Exam (elaborations)
TESTBANK FOR LEADING AND MANAGING IN NURSING, 8TH EDITION
TESTBANK FOR LEADING AND MANAGING IN NURSING, 8TH EDITION
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MULTIPLE cCHOICE1. A cnurse cmanager cof ca c20-bed cmedical cunit cfinds cthat c80% cof cthe cpatients care colder
cadults. cShecis casked cto cassess cand cadapt cthe cunit cto cbetter cmeet cthe cunique cneeds cof
cthe colder cadult cpatient.cUsing ccomplexity cprinciples, cwhat cwould cbe cthe cbest capproach
cto ctake cfor cimplementation cof cthis cchange?
a. Leverage cthe chierarchical cmanagement cposition cto cget cunit cstaff
cinvolved cincassessment cand c planning.
b. Engage cinvolved cstaff cat call clevels cin cthe cdecision-making c process.
c. Focus cthe cassessment con cthe cunit cand comit cthe chospital cand
ccommunitycenvironment.
d. Hire ca cgeriatric cspecialist cto coversee cand ccontrol cthe cproject.
ANS: c B
Complexity ctheory csuggests cthat csystems cinteract cand cadapt cand cthat cdecision cmaking
coccurs cthroughout cthe csystems, cas copposed cto cbeing cheld cin ca chierarchy. cIn ccomplexity
ctheory, cevery cvoice ccounts, cand ctherefore, call clevels cof c staff cwould cbe cinvolved cin
cdecision cmaking.
TOP: cAONE ccompetency: cCommunication cand cRelationship-Building
2. A cunit cmanager cof ca c25-bed cmedical/surgical carea creceives ca cphone ccall cfrom ca cnurse
cwho chasccalled cin csick cfive ctimes cin cthe cpast cmonth. cHe ctells cthe cmanager cthat che
cvery cmuch cwants cto ccome cto cwork cwhen cscheduled cbut cmust coften ccare cfor chis cwife,
cwho cis cundergoing ctreatmentcfor cbreast ccancer. cAccording cto cMaslow‘s cneed chierarchy
ctheory, cwhat cwould cbe cthe cbest capproach cto csatisfying cthe cneeds cof c this cnurse, cother
cstaff, cand c patients?
a. Line cup cagency cnurses cwho ccan cbe ccalled cin cto cwork con cshort c notice.
b. Place cthe cnurse con cunpaid cleave cfor cthe cremainder cof chis cwife‘s ctreatment.
c. Sympathize cwith cthe cnurse‘s cdilemma cand clet cthe ccharge cnurse cknow cthat
cthis cnursecmay cbe ccalling cin cfrequently cin cthe c future.
d. Work cwith cthe cnurse, cstaffing coffice, cand cother cnurses cto carrange chis
cscheduledcdays coff caround chis cwife‘s ctreatments.
ANS: c D
Placing cthe cnurse con cunpaid cleave cmay cthreaten cthe cnurse‘s ccapacity cto cmeet
cphysiologic cneedscand cdemotivate cthe cnurse. cUnsatisfactory ccoverage cof cshifts con cshort
cnotice ccould caffect cpatient ccare cand cthreaten cthe cneeds cof cstaff cto cfeel ccompetent.
cArranging cthe cschedule caround cthe cwife‘s cneeds cmeets cthe cneeds cof cthe cstaff cand cof
cpatients cwhile csatisfying cthe cnurse‘s cneed cfor caffiliation.
TOP: cAONE ccompetency: cCommunication cand cRelationship-Building
3. A cgrievance cbrought cby ca cstaff cnurse cagainst cthe cunit cmanager crequires cmediation. cAt
cthe cfirstcmediation csession, cthe cstaff cnurse crepeatedly ccalls cthe cunit cmanager‘s cactions
cunfair, cand cthe cunit cmanager ccontinues cto creiterate cthe creasons cfor cthe cactions. cWhat
cwould cbe cthe cbest ccoursecof caction cat cthis ctime?
Downloaded cby: ckhanhpham74 c| Want cto cearn
ckhanhpham74@gmail.com c$1.236
Distribution cof cthis cdocument cis cillegal extra cper cyear?
