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Test bank for Yoder-Wise: Leading and Managing in Nursing, 8th E Leading and Managing in Nursing
Test bank for Yoder-Wise: Leading and Managing in Nursing, 8th E Leading and Managing in Nursing
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LeadingrandrManagingrinrNursingr8thrEditionrYoder-WiserTestrBankTEST BANK Yoder-
r r
Wise: Leading and Managing in Nursing, 8th E
r r r r r r r
dition 2023/2024 Update
r r
NURSINGTB.COM
, LeadingrandrManagingrinrNursingr8thrEditionrYoder-WiserTestrBank
Chapter 01: Leading, Managing, and Following
r r r r r
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
r r r r r r r
MULTIPLErCHOICE
1. Arnursermanagerrofrar20-
bedrmedicalrunitrfindsrthatr80%rofrtherpatientsrarerolderradults.rSherisraskedrtorassessrandradaptrth
erunitrtorbetterrmeetrtheruniquerneedsrofrtherolderradultrpatient.rUsingrcomplexityrprinciples,rwha
trwouldrbertherbestrapproachrtortakerforrimplementationrofrthisrchange?
a. Leveragertherhierarchicalrmanagementrpositionrtorgetrunitrstaffrinvolvedrinras
sessmentrandrplanning.
b. Engagerinvolvedrstaffratrallrlevelsrinrtherdecision-makingrprocess.
c. Focusrtherassessmentronrtherunitrandromitrtherhospitalrandrcommunityren
vironment.
d. Hirerargeriatricrspecialistrtoroverseerandrcontrolrtherproject.
ANS:r B
Complexityrtheoryrsuggestsrthatrsystemsrinteractrandradaptrandrthatrdecisionrmakingroccursrthr
oughoutrthersystems,rasropposedrtorbeingrheldrinrarhierarchy.rInrcomplexityrtheory,reveryrvoicer
counts,randrtherefore,rallrlevelsrofrstaffrwouldrberinvolvedrinrdecisionrmaking.
TOP:r AONErcompetency:rCommunicationrandrRelationship-Building
2. Arunitrmanagerrofrar25-
bedrmedical/surgicalrarearreceivesrarphonercallrfromrarnurserwhorhasrcalledrinrsickrfivertimesrinrt
herpastrmonth.rHertellsrthermanagerrthatrherveryrmuchrwantsrto
comertorworkrwhenrscheduledrbutrmustroftenrcarerforrhisrwife,rwhorisrundergoingrtreatmentrforrbre
astrcancer.rAccordingrt oUM aSs lNorR
NrI’srGT
w rB.C O
r need rhi e rarchy rtheory,rwhatrwouldrbertherbest
approachrtorsatisfyingrtherneedsrofrthisrnurse,rotherrstaff,randrpatients?
a. Linerupragencyrnursesrwhorcanrbercalledrinrtorworkronrshortrnotice.
b. Placerthernurseronrunpaidrleaverforrtherremainderrofrhisrwife’srtreatment.
c. Sympathizerwithrthernurse’srdilemmarandrletrtherchargernurserknowrthatrthisrnurserma
yrbercallingrinrfrequentlyrinrtherfuture.
d. Workrwithrthernurse,rstaffingroffice,randrotherrnursesrtorarrangerhisrscheduledrda
ysroffraroundrhisrwife’srtreatments.
ANS:r D
Placingrthernurseronrunpaidrleavermayrthreatenrthernurse’srcapacityrtormeetrphysiologicrneedsrandr
demotivaterthernurse.rUnsatisfactoryrcoveragerofrshiftsronrshortrnoticercouldraffectrpatientrcarera
ndrthreatenrtherneedsrofrstaffrtorfeelrcompetent.rArrangingrtherscheduleraroundrtherwife’srneedsrm
eetsrtherneedsrofrtherstaffrandrofrpatientsrwhilersatisfyingrthernurse’srneedrforraffiliation.
TOP:r AONErcompetency:rCommunicationrandrRelationship-Building
3. Argrievancerbroughtrbyrarstaffrnurseragainstrtherunitrmanagerrrequiresrmediation.rAtrtherfirstrmed
iationrsession,rtherstaffrnurserrepeatedlyrcallsrtherunitrmanager’sractionsrunfair,randrtherunitrman
agerrcontinuesrtorreiteratertherreasonsrforrtheractions.rWhatrwouldrbertherbestrcourserofractionratrt
hisrtime?
a. Sendrthertwordisputantsrawayrtorreachrtheirrownrresolution.
b. Involveranotherrstaffrnurserinrtherdiscussionrforrclarityrissues.
