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Test Bank For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman Chapter 1-25 | 9780323792066 | All Chapters with Answers and Rationals
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Test Bank For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman Chapter 1-25 | 9780323792066 | All Chapters with Answers and Rationals

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  • November 29, 2024
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  • test bank for leading and managing in nursing 8th
  • leading and managing in nursing 8th ed

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Stuvia.com zx- zxThe zxMarketplace zxto zxBuy zxand zxSell zxyour zxStudy
Material

Chapter 01: Leading, Managing, and Following
zx zx zx zx zx


Yoder-Wise: Leading and Managing in Nursing, 8th Edition
zx zx zx zx zx zx zx




MULTIPLE CHOICE zx




1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


adults. She is asked to assess and adapt the unit to better meet the unique needs of the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


older adult patient. Using complexity principles, what would be the best approach to
zx zx zx zx zx zx zx zx zx zx zx zx zx


take for implementation of this change?
zx zx zx zx zx zx


a. Leverage the hierarchical management position to get unit staff involved
zx zx zx zx zx zx zx zx zx


in assessment and planning.
zx zx zx zx


b. Engage involved staff at all levels in the decision-making process.
zx zx zx zx zx zx zx zx zx


c. Focus the assessment on the unit and omit the hospital and
zx zx zx zx zx zx zx zx zx zx


community environment.
zx zx


d. Hire a geriatric specialist to oversee and control the project.
zx zx zx zx zx zx zx zx zx




ANS: z x B
Complexity theory suggests that systems interact and adapt and that decision making
zx zx zx zx zx zx zx zx zx zx zx


occurs throughout the systems, as opposed to being held in a hierarchy. In complexity
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


theory, every voice counts, and therefore, all levels of staff would be involved in
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


decision making.
zx zx




TOP: AONE competency: Communication and Relationship-Building
zx zx zx zx zx




2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


who has called in sick five times in the past month. He tells the manager that he very
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


much wants to come to work when scheduled but must often care for his wife, who is
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


undergoing treatment for breast cancer. According to Maslow‘s need hierarchy theory,
zx zx zx zx zx zx zx zx zx zx zx


what would be the best approach to satisfying the needs of this nurse, other staff, and
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


patients?
zx


a. Line up agency nurses who can be called in to work on short notice.
zx zx zx zx zx zx zx zx zx zx zx zx zx


b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
zx zx zx zx zx zx zx zx zx zx zx zx


c. Sympathize with the nurse‘s dilemma and let the charge nurse know that this zx zx zx zx zx zx zx zx zx zx zx zx


nurse may be calling in frequently in the future.
zx zx zx zx zx zx zx zx z x


d. Work with the nurse, staffing office, and other nurses to arrange his
zx zx zx zx zx zx zx zx zx zx zx


scheduled days off around his wife‘s treatments.
zx zx zx zx zx zx zx




ANS: z x D
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic
zx zx zx zx zx zx zx zx zx zx zx zx zx


needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
zx zx zx zx zx zx zx zx zx zx zx zx zx


affect patient care and threaten the needs of staff to feel competent. Arranging the
zx z x zx zx zx zx zx zx zx zx zx zx zx zx


schedule around the wife‘s needs meets the needs of the staff and of patients while
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


satisfying the nurse‘s need for affiliation.
zx zx zx zx zx zx




TOP: AONE competency: Communication and Relationship-Building
zx zx zx zx zx




3. A grievance brought by a staff nurse against the unit manager requires mediation. At the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


first mediation session, the staff nurse repeatedly calls the unit manager‘s actions
zx zx zx zx zx zx zx zx zx zx zx zx


unfair, and the unit manager continues to reiterate the reasons for the actions. What
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


would be the best course of action at this time?
zx zx zx zx zx zx zx zx zx zx


a. Send the two disputants away to reach their own resolution.
zx zx zx zx zx zx zx zx zx


b. Involve another staff nurse in the discussion for clarity issues.
zx zx zx zx zx zx zx zx zx