,a. Send cthe ctwo cdisputants caway cto creach ctheir cown cresolution.
b. Involve canother cstaff cnurse cin cthe cdiscussion cfor cclarity cissues.
Downloaded cby: ckhanhpham74 c| Want cto cearn
ckhanhpham74@gmail.com c$1.236
Distribution cof cthis cdocument cis cillegal extra cper cyear?
, c. Ask ceach cparty cto cexamine ctheir cown cmotives cand cissues cin cthe c conflict.
d. Continue cto clisten cas cthe cparties crepeat ctheir cthoughts cand cfeelings
cabout cthecconflict.
ANS: cC
For cresolution cof cconflict, cone cshould caddress cthe cinterests cand cinvolvement cof
cparticipants cincthe cconflict cby cexamining cthe creal cissues cof call cparties.
TOP: cAONE ccompetency: cCommunication cand cRelationship-Building
4. At ca csecond cnegotiation csession, cthe cunit cmanager cand cstaff cnurse care cunable cto
creach cacresolution. cWhat cis cthe cappropriate cnext c step?
a. Arrange canother cmeeting cin ca cweek‘s ctime cso cas cto callow ca ccooling-off cperiod.
b. Elevate cthe cnext cnegation csession cto cthe cnext cmanager, cone clevel cabove.
c. Insist cthat cparticipants ccontinue cto c talk cuntil ca cresolution chas cbeen creached.
d. Back cthe cunit cmanager‘s cactions cand cend cthe c dispute.
ANS: cB
Part cof cleadership cis cunderstanding cconflict cresolution cand cability cto cnegotiate cand
cmanage cforcresolution cof cissues cand cconcerns. cThis csituation chas cfailed ca csecond
cnegotiation csession, celevation cto ca cmanager cwith cadditional ctraining cto cfacilitate
cconflict cresolution cis cimportant cat cthis cpoint.
TOP: cAONE ccompetency: cCommunication cand cRelationship-Building
5. The cmanager cof ca csurgical carea chas ca cvision cfor cthe cfuture cthat crequires cthe caddition
cof cRN cassistants cor cunlicensed cpersons cto cfeed, cbathe, cand cambulate cpatients. cThe cRNs
con cthe cstaff chave calways cpracticed cin ca cprimary cnursing-delivery csystem cand care cvery
cresistant cto cthis cidea.cWhat cwould cbe cthe cbest cinitial cstrategy cfor cimplementation cof cthis
c change?
a. Exploring cthe cvalues cand cfeelings cof cthe cRN cgroup cin crelationship cto cthis cchange
b. Leaving cthe cRNs calone cfor ca ctime cso cthey ccan cthink cabout cthe cchange
cbefore c it ciscimplemented
c. Dropping cthe cidea cand ctrying cfor cthe cchange cin ca cyear cor cso cwhen
csome cof cthecpresent cRNs chave c retired
d. Hiring cthe cassistants cand callowing cthe cRNs cto csee cwhat cgood cadditions cthey care
ANS: cA
Influencing cothers crequires cemotional cintelligence cin cdomains csuch cas cempathy, chandling
crelationships, cdeepening cself-awareness cin cself cand cothers, cmotivating cothers, cand
cmanaging cemotions. cMotivating cothers crecognizes cthat cvalues care cpowerful cforces cthat
cinfluence cacceptance cof cchange. cLeaving cthe cRNs calone cfor ca cperiod cof ctime cbefore
cimplementation cdoescnot cprovide copportunity cto cexplore cdifferent cperspectives cand
cvalues. cAvoiding cdiscussion cuntil cthe cteam cchanges cmay cnot cpromote cadoption cof cthe
cchange cuntil cthere cis copportunity cto cexplore cperspectives cand cvalues crelated cto cthe
cchange. cHiring cof cthe cassistants cdemonstrates clack cof cempathy cfor cthe cperspectives cof
cthe cRN cstaff.
TOP: cAONE ccompetency: cKnowledge cof cthe cHealth cCare cEnvironment
Downloaded cby: ckhanhpham74 c| Want cto cearn
ckhanhpham74@gmail.com c$1.236
Distribution cof cthis cdocument cis cillegal extra cper cyear?
