Test Bank for Leading and Managing in Nursing, 8th Edition (Yoder-Wise, 2024) Chapter 1-25 | All ChaptersTest Bank for Leading and Managing in Nursing, 8th Edition (Yoder-Wise, 2024) Chapter 1-25 | All Chapters
nit9to9better9meet9the9unique9needs9of9the9older9adult9patient.9Using9complexity9principles,9what9woul
d9be9the9best9approach9to9take9for9implementation9of9this9change?
a. Leverage9the9hierarchical9management9position9to9get9unit9staff9involved9in9
assessment9and9planning.
b. Engage9involved9staff9at9all9levels9in9the9decision-making9process.
c.
d.
e. Focus9the9assessment9on9the9unit9and9omit9the9hospital9and9community9
environment.
f. Hire9a9geriatric9specialist9to9oversee9and9control9the9project.
ANS:9 B
Complexity9theory9suggests9that9systems9interact9and9adapt9and9that9decision9making9occurs9
throughout9the9systems,9as9opposed9to9being9held9in9a9hierarchy.9In9complexity9theory,9every9
voice9counts,9and9therefore,9all9levels9of9staff9would9be9involved9in9decision9making.
2. A9unit9manager9of9a925-
bed9medical/surgical9area9receives9a9phone9call9from9a9nurse9who9has9called9in9sick9five9times9in9the9
N R I G B.C M
9 9 9 9 9
past9month.9He9tells9the9manager9that9he9very9much9wants9to9come9to9work9when9scheduled9but9must
9often9care9for9his9wife,9who9is9undergoing9treatment
for9breast9cancer.9According9toUMaS N’s9Tneed9hiO
slow erarchy9theory,9what9would9be9the9best
approach9to9satisfying9the9needs9of9this9nurse,9other9staff,9and9patients?
a. Line9up9agency9nurses9who9can9be9called9in9to9work9on9short9notice.
b. Place9the9nurse9on9unpaid9leave9for9the9remainder9of9his9wife’s9treatment.
c. Sympathize9with9the9nurse’s9dilemma9and9let9the9charge9nurse9know9that9this9nurse
may9be9calling9in9frequently9in9the9future.
d. Work9with9the9nurse,9staffing9office,9and9other9nurses9to9arrange9his9scheduled
days9off9around9his9wife’s9treatments.
ANS:9 D
Placing9the9nurse9on9unpaid9leave9may9threaten9the9nurse’s9capacity9to9meet9physiologic9needs9
and9demotivate9the9nurse.9Unsatisfactory9coverage9of9shifts9on9short9notice9could9affect9patien
Test Bank for Leading and Managing inNursing 8th E
9 9 9 9 9 9 9 9 9
3. A9grievance9brought9by9a9staff9nurse9against9the9unit9manager9requires9mediation.9At9the9first9mediati
on9session,9the9staff9nurse9repeatedly9calls9the9unit9manager’s9actions9unfair,9and9the9unit9manager9co
ntinues9to9reiterate9the9reasons9for9the9actions.9What9would9be9the9best9course9of9action9at9this9time?
a. Send9the9two9disputants9away9to9reach9their9own9resolution.
b. Involve9another9staff9nurse9in9the9discussion9for9clarity9issues.
NURSINGTB.COM
c. Ask9each9party9to9examine9their9own9motives9and9issues9in9the9conflict.
d. Continue9to9listen9as9the9parties9repeat9their9thoughts9and9feelings9about9the9
conflict.
ANS:9 C
For9resolution9of9conflict,9one9should9address9the9interests9and9involvement9of9participants9in9
the9conflict9by9examining9the9real9issues9of9all9parties.
4. At9a9second9negotiation9session,9the9unit9manager9and9staff9nurse9are9unable9to9reach9a9resoluti
on.9What9is9the9appropriate9next9step?
a. Arrange9another9meeting9in9a9week’s9time9so9as9to9allow9a9cooling-off9period.
b. Elevate9the9next9negation9session9to9the9next9manager,9one9level9above.
c. Insist9that9participants9continue9to9talk9until9a9resolution9has9been9reached.
d. Back9the9unit9manager’s9actions9and9end9the9dispute.
ANS:9 B
Test Bank for Leading and Managing inNursing 8th E
9 9 9 9 9 9 9 9 9
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