying for the change in a year or so when some of the present RNs
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have retired.
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d. Hiring the assistants and allowing the RNs to see what good additions they are.
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, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bankx x x x x x x x x
ANS: A x
Influencing others requires emotional intelligence in domains such as empathy, handling
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xrelationships, deepening self-awareness in self and others, motivating others, and managing
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xemotions. Motivating others recognizes that values are powerful forces that influence
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xacceptance of change. Leaving the RNs alone for a period of time before implementation
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xdoesnot provide opportunity to explore different perspectives and values. Avoiding
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xdiscussion until the team changes may not promote adoption of the change until there is
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xopportunity to explore perspectives and values related to the change. Hiring of the assistants
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xdemonstrates lack of empathy for the perspectives of the RN staff. x x x x x x x x x x
REF: Page 7 | Page 15 x x x x x
TOP: AONE competency: Knowledge of the Health Care Environment
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6. As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that
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xthere is little turnover among your LPN and nursing assistant (NA) staff members, but they
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xarenot very motivated to go beyond their job descriptions in their work. Which of the
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xfollowing strategies might motivate the staff and lead to greater job satisfaction?
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a. Ask the director of nursing to offer higher wages and bonuses for extra work for the night
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LPNs and NAs.
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b. Allow the LPNs and NAs greater decision-making power within the scope of their
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positions in the institution.
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c. Hire additional staff so that there are more staff available for enhanced care and individual
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workloads are lessened.
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d. Ask the director of nursing to increase job security for night staff by having them sign
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contracts that guarantee work.
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ANS: B x
Hygiene factors such as salary, working conditions, and security are consistent with
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Herzberg’s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
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Motivator factors such as recognition and satisfaction with work promote a satisfying and
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enriched work environment. Transformational leaders use motivator factors liberally to
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inspirework performance and increase job satisfaction.
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REF: Page 9 | Page 10
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TOP: AONE competency: Communication and Relationship-Building
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7. As the nurse manager who wants to increase motivation by providing motivating factors, which
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action would you select?
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a. Collaborate with the human resource/personnel department to develop on-site daycare x x x x x x x x x
services.x
b. Provide a hierarchical organizational structure. x x x x
c. Implement a model of shared governance. x x x x x
d. Promote the development of a flexible benefits package. x x x x x x x
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
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ANS: C x
Complexity theory suggests that systems interact and adapt and that decision making occurs
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throughout systems, as opposed to being held in a hierarchy. In complexity theory, every
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xvoice counts, and therefore all levels of staff would be involved in decision making. This
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xprinciple is the foundation of shared governance.
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REF: Pages 8-11 x x TOP: AONE competency: Communication and Relationship-Building
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8. A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who
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begins to complain loudly about the quality of care his mother is receiving. His behavior is so
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disruptive that it is overheard by staff, physicians, and other visitors. The family member
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rejectsany attempt to intervene therapeutically to resolve the issue. He leaves the unit abruptly,
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and thenurse is left feeling frustrated. Which behavior by the charge nurse best illustrates
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refined leadership skills in an emotionally intelligent practitioner?
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a. Reflect to gain insight into how the situation could be handled differently in the future.
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b. Try to catch up with the angry family member to resolve the concern.
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c. Discuss the concern with the patient after the family member has left.
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d. Notify nursing administration of the situation.
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ANS: A x
Goleman suggests that emotional intelligence involves insight and being able to step outside
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of the situation to envision the context of what is happening as well as being able to manage
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emotions such as frustration effectively.
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REF: Page 7 | Page 8
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9. The chief nursing officer has asked the staff development coordinator to facilitate the
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development of a clinical competency program for the facility. While making rounds on the
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units, the staff development coordinator overhears RN staff complaining that they feel it is
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insulting to be required to participate in a competency program. Which behavior by the
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staffdevelopment coordinator is most appropriate in this situation?
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a. Disregard staff concerns and continue with development of the program.
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b. Inform the nurses that this program is a requirement for JCAHO accreditation.
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c. Schedule a meeting with the chief nurse executive to apprise her of the situation.
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d. Facilitate a meeting so nurses can articulate their values and concerns about a competency
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program. x
ANS: D x
The manager role involves guiding others through a set of derived practices that are evidence-
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based and known to satisfy preestablished outcomes such as participation in a competency
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program. This involves engagement of staff through sharing of concerns and ideas. A close
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analysis of the IOM report and the summary of the PPACA suggests that no health reform
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canunfold without active nursing engagement. Each document emphasizes that nurses must
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lead,
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