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Texas Womans UniversityNURS 4803Leadership final
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Leading and Managing in Nursing 7th Edition Yoder-Wise Test BankChapter 07: Managing Self: Stress and Time
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
1. As a nurse manager, you observe a staff nurse who over the past few weeks has become
withdrawn and has had several absences due to minor ailments. Your best action would be to:
a. ask the nurse if she is okay during report.
b. refer the nurse to the employee assistance program.
c. ask the nurse to meet with you for a few minutes before she leaves for the day.
d. write a note to the nurse advising her that her work attendance must improve.
ANS: C
Stress can lead to emotional symptoms such as depression and a variety of ailments. Meeting
with the nurse privately may assist in identifying stress and possible solutions.
TOP: AONE competency: Business Skills
2. The nurse manager of a unit has lost many staff members, and the unit is now staffed with a
large number of agency and traveling nurses. She knows that the agency and traveling nurses
are all contracted to stay on the unit for the next 3 months. One way to improve morale and
decrease stress in the unit would be to:
a. plan a social event and include the agency and traveling nurse staff members.
b. plan unit-based social events for your remaining permanent staff members.
c. request hospital-based “floating” nurses to substitute for the temporary staff.
d. implement team nursing.
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ANS: A
Social support, in the form of positive work relationships, can be an important way to buffer
the effects of a stressful work environment. Including all staff in the social event enables those
who are not normally part of the team to experience this support and provides an opportunity
for the staff as a whole to develop supportive relationships.
TOP: AONE competency: Communication and Relationship-Building
3. As a nurse manager, the one activity you should not overlook is:
a. posting the yearly rotation schedule.
b. reviewing vacation requests.
c. scheduling staffing for holidays 6 months in advance.
d. anticipating staff sick days.
ANS: B
Free time and vacation time are needed for individuals to recharge. If time for work is more
than 60% of wake time, or when self-time is less than 10% of wake time, stress levels
increase.
TOP: AONE competency: Business Skills
4. A nurse manager has decided that she must institute some personal time-management steps to
survive work and home life. Her first step should be to:
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, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
a. determine what takes up so much of her time and energy.
b. organize her personal and work spaces.
c. purchase a handheld personal digital assistant to help remind her of important
meetings.
d. determine her personal and professional goals.
ANS: D
Personal time management refers, in part, to “the knowing of self.” Self-awareness is a critical
leadership skill, and being self-aware and setting goals helps managers determine how their
time is best spent.
TOP: AONE competency: Leadership
5. A hospice nurse has been feeling very stressed at work because of both the physical strain and
the emotional drain of working with clients with AIDS. She tries to walk 1 to 2 miles three
times a week and to talk regularly with her husband about her work-related feelings. One
reasonable stress-management strategy would be to:
a. start taking yoga lessons.
b. make an appointment to meet with a psychiatrist.
c. start jogging 5 to 6 miles every day.
d. plan to go out for a drink with fellow nurses after work every day.
ANS: A
Stress relief techniques include 30 minutes of exercise five times a week, as well as
techniques such as yoga that relieve mental stress.
TOP: AONE competency: Leadership
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6. The nurse manager is implementing a shared governance model to help with communication
and decision making. Although staff members like the concept, change is difficult. Staff
nurses feel:
a. more empowered.
b. more communicative.
c. less stressed.
d. more powerless and devalued.
ANS: D
Change can lead to feelings of being overwhelmed and powerless, especially if complexity
compression or rapid, intense changes have been involved.
TOP: AONE competency: Business Skills
7. The chief nursing officer listens to nurse managers verbalize their feelings of internal stress.
One common source of internal stress seems to be:
a. the death of a loved one.
b. perfectionism.
c. getting married.
d. losing a job.
ANS: B
Losing a job, the death of a loved one, and getting married are examples of external stress.
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, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
TOP: AONE competency: Business Skills
8. The staff development educator presents a series of programs on stress management to the
nurse managers. Research has indicated that an individual’s ability to deal with stress is
moderated by psychological hardiness. Psychological hardiness is a composite of:
a. commitment, control, and challenge.
b. commitment, powerlessness, and passivity.
c. commitment, control, and passivity.
d. decreased isolation, challenge, and passivity.
ANS: A
Some people have the capacity to accept changes in life with good humor and resilience,
which, in turn, influences behavior that prevents illness. Hardiness involves the capacity to
manage time and stress, to reframe situations positively, and to commit.
TOP: AONE competency: Leadership
9. The chief nursing officer understands that a nurse manager can exhibit stress that is related to
trying to keep up with the number of electronic messages that arrive, as well as trying to
remain accessible to staff. What is a strategy that would assist the manager to manage the
information overload effectively?
a. Ignore messages unless they are labeled as important.
b. Determine who is most likely to send useful or important information or requests.
c. Check e-mail messages once a day.
d. Encourage face-to-face meetings rather than e-mail.
ANS: B
Reduction of stress related toNinformation
URSINGToverload
B.COMrequires the development of
information-receiving and information-sending skills. Information-sending skills include
determining most common sources of useful data, labeling files and folders to which e-mail
messages can be directed, deletion of e-mails, and focusing on the most important pieces.
Information-sending skills include keeping e-mail messages short (and calling if the message
needs to be long) and considering the most appropriate medium for messages (telephone, fax,
face-to-face).
TOP: AONE competency: Professionalism
10. In helping nurse managers to manage their time, the chief nursing officer suggests that they:
a. maintain a perfectionistic attitude.
b. set up a complaint list.
c. have good negotiation skills.
d. have good information literacy skills.
ANS: D
Time can be saved by using information technology effectively, as it assists with effective
data retrieval and information gathering and with communication related to a variety of needs
in the management setting.
TOP: AONE competency: Business Skills
11. Which of the following statements would best define stress? Stress is:
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, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
a. the comfortable gap between how we like our life to be and how it actually is.
b. everyday life, both the highs and the lows.
c. a consequence or response to an event or stimulus that can be positive or negative.
d. identical to distress.
ANS: C
Stress is defined as a gap between how we would like our lives to be and how they actually
are and as a consequence or response to an event or stimulus. It is not inherently bad
(distress), and whether highs and lows are seen as distress or eustress is dependent on each
individual’s interpretation of the event.
TOP: AONE competency: Business Skills
12. In a job interview for a nursing position, Marley can be assured that which of the following
will occur?
a. Both eustress and distress
b. Only eustress
c. Only distress
d. Neither eustress nor distress
ANS: A
Eustress is defined as stress that is pleasant in nature, and distress is defined as stress of an
unpleasant nature. One can assume that every interview has both of these stresses.
TOP: AONE competency: Business Skills
13. Which one of the following statements has been proven to be true?
a. Recent research has found
NthatR women
I G do B.C M a unique physiologic response
not have
to stress.
U S N T O
b. Both men and women interpret the same stressor in the same manner without
regard to past experiences.
c. Stress influences the immune system in one complex manner.
d. Stressors that are identical do not necessarily have similar effects on each
individual.
ANS: D
Stressors may be unique to certain environments, situations, and persons or groups, and
individuals may respond to the same stressor in different ways.
TOP: AONE competency: Business Skills
14. An example of role stress occurs when:
a. the director of the ICU and the manager of the surgical unit wish to hire the same
new employee.
b. two part-time staff members are hired to work in a unit, but the job expectations
for them are not clear, and the head nurse expresses disappointment in their
performance.
c. the nurse manager for the ICU wants to advocate for more staff and finds it
difficult to find data to substantiate his proposal.
d. line managers believe that support staff use their technical knowledge to intrude on
their authority.
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