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Leading and Managing in Nursinga7th Edition Yoder-wise
Leading and Managing in Nursinga7th Edition Yoder-wise
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LeadingaandaManagingainaNursinga7thaEditionaYoder-WiseaTestaBankNURSINGTB.COM
, LeadingaandaManagingainaNursinga7thaEditionaYoder-WiseaTestaBank
Chapter 01: Leading, Managing, and Following
a a a a a
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
a a a a a a a
MULTIPLEaCHOICE
1. Aanurseamanageraofaaa20-
bedamedicalaunitafindsathata80%aofatheapatientsaareaolderaadults.aSheaisaaskedatoaassessaandaadapta
theaunitatoabetterameetatheauniqueaneedsaofatheaolderaadultapatient.aUsingacomplexityaprinciples,a
whatawouldabeatheabestaapproachatoatakeaforaimplementationaofathisachange?
a. Leverageatheahierarchicalamanagementapositionatoagetaunitastaffainvolvedainaa
ssessmentaandaplanning.
b. Engageainvolvedastaffaataallalevelsainatheadecision-makingaprocess.
c. Focusatheaassessmentaonatheaunitaandaomitatheahospitalaandacommunityae
nvironment.
d. Hireaaageriatricaspecialistatoaoverseeaandacontrolatheaproject.
ANS:a B
Complexityatheoryasuggestsathatasystemsainteractaandaadaptaandathatadecisionamakingaoccursath
roughoutatheasystems,aasaopposedatoabeingaheldainaaahierarchy.aInacomplexityatheory,aeveryavoi
ceacounts,aandatherefore,aallalevelsaofastaffawouldabeainvolvedainadecisionamaking.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
2. Aaunitamanageraofaaa25-
bedamedical/surgicalaareaareceivesaaaphoneacallafromaaanurseawhoahasacalledainasickafiveatimesain
atheapastamonth.aHeatellsatheamanagerathataheaverya muchawantsato
comeatoaworkawhenascheduledabutamustaoftenacareaforahisawife,awhoaisaundergoingatreatmentaforab
NsaR
reastacancer.aAccordingat oUM aS l oaI
NaG’ saB.C
w T O
a n eed ahi e rarchy atheory,awhatawouldabeatheabest
approachatoasatisfyingatheaneedsaofathisanurse,aotherastaff,aandapatients?
a. Lineaupaagencyanursesawhoacanabeacalledainatoaworkaonashortanotice.
b. Placeatheanurseaonaunpaidaleaveaforathearemainderaofahisawife’satreatment.
c. Sympathizeawithatheanurse’sadilemmaaandaletatheachargeanurseaknowathatathisanurseam
ayabeacallingainafrequentlyainatheafuture.
d. Workawithatheanurse,astaffingaoffice,aandaotheranursesatoaarrangeahisascheduledad
aysaoffaaroundahisawife’satreatments.
ANS:a D
Placingatheanurseaonaunpaidaleaveamayathreatenatheanurse’sacapacityatoameetaphysiologicaneedsaa
ndademotivateatheanurse.aUnsatisfactoryacoverageaofashiftsaonashortanoticeacouldaaffecta patientac
areaandathreatenatheaneedsaofastaffatoafeelacompetent.aArrangingatheascheduleaaroundatheawife’san
eedsameetsatheaneedsaofatheastaffaandaofapatientsawhileasatisfyingatheanurse’saneedaforaaffiliation.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
3. Aagrievanceabroughtabyaaastaffanurseaagainstatheaunitamanagerarequiresamediation.aAtatheafirstam
ediationasession,atheastaffanursearepeatedlyacallsatheaunitamanager’saactionsaunfair,aandatheaunita
manageracontinuesatoareiterateatheareasonsaforatheaactions.aWhatawouldabeatheabestacourseaofaacti
onaatathisatime?
a. Sendatheatwoadisputantsaawayatoareachatheiraownaresolution.
b. Involveaanotherastaffanurseainatheadiscussionaforaclarityaissues.
NURSINGTB.COM
, LeadingaandaManagingainaNursinga7thaEditionaYoder-WiseaTestaBank
c. Askaeachapartyatoaexamineatheiraownamotivesaandaissuesainatheaconflict.
d. Continueatoalistenaasatheapartiesarepeatatheirathoughtsaandafeelingsaaboutatheac
onflict.
ANS:a C
Foraresolutionaofaconflict,aoneashouldaaddressatheainterestsaandainvolvementaofaparticipantsainathe
aconflictabyaexaminingathearealaissuesaofaallaparties.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
4. Ataaasecondanegotiationasession,atheaunitamanageraandastaffanurseaareaunableatoareachaaare
solution.aWhataisatheaappropriateanextastep?
a. Arrangeaanotherameetingainaaaweek’satimeasoaasatoaallowaaacooling-offaperiod.
b. Elevateatheanextanegationasessionatoatheanextamanager,aonealevelaabove.
c. Insistathataparticipantsacontinueatoatalkauntilaaaresolutionahasabeenareached.
d. Backatheaunitamanager’saactionsaandaendatheadispute.