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c. Ask each party to examine their own motives and issues in the conflict.
zx zx zx zx zx zx zx zx zx zx zx zx


d. Continue to listen as the parties repeat their thoughts and feelings about
zx zx zx zx zx zx zx zx zx zx zx


the conflict.
zx zx




ANS: C zx


For resolution of conflict, one should address the interests and involvement of participants
zx zx zx zx zx zx zx zx zx zx zx zx


in the conflict by examining the real issues of all parties.
zx zx zx zx zx zx zx zx zx zx zx




TOP: AONE competency: Communication and Relationship-Building
zx zx zx zx zx




4. At a second negotiation session, the unit manager and staff nurse are unable to
zx zx zx zx zx zx zx zx zx zx zx zx zx


reach a resolution. What is the appropriate next step?
zx zx zx zx zx zx zx zx z x


a. Arrange another meeting in a week‘s time so as to allow a cooling-off period.
zx zx zx zx zx zx zx zx zx zx zx zx zx


b. Elevate the next negation session to the next manager, one level above.
zx zx zx zx zx zx zx zx zx zx zx


c. Insist that participants continue to talk until a resolution has been reached.
zx zx zx zx zx zx zx zx zx zx zx


d. Back the unit manager‘s actions and end the dispute.
zx zx zx zx zx zx zx zx




ANS: B zx


Part of leadership is understanding conflict resolution and ability to negotiate and manage
zx zx zx zx zx zx zx zx zx zx zx zx


for resolution of issues and concerns. This situation has failed a second negotiation
zx zx zx zx zx zx zx zx zx zx zx zx zx


session, elevation to a manager with additional training to facilitate conflict resolution is
zx zx zx zx zx zx zx zx zx zx zx zx zx


important at this point.
zx zx zx zx




TOP: AONE competency: Communication and Relationship-Building
zx zx zx zx zx




5. The manager of a surgical area has a vision for the future that requires the addition of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


RN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


the staff have always practiced in a primary nursing-delivery system and are very
zx zx zx zx zx zx zx zx zx zx zx zx zx


resistant to this idea. What would be the best initial strategy for implementation of this
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


change?
zx


a. Exploring the values and feelings of the RN group in relationship to this change
zx zx zx zx zx zx zx zx zx zx zx zx zx


b. Leaving the RNs alone for a time so they can think about the change before
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


it is implemented
zx zx zx


c. Dropping the idea and trying for the change in a year or so when some of
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


the present RNs have retired
zx zx zx zx zx


d. Hiring the assistants and allowing the RNs to see what good additions they are
zx zx zx zx zx zx zx zx zx zx zx zx zx




ANS: A zx


Influencing others requires emotional intelligence in domains such as empathy, handling
zx zx zx zx zx zx zx zx zx zx


relationships, deepening self-awareness in self and others, motivating others, and
zx zx zx zx zx zx zx zx zx zx


managing emotions. Motivating others recognizes that values are powerful forces that
zx zx zx zx zx zx zx zx zx zx zx


influence acceptance of change. Leaving the RNs alone for a period of time before
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


implementation does not provide opportunity to explore different perspectives and
zx zx zx zx zx zx zx zx zx zx


values. Avoiding discussion until the team changes may not promote adoption of the
zx zx zx zx zx zx zx zx zx zx zx zx zx


change until there is opportunity to explore perspectives and values related to the
zx zx zx zx zx zx zx zx zx zx zx zx zx


change. Hiring of the assistants demonstrates lack of empathy for the perspectives of the
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


RN staff.
zx zx




TOP: AONE competency: Knowledge of the Health Care Environment
zx zx zx zx zx zx zx zx




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6. As the RN charge nurse on the night shift in a small long-term care facility, you‘ve found
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


that there is little turnover among your LPN and nursing assistant (NA) staff members,
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


but they are not very motivated to go beyond their job descriptions in their work.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx zx


