100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
Test Bank - Leading and Managing in Nursing, Yoder-Wise, 8th Edition (Yoder-Wise, 2023) Chapter 1-25 | All Chapters $17.19   Add to cart
Quickly navigate to
Preview
  2.  
  3. Leading And Managing In Nursing
  4.  
  5. Leading and Managing in Nursing

Exam (elaborations)

Test Bank - Leading and Managing in Nursing, Yoder-Wise, 8th Edition (Yoder-Wise, 2023) Chapter 1-25 | All Chapters

1 review
 11 views  0 purchase
  • Course
  • Leading and Managing in Nursing
  • Institution
  • Leading And Managing In Nursing

Test Bank - Leading and Managing in Nursing, Yoder-Wise, 8th Edition (Yoder-Wise, 2023) Chapter 1-25 | All Chapters

Preview 4 out of 108  pages

Document information

  • October 11, 2023
  • 108
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • test bank leading and managing in nursing yoder
  • leading and managing in nursing

Written for

  • Leading and Managing in Nursing
  • Leading and Managing in Nursing

1  review

review-writer-avatar

By: Pharmacia • 9 months ago

Seller

avatar-seller
PhysioTherapist

Reviews received

Content preview

TEST BANK Yoder-Wise: Leading and Managing in Nursing, 8th Edition 2023/2024 Update N R I G B.CChapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1.A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She
is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?a.Leverage the hierarchical management position to get unit staff involved in assessment and planning.b.Engage involved staff at all levels in the decision-making process.
c.Focus the assessment on the unit and omit the hospital and community
environment.d.Hire a geriatric specialist to oversee and control the project.
ANS: B
Complexity theory suggests that systems interact and adapt and that decision making occurs
throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
voice counts, and therefore, all levels of staff would be involved in decision making.
TOP: AONE competency: Communication and Relationship-Building
2.A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who has called in sick five times in the past month. He tells the manager that he very much wants
to
come to work when scheduled but must often care for his wife, who is undergoing treatment for breast cancer. According toUMaSslowN’s Tneed hiOerarchy theory, what would be the best
approach to satisfying the needs of this nurse, other staff, and patients?a.Line up agency nurses who can be called in to work on short notice.b.Place the nurse on unpaid leave for the remainder of his wife’s treatment.
c.Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse may be calling in frequently in the future.d.Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wife’s treatments.
ANS: D
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
patient care and threaten the needs of staff to feel competent. Arranging the schedule around the wife’s needs meets the needs of the staff and of patients while satisfying the nurse’s need for affiliation.
TOP: AONE competency: Communication and Relationship-Building
3.A grievance brought by a staff nurse against the unit manager requires mediation. At the first
mediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the unit manager continues to reiterate the reasons for the actions. What would be the best course of action at this time?a.Send the two disputants away to reach their own resolution.b.Involve another staff nurse in the discussion for clarity issues. U S N Tc.Ask each party to examine their own motives and issues in the conflict.
d.Continue to listen as the parties repeat their thoughts and feelings about the conflict.
ANS: C
For resolution of conflict, one should address the interests and involvement of participants in the conflict by examining the real issues of all parties.
TOP: AONE competency: Communication and Relationship-Building
4.At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. What is the appropriate next step?a.Arrange another meeting in a week’s time so as to allow a cooling-off period.b.Elevate the next negation session to the next manager, one level above.c.Insist that participants continue to talk until a resolution has been reached.d.Back the unit manager’s actions and end the dispute.
ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manage for resolution of issues and concerns. This situation has failed a second negotiation session, elevation to a manager with additional training to facilitate conflict resolution is important at this point.
TOP: AONE competency: Communication and Relationship-Building
5.The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff have always practiced in a prNimaRry nIursiGng-Bde.liCveryMsystem and are very resistant to this idea.
What would be the best initial strategy for implementation of this change?a.Exploring the values and feelings of the RN group in relationship to this change
b.Leaving the RNs alone for a time so they can think about the change before it is
implemented
c.Dropping the idea and trying for the change in a year or so when some of the present RNs have retiredd.Hiring the assistants and allowing the RNs to see what good additions they are
ANS: A
Influencing others requires emotional intelligence in domains such as empathy, handling relationships, deepening self-awareness in self and others, motivating others, and managing emotions. Motivating others recognizes that values are powerful forces that influence acceptance of change. Leaving the RNs alone for a period of time before implementation does not provide opportunity to explore different perspectives and values. Avoiding discussion until the team changes may not promote adoption of the change until there is opportunity to explore perspectives and values related to the change. Hiring of the assistants demonstrates lack of empathy for the perspectives of the RN staff.
TOP: AONE competency: Knowledge of the Health Care Environment 6.As the RN charge nurse on the night shift in a small long-term care facility, you’ve found that there is little turnover among your LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in their work. Which of the following strategies might motivate the staff and lead to greater job satisfaction?a.Ask the director of nursing to offer higher wages and bonuses for extra work for the night LPNs and NAs.b.Allow the LPNs and NAs greater decision-making power within the scope of their positions in the institution.c.Hire additional staff so that there are more staff available for enhanced care, and individual workloads are lessened.d.Ask the director of nursing to increase job security for night staff by having them
sign contracts that guarantee work.
ANS: B
Hygiene factors such as salary, working conditions, and security are consistent with Herzberg’s two-factor theory of motivation; meeting these needs avoids job dissatisfaction. Motivator factors such as recognition and satisfaction with work promote a satisfying and enriched work environment. Transformational leaders use motivator factors liberally to inspire work performance and increase job satisfaction.
TOP: AONE competency: Communication and Relationship-Building
7.The nurse manager wants to increase motivation by providing motivating factors for the nurse on the unit. What action would be appropriate to motivate the staff?a.Collaborate with the human resource/personnel department to develop on-site
daycare services.b.Provide a hierarchical orgNaniRzatiIonalGstrBuc.tuCre. Mc.Implement a model of sharUed gSoveNrnanTce.O
d.Promote the development of a flexible benefits package.
ANS: C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout systems, as opposed to being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff would be involved in decision making. This principle is the foundation of shared governance.
TOP: AONE competency: Communication and Relationship-Building
8.A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member who begins to complain loudly about the quality of care his mother is receiving. His behavior
is so disruptive that it is overheard by staff, physicians, and other visitors. The family member leaves the unit abruptly, and the nurse is left feeling frustrated. Which behavior by the charge nurse best illustrates refined leadership skills in an emotionally intelligent practitioner?a.Reflect to gain insight into how the situation could be handled differently in the
future.b.Try to catch up with the angry family member to resolve the concern.c.Discuss the concern with the patient after the family member has left.d.Notify nursing administration of the situation.
ANS: A

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller PhysioTherapist. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $17.19. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

72042 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$17.19
  • (1)
  Add to cart