, 6. As cthe cRN ccharge cnurse con cthe cnight cshift cin ca csmall clong-term ccare cfacility, cyou‘ve
cfound cthatcthere cis clittle cturnover camong cyour cLPN cand cnursing cassistant c(NA) cstaff
cmembers, cbut cthey care cnot cvery cmotivated cto cgo cbeyond ctheir cjob cdescriptions cin ctheir
cwork. cWhich cof cthe cfollowing cstrategies cmight cmotivate cthe cstaff cand clead cto cgreater
cjob c satisfaction?
a. Ask cthe cdirector cof cnursing cto coffer chigher cwages cand cbonuses cfor cextra
cwork cforcthe cnight cLPNs cand c NAs.
b. Allow cthe cLPNs cand cNAs cgreater cdecision-making cpower cwithin cthe cscope
cof ctheircpositions cin cthe c institution.
c. Hire cadditional cstaff cso cthat cthere care cmore cstaff cavailable cfor cenhanced
ccare,candcindividual cworkloads care clessened.
d. Ask cthe cdirector cof cnursing cto cincrease cjob csecurity cfor cnight cstaff cby
chaving cthemcsign ccontracts cthat cguarantee cwork.
ANS: cB
Hygiene cfactors csuch cas csalary, cworking cconditions, cand csecurity care cconsistent cwith
cHerzberg‘s ctwo-factor ctheory cof cmotivation; cmeeting cthese cneeds cavoids cjob
cdissatisfaction. cMotivator cfactors csuch cas crecognition cand csatisfaction cwith cwork
cpromote ca csatisfying cand cenriched cwork cenvironment. cTransformational cleaders cuse
cmotivator cfactors cliberally cto cinspirecwork cperformance cand cincrease cjob csatisfaction.
TOP: cAONE ccompetency: cCommunication cand cRelationship-Building
7. The cnurse cmanager cwants cto cincrease cmotivation cby cproviding cmotivating cfactors cfor
cthenursecon cthe cunit. cWhat caction cwould cbe cappropriate cto cmotivate cthe c staff?
a. Collaborate cwith cthe chuman cresource/personnel cdepartment cto cdevelop
con-sitecdaycare cservices.
b. Provide ca chierarchical corganizational cstructure.
c. Implement ca cmodel cof cshared cgovernance.
d. Promote cthe cdevelopment cof ca cflexible cbenefits cpackage.
ANS: cC
Complexity ctheory csuggests cthat csystems cinteract cand cadapt cand cthat cdecision cmaking
coccurscthroughout csystems, cas copposed cto cbeing cheld cin ca chierarchy. cIn ccomplexity
ctheory, cevery cvoice ccounts, cand ctherefore call clevels cof cstaff cwould cbe cinvolved cin
cdecision cmaking. cThis cprinciple cis cthe cfoundation cof cshared cgovernance.
TOP: cAONE ccompetency: cCommunication cand cRelationship-Building
8. The cnurse cmanager chas cbeen casked cto cimplement can cevidence-based capproach cto cteach
costomy cpatients cself-management cskills cpostoperatively. cThe cprogram cis cto cbe
cimplemented cacross cthe centire cfacility. cWhat cillustrates ceffective cleadership cin cthis
c situation?
a. The ctraining cmodules care cleft cin cthe cstaff croom cfor ctimes cwhen cstaff care cavailable.
b. The ccurrent capproach cis ccontinued cbecause cit cis calso cevidence-based cand cis
cmorecfamiliar cto c staff.
c. You cdecide cto cimplement cthe capproach cat ca clater cdate cbecause cof cfeedback
cfrom cthecRNs cthat cthe cnew capproach ctakes ctoo cmuch ctime.
d. An cRN cwho cis calready cfamiliar cwith cthe cnew capproach cof cvolunteers cto
ctake ctheclead cin cmentoring cand cteaching cothers chow cto cimplement c it.
ANS: cD
Downloaded cby: ckhanhpham74 c| Want cto cearn
ckhanhpham74@gmail.com c$1.236
Distribution cof cthis cdocument cis cillegal extra cper cyear?
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