Which of the following strategies might motivate the staff and lead to greater job
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


satisfaction?
zx


a. Ask the director of nursing to offer higher wages and bonuses for extra
zx zx zx zx zx zx zx zx zx zx zx zx


work for the night LPNs and NAs.
zx zx zx zx zx zx zx


b. Allow the LPNs and NAs greater decision-making power within the scope of
zx zx zx zx zx zx zx zx zx zx zx


their positions in the institution.
zx zx zx zx zx


c. Hire additional staff so that there are more staff available for enhanced
zx zx zx zx zx zx zx zx zx zx zx


care,and individual workloads are lessened.
zx zx zx zx zx zx


d. Ask the director of nursing to increase job security for night staff by having
zx zx zx zx zx zx zx zx zx zx zx zx zx


them sign contracts that guarantee work.
zx zx zx zx zx zx




ANS: B zx


Hygiene factors such as salary, working conditions, and security are consistent with
zx zx zx zx zx zx zx zx zx zx zx


Herzberg‘s two-factor theory of motivation; meeting these needs avoids job
zx zx zx zx zx zx zx zx zx zx


dissatisfaction. Motivator factors such as recognition and satisfaction with work promote
zx zx zx zx zx zx zx zx zx zx zx


a satisfying and enriched work environment. Transformational leaders use motivator
zx zx zx zx zx zx zx zx zx zx


factors liberally to inspire work performance and increase job satisfaction.
zx zx zx zx zx zx zx zx zx zx




TOP: AONE competency: Communication and Relationship-Building
zx zx zx zx zx




7. The nurse manager wants to increase motivation by providing motivating factors for
zx zx zx zx zx zx zx zx zx zx zx


zx thenurse on the unit. What action would be appropriate to motivate the staff?
zx zx zx zx zx zx zx zx zx zx zx zx


a. Collaborate with the human resource/personnel department to develop on- zx zx zx zx zx zx zx zx


site daycare services.
zx zx


b. Provide a hierarchical organizational structure. zx zx zx zx


c. Implement a model of shared governance. zx zx zx zx zx


d. Promote the development of a flexible benefits package. zx zx zx zx zx zx zx




ANS: C zx


Complexity theory suggests that systems interact and adapt and that decision making
zx zx zx zx zx zx zx zx zx zx zx


occurs throughout systems, as opposed to being held in a hierarchy. In complexity
zx zx zx zx zx zx zx zx zx zx zx zx zx


theory, every voice counts, and therefore all levels of staff would be involved in
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


decision making. This principle is the foundation of shared governance.
zx zx zx zx zx zx zx zx zx zx




TOP: AONE competency: Communication and Relationship-Building
zx zx zx zx zx




8. The nurse manager has been asked to implement an evidence-based approach to teach
zx zx zx zx zx zx zx zx zx zx zx zx


ostomy patients self-management skills postoperatively. The program is to be
zx zx zx zx zx zx zx zx zx zx


implemented across the entire facility. What illustrates effective leadership in this
zx zx zx zx zx zx zx zx zx zx zx


situation?
z x


a. The training modules are left in the staff room for times when staff are available.
zx zx zx zx zx zx zx zx zx zx zx zx zx zx


b. The current approach is continued because it is also evidence-based and is
zx zx zx zx zx zx zx zx zx zx zx


more familiar to staff.
zx zx zx zx


c. You decide to implement the approach at a later date because of feedback
zx zx zx zx zx zx zx zx zx zx zx zx


from the RNs that the new approach takes too much time.
zx zx zx zx zx zx zx zx zx zx zx


d. An RN who is already familiar with the new approach of volunteers to take
zx zx zx zx zx zx zx zx zx zx zx zx zx


the lead in mentoring and teaching others how to implement it.
zx zx zx zx zx zx zx zx zx zx z x




ANS: D zx




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