Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
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TEST BANK Yoder-Wise: Leading and Managing in Nursing, 8th
Edition 2023/2024 Update
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, 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 4
1. A nurse manager of a 20-
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bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt t
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he unit to better meet the unique needs of the older adult patient. Using complexity principles, w
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hat would be the best approach to take for implementation of this change?
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a. Leverage the hierarchical management position to get unit staff involved in as
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sessment and planning. 4 4
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 en
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vironment.
d. Hire a geriatric specialist to oversee and control the project.
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ANS: B 4
Complexity theory suggests that systems interact and adapt and that decision making occurs th
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roughout the systems, as opposed to being held in a hierarchy. In complexity theory, every voic
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e counts, and therefore, all levels of staff would be involved in decision making.
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TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-
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bed medical/surgical area receives a phone call from a nurse who has called in sick five times in
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the past month. He tells the manager that he very much wants to
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come to work when scheduled but must often care for his wife, who is undergoing treatment for br
east cancer. According t oUM aSsNl R IG’ sB.C hiO
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4 owN Tneed e rarchy theory, what would be the best
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approach to 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 m 4 4 4 4 4 4 4 4 4 4 4 4 4 4
ay be calling in frequently in the future.
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d. Work with the nurse, staffing office, and other nurses to arrange his scheduled da
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ys off around his wife’s treatments.
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ANS: D 4
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic needs an
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d demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect patient car
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e and threaten the needs of staff to feel competent. Arranging the schedule around the wife’s nee
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ds meets the needs of the staff and of patients while satisfying the nurse’s need for affiliation.
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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 me
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diation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit m
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anager continues to reiterate the reasons for the actions. What would be the best course of action
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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 for clarity issues.
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, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
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c. Ask each party to examine their 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 co
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nflict.
ANS: C 4
For resolution of conflict, one should address the interests and involvement of participants in the
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conflict by examining the real issues of all parties.
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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 res
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olution. What is the appropriate next step?
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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. Elevate the next negation session to the next manager, one level above.
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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 4
Part of leadership is understanding conflict resolution and ability to negotiate and manage for res
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olution of issues and concerns. This situation has failed a second negotiation session, elevation t
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o a manager with additional training to facilitate conflict resolution is important at this point.
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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 assista
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nts or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff have always
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practiced in a prN
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veryMsystem and are very resistant to this idea.
U S N Tfor implementation of this change?
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What would be the best initial strategy
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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 im
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plemented
c. Dropping the idea and trying for the change in a year or so when some of the pre
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sent RNs have retired 4 4 4
d. Hiring the assistants and allowing the RNs to see what good additions they are
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ANS: A 4
Influencing others requires emotional intelligence in domains such as empathy, handling relatio
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nships, deepening self- 4 4
awareness in self and others, motivating others, and managing emotions. Motivating others reco
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gnizes that values are powerful forces that influence acceptance of change. Leaving the RNs alo
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ne for a period of time before implementation does not provide opportunity to explore different p
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erspectives and values. Avoiding discussion until the team changes may not promote adoption o
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f the change until there is opportunity to explore perspectives and values related to the change. H
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iring of the assistants demonstrates lack of empathy for the perspectives of the RN staff.
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TOP: AONE competency: Knowledge of the Health Care Environment
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, Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
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6. As the RN charge nurse on the night shift in a small long-
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term care facility, you’ve found that there is little turnover among your LPN and nursing assista
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nt (NA) staff members, but they are not very motivated to go beyond their job descriptions in the
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ir work. Which of the following strategies might motivate the staff and lead to greater job satisfa
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ction?
a. Ask the director of nursing to offer higher wages and bonuses for extra work for th
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e night LPNs and NAs. 4 4 4 4
b. Allow the LPNs and NAs greater decision- 4 4 4 4 4 4
making power within the scope of their positions in the institution. 4 4 4 4 4 4 4 4 4 4
c. Hire additional staff so that there are more staff available for enhanced care, and in
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dividual workloads are lessened. 4 4 4
d. Ask the director of nursing to increase job security for night staff by having them sig
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n contracts that guarantee work.4 4 4 4
ANS: B 4
Hygiene factors such as salary, working conditions, and security are consistent with Herzberg’s t
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wo-
factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factors su
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ch as recognition and satisfaction with work promote a satisfying and enriched work environmen
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t. Transformational leaders use motivator factors liberally to inspire work performance and incre
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ase job satisfaction.
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TOP: AONE competency: Communication and Relationship-Building
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7. The nurse manager wants to increase motivation by providing motivating factors for the nurse on
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the unit. What action would be appropriate to motivate the staff?
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a. Collaborate with the human resource/personnel department to develop on-site 4 4 4 4 4 4 4 4
daycare services. 4
b. Provide a hierarchical orgNaniR
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c. Implement a model of shar U
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d. Promote the development of a flexible benefits package. 4 4 4 4 4 4 4
ANS: C 4
Complexity theory suggests that systems interact and adapt and that decision making occurs thro
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ughout systems, as opposed to being held in a hierarchy. In complexity theory, every voice count
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s, and therefore all levels of staff would be involved in decision making. This principle is the fou
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ndation of shared governance. 4 4 4
TOP: AONE competency: Communication and Relationship-Building
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8. A charge nurse on a busy 40-
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bed medical/surgical unit is approached by a family member who begins to complain loudly abo
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ut the quality of care his mother is receiving. His behavior is so disruptive that it is overheard by s
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taff, physicians, and other visitors. The family member leaves the unit abruptly, and the nurse is l
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eft feeling frustrated. Which behavior by the charge nurse best illustrates refined leadership skill
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s in an emotionally intelligent practitioner?
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a. Reflect to gain insight into how the situation could be handled differently in the fut
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ure.
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. 4 4 4 4 4 4 4 4 4 4 4
d. Notify nursing administration of the situation. 4 4 4 4 4
ANS: A 4
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