ANS:a B
Partaofaleadershipaisaunderstandingaconflictaresolutionaandaabilityatoanegotiateaandamanageaforares
olutionaofaissuesaandaconcerns.aThisasituationahasafailedaaasecondanegotiationasession,aelevationat
oaaamanagerawithaadditionalatrainingatoafacilitateaconflictaresolutionaisaimportantaatathisapoint.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
5. TheamanageraofaaasurgicalaareaahasaaavisionaforatheafutureathatarequiresatheaadditionaofaRNaassist
antsaoraunlicensedapersonsatoafeed,abathe,aandaambulateapatients.aTheaRNsaonatheastaff
haveaalwaysa practiceda ina aap rN
i m aR
r y anIurs iGn g-
Bd e.liCver yMsystem a andaareaveryaUresistant
aSaNaT
a toa thisaidea.aWhatawouldabeatheabestainitialastrategyaforaimpl
ementationaofathisachange?
a. ExploringatheavaluesaandafeelingsaofatheaRNagroupainarelationshipatoathisachange
b. LeavingatheaRNsaaloneaforaaatimeasoatheyacanathinkaaboutatheachangeabeforeaitaisaim
plemented
c. Droppingatheaideaaandatryingaforatheachangeainaaayearaorasoawhenasomeaofatheapr
esentaRNsahavearetired
d. HiringatheaassistantsaandaallowingatheaRNsatoaseeawhatagoodaadditionsatheyaare
ANS:a A
Influencingaothersarequiresaemotionalaintelligenceainadomainsasuchaasaempathy,ahandlingarelatio
nships,adeepeningaself-
awarenessainaselfaandaothers,amotivatingaothers,aandamanagingaemotions.aMotivatingaothersarec
ognizesathatavaluesaareapowerfulaforcesathatainfluenceaacceptanceaofachange.aLeavingatheaRNsaal
oneaforaaaperiodaofatimeabeforeaimplementationadoesanotaprovideaopportunityatoaexploreadifferent
aperspectivesaandavalues.aAvoidingadiscussionauntilatheateamachangesamayanotapromoteaadoption
aofatheachangeauntilathereaisaopportunityatoaexploreaperspectivesaandavaluesarelatedatoatheachange.
aHiringaofatheaassistantsademonstratesalackaofaempathya foratheaperspectivesaofatheaRNastaff.
TOP:a AONEacompetency:aKnowledgeaofatheaHealthaCareaEnvironment
NURSINGTB.COM
, LeadingaandaManagingainaNursinga7thaEditionaYoder-WiseaTestaBank
6. AsatheaRNachargeanurseaonatheanightashiftainaaasmallalong-
termacareafacility,ayou’veafoundathatathereaisalittleaturnoveraamongayouraLPNaandanursingaassista
nta(NA)astaffamembers,abutatheyaareanotaveryamotivatedatoagoabeyondatheirajobadescriptionsainath
eirawork.aWhichaofatheafollowingastrategiesamightamotivateatheastaffaandaleadatoagreaterajobasatis
faction?
a. Askatheadirectoraofanursingatoaofferahigherawagesaandabonusesaforaextraaworkaforath
eanightaLPNsaandaNAs.
b. AllowatheaLPNsaandaNAsagreateradecision-
makingapowerawithinatheascopeaofatheirapositionsainatheainstitution.
c. Hireaadditionalastaffasoathatathereaareamoreastaffaavailableaforaenhancedacare,aandain
dividualaworkloadsaarealessened.
d. Askatheadirectoraofanursingatoaincreaseajobasecurityaforanightastaffabyahavingathemasi
gnacontractsathataguaranteeawork.
ANS:a B
Hygieneafactorsasuchaasasalary,aworkingaconditions,aandasecurityaareaconsistentawith
Herzberg’satwo-
factoratheoryaofamotivation;ameetingatheseaneedsaavoidsajobadissatisfaction.aMotivatorafactorsasu
chaasarecognitionaandasatisfactionawithaworkapromoteaaasatisfyingaandaenrichedaworkaenvironme
nt.aTransformationalaleadersauseamotivatorafactorsaliberallyatoainspireaworkaperformanceaandaincr
easeajobasatisfaction.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
7. Theanurseamanagerawantsatoaincreaseamotivationabyaprovidingamotivatingafactorsaforatheanurseao
natheaunit.aWhataactionawouldabeaappropriateatoamotivateatheastaff?
a. Collaborateawithatheahumanaresource/personneladepartmentatoadevelopaon-
siteadaycareaservices.
N R I G B.C M
b. Provideaaahierarchicalaorg ani zati onal str uc tu re. a
c. Implementaaamodelaofashared Uaagovernance.
SaNaT O
d. Promoteatheadevelopmentaofaaaflexibleabenefitsapackage.
ANS:a C
Complexityatheoryasuggestsathatasystemsainteractaandaadaptaandathatadecisionamakingaoccursathro
ughoutasystems,aasaopposedatoabeingaheldainaaahierarchy.aInacomplexityatheory,aeveryavoiceacoun
ts,aandathereforeaallalevelsaofastaffawouldabeainvolvedainadecisionamaking.aThisaprincipleaisatheafo
undationaofasharedagovernance.
TOP:a AONEacompetency:aCommunicationaandaRelationship-Building
8. Aachargeanurseaonaaabusya40-
bedamedical/surgicalaunitaisaapproachedabyaaafamilyamemberawhoabeginsatoacomplainaloudlyaabo
utatheaqualityaofacareahisamotheraisareceiving.aHisabehavioraisasoadisruptiveathataitaisaoverheardabya
staff,aphysicians,aandaotheravisitors.aTheafamilyamemberaleavesatheaunitaabruptly,aandatheanurseai
saleftafeelingafrustrated.aWhichabehaviorabyatheachargeanurseabestaillustratesarefinedaleadershipas
killsainaanaemotionallyaintelligentapractitioner?
a. Reflectatoagainainsightaintoahowatheasituationacouldabeahandledadifferentlyainatheafu
ture.
b. Tryatoacatchaupawithatheaangryafamilyamemberatoaresolveatheaconcern.
c. Discussatheaconcernawithatheapatientaafteratheafamilyamemberahasaleft.
d. Notifyanursingaadministrationaofatheasituation.
ANS:a A
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