NURSINGTB.COM
, LeadingrandrManagingrinrNursingr8thrEditionrYoder-WiserTestrBank
c. Askreachrpartyrtorexaminertheirrownrmotivesrandrissuesrinrtherconflict.
d. Continuertorlistenrasrtherpartiesrrepeatrtheirrthoughtsrandrfeelingsraboutrtherco
nflict.
ANS:r C
Forrresolutionrofrconflict,ronershouldraddressrtherinterestsrandrinvolvementrofrparticipantsrinrtherc
onflictrbyrexaminingrtherrealrissuesrofrallrparties.
TOP:r AONErcompetency:rCommunicationrandrRelationship-Building
4. Atrarsecondrnegotiationrsession,rtherunitrmanagerrandrstaffrnurserarerunablertorreachrarreso
lution.rWhatrisrtherappropriaternextrstep?
a. Arrangeranotherrmeetingrinrarweek’srtimersorasrtorallowrarcooling-offrperiod.
b. Elevaterthernextrnegationrsessionrtorthernextrmanager,ronerlevelrabove.
c. Insistrthatrparticipantsrcontinuertortalkruntilrarresolutionrhasrbeenrreached.
d. Backrtherunitrmanager’sractionsrandrendrtherdispute.
ANS:r B
Partrofrleadershiprisrunderstandingrconflictrresolutionrandrabilityrtornegotiaterandrmanagerforrreso
lutionrofrissuesrandrconcerns.rThisrsituationrhasrfailedrarsecondrnegotiationrsession,relevationrtora
rmanagerrwithradditionalrtrainingrtorfacilitaterconflictrresolutionrisrimportantratrthisrpoint.
TOP:r AONErcompetency:rCommunicationrandrRelationship-Building
5. ThermanagerrofrarsurgicalrarearhasrarvisionrforrtherfuturerthatrrequiresrtheradditionrofrRNrassistan
tsrorrunlicensedrpersonsrtorfeed,rbathe,randrambulaterpatients.rTherRNsronrtherstaffrhaveralwaysr pra
cticedrinr arp rN
i m aR
r y rnIurs iGng-B
de.liC
veryMsystem randr arerveryr resistantrtorthisridea.
UrSrNrfor
Whatrwouldrbertherbestrinitialrstrategy rT
rimplementationrofrthisrchange?
a. ExploringrthervaluesrandrfeelingsrofrtherRNrgrouprinrrelationshiprtorthisrchange
b. LeavingrtherRNsralonerforrartimersortheyrcanrthinkraboutrtherchangerbeforeritrisrimpl
emented
c. Droppingrtheridearandrtryingrforrtherchangerinraryearrorrsorwhenrsomerofrtherpres
entrRNsrhaverretired
d. HiringrtherassistantsrandrallowingrtherRNsrtorseerwhatrgoodradditionsrtheyrare
ANS:r A
Influencingrothersrrequiresremotionalrintelligencerinrdomainsrsuchrasrempathy,rhandlingrrelation
ships,rdeepeningrself-
awarenessrinrselfrandrothers,rmotivatingrothers,randrmanagingremotions.rMotivatingrothersrrecog
nizesrthatrvaluesrarerpowerfulrforcesrthatrinfluenceracceptancerofrchange.rLeavingrtherRNsralonerf
orrarperiodrofrtimerbeforerimplementationrdoesrnotrprovideropportunityrtorexplorerdifferentrpersp
ectivesrandrvalues.rAvoidingrdiscussionruntilrtherteamrchangesrmayrnotrpromoteradoptionrofrther
changeruntilrthererisropportunityrtorexplorerperspectivesrandrvaluesrrelatedrtortherchange.rHiringr
ofrtherassistantsrdemonstratesrlackrofrempathyrforrtherperspectivesrofrtherRNrstaff.
TOP:r AONErcompetency:rKnowledgerofrtherHealthrCarerEnvironment
NURSINGTB.COM
, LeadingrandrManagingrinrNursingr8thrEditionrYoder-WiserTestrBank
6. AsrtherRNrchargernurseronrthernightrshiftrinrarsmallrlong-
termrcarerfacility,ryou’verfoundrthatrthererisrlittlerturnoverramongryourrLPNrandrnursingrassistant
r(NA)rstaffrmembers,rbutrtheyrarernotrveryrmotivatedrtorgorbeyondrtheirrjobrdescriptionsrinrtheirr
work.rWhichrofrtherfollowingrstrategiesrmightrmotivatertherstaffrandrleadrtorgreaterrjobrsatisfacti
on?
a. Askrtherdirectorrofrnursingrtorofferrhigherrwagesrandrbonusesrforrextrarworkrforrther
nightrLPNsrandrNAs.
b. AllowrtherLPNsrandrNAsrgreaterrdecision-
makingrpowerrwithinrtherscoperofrtheirrpositionsrinrtherinstitution.
c. Hireradditionalrstaffrsorthatrthererarermorerstaffravailablerforrenhancedrcare,randrind
ividualrworkloadsrarerlessened.
d. Askrtherdirectorrofrnursingrtorincreaserjobrsecurityrforrnightrstaffrbyrhavingrthemrsig
nrcontractsrthatrguaranteerwork.
ANS:r B
Hygienerfactorsrsuchrasrsalary,rworkingrconditions,randrsecurityrarerconsistentrwithrHerzberg’srt
wo-
factorrtheoryrofrmotivation;rmeetingrtheserneedsravoidsrjobrdissatisfaction.rMotivatorrfactorsrsuc
hrasrrecognitionrandrsatisfactionrwithrworkrpromoterarsatisfyingrandrenrichedrworkrenvironment.r
Transformationalrleadersrusermotivatorrfactorsrliberallyrtorinspirerworkrperformancerandrincrease
rjobrsatisfaction.
TOP:r AONErcompetency:rCommunicationrandrRelationship-Building
7. Thernursermanagerrwantsrtorincreasermotivationrbyrprovidingrmotivatingrfactorsrforrthernurseronrt
herunit.rWhatractionrwouldrberappropriatertormotivatertherstaff?
a. Collaboraterwithrtherhumanrresource/personnelrdepartmentrtordevelopron-site
daycarerservices.
b. Provider ar hierarchicalr orgNaniR
zatiI
onalGstrB
uc.
tuCre. rM
c. Implementrarmodelrofrshar U
e d rgSov eN
rnanTce. O
d. Promotertherdevelopmentrofrarflexiblerbenefitsrpackage.
ANS:r C
Complexityrtheoryrsuggestsrthatrsystemsrinteractrandradaptrandrthatrdecisionrmakingroccursrthrou
ghoutrsystems,rasropposedrtorbeingrheldrinrarhierarchy.rInrcomplexityrtheory,reveryrvoicercounts,r
andrthereforerallrlevelsrofrstaffrwouldrberinvolvedrinrdecisionrmaking.rThisrprinciplerisrtherfounda
tionrofrsharedrgovernance.
TOP:r AONErcompetency:rCommunicationrandrRelationship-Building
8. Archargernurseronrarbusyr40-
bedrmedical/surgicalrunitrisrapproachedrbyrarfamilyrmemberrwhorbeginsrtorcomplainrloudlyrabou
trtherqualityrofrcarerhisrmotherrisrreceiving.rHisrbehaviorrisrsordisruptiverthatritrisroverheardrbyrstaf
f,rphysicians,randrotherrvisitors.rTherfamilyrmemberrleavesrtherunitrabruptly,randrthernurserisrleftrf
eelingrfrustrated.rWhichrbehaviorrbyrtherchargernurserbestrillustratesrrefinedrleadershiprskillsrinra
nremotionallyrintelligentrpractitioner?
a. Reflectrtorgainrinsightrintorhowrthersituationrcouldrberhandledrdifferentlyrinrtherfut
ure.
b. Tryrtorcatchruprwithrtherangryrfamilyrmemberrtorresolvertherconcern.
c. Discussrtherconcernrwithrtherpatientrafterrtherfamilyrmemberrhasrleft.
d. Notifyrnursingradministrationrofrthersituation.
ANS:r A
NURSINGTB.COM
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