Exam (elaborations)
Test Bank for Leading and Managing in Nursing, 8th Edition (Yoder-Wise, 2024) Chapter 1-25 | All Chapters
Test Bank for Leading and Managing in Nursing, 8th Edition (Yoder-Wise, 2024) Chapter 1-25 | All Chapters
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
Leading and Managing in Nursing 8th Edition Yoder-Wise Testw w w w w w w w
Bank
w
Chapter 01: Leading, Managing, and Following
w w w w w
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
w w w w w w w
MULTIPLE CHOICE w
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She
w w w w w w w w w w w w w w w w w
wis asked to assess and adapt the unit to better meet the unique needs of the older adult
w w w w w w w w w w w w w w w w w
wpatient. Using complexity principles, what would be the best approach to take in making
w w w w w w w w w w w w w
wthis change? w
a. Leverage the hierarchical management position to get unit staff involved in assessment
w w w w w w w w w w w
wand planning. w
b. Engage involved staff at all levels in the decision-making process.
w w w w w w w w w
c. Focus the assessment on the unit, and omit the hospital and community environment.
w w w w w w w w w w w w
d. Hire a geriatric specialist to oversee and control the project.
w w w w w w w w w
ANS: B w
Complexity theory suggests that systems interact and adapt and that decision making
w w w w w w w w w w w
occurs throughout the systems, as opposed to being held in a hierarchy. In complexity
w w w w w w w w w w w w w w
theory, every voice counts, and therefore, all levels of staff would be involved in
w w w w w w w w w w w w w w
decision making.
w w
REF: Page 8 w w TOP: AONE competency: Communication and Relationship-Building
w w w w w
2. A unit manager of a 25-bed medical/surgical area receives a phone call from a nurse who
w w w w w w w w w w w w w w w
has called in sick five times in the past month. He tells the manager that he very much
w w w w w w w w w w w w w w w w w w
wants to cometo work when scheduled but must often care for his wife, who is
w w w w w w w w w w w w w w w
undergoing treatment
w w
for breast cancer. According to Maslow’s need hierarchy theory, what would be the best approach
w w w w w w w w w w w w w w
to satisfying the needs of this nurse, other staff, and patients?
w w
w w w w w w w w w
a. Line up agency nurses who can be called in to work on short notice.
w w w w w w w w w w w w w
b. Place the nurse on unpaid leave for the remainder of his wife’s treatment.
w w w w w w w w w w w w
c. Sympathize with the nurse’s dilemma and let the charge nurse know that this nurse may
w w w w w w w w w w w w w w
be calling in frequently in the future.
w w w w w w w
d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days
w w w w w w w w w w w w w
off around his wife’s treatments.
w w w w w
ANS: D w
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologic
w w w w w w w w w w w w w
needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
w w w w w w w w w w w w w
waffect patient care and threaten the needs of staff to feel competent. Arranging the
w w w w w w w w w w w w w
wschedule around the wife’s needs meets the needs of the staff and of patients while
w w w w w w w w w w w w w w
wsatisfying the nurse’s need for affiliation.
w w w w w
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test
w w w w w w w w
Bank
w
REF: Page 10 w w TOP: AONE competency: Communication and Relationship-Building
w w w w w
3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
w w w w w w w w w w w w w w w
wmediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, and the
w w w w w w w w w w w w w
wunit manager continues to reiterate the reasons for her actions. What would be the best
w w w w w w w w w w w w w w
wcourse of action at this time?
w w w w w
a. Send the two disputants away to reach their own resolution.
w w w w w w w w w
b. Involve another staff nurse in the discussion so as to clarify issues.
w w w w w w w w w w w
c. Ask each party to examine her own motives and issues in the conflict.
w w w w w w w w w w w w
d. Continue to listen as the parties repeat their thoughts and feelings about the conflict.
w w w w w w w w w w w w w
ANS: C w
Ury, Brett, and Goldberg outline steps to restoring unity, the first of which is to address the
w w w w w w w w w w w w w w w w
interests and involvement of participants in the conflict by examining the real issues of all
w w w w w w w w w w w w w w w
parties.
w
REF: Page 16 w w TOP: AONE competency: Communication and Relationship-Building
w w w w w
4. At a second negotiation session, the unit manager and staff nurse are unable to reach a
w w w w w w w w w w w w w w w
wresolution. It would now be best to: w w w w w w
a. Arrange another meeting in a week’s time so as to allow a cooling-off period.
w w w w w w w w w w w w w
b. Turn the dispute over to the director of nursing.
w w w w w w w w
c. Insist that participants continue to talk until a resolution has been reached.
w w w w w w w w w w w
d. Back the unit manager’s actions and end the dispute.
w w w w w w w w
ANS: B w
According to the principles outlined by Ury, Brett, and Goldberg, a “cooling-off” period is
w w w w w w w w w w w w w
recommended if resolution fails.
w w w w
REF: Page 16 w w TOP: AONE competency: Communication and Relationship-Building
w w w w w
5. The manager of a surgical area has a vision for the future that requires the addition of
w w w w w w w w w w w w w w w w
w RN assistants or unlicensed persons to feed, bathe, and walk patients. The RNs on the
w w w w w w w w w w w w w w
w staff have always practiced in a primary nursing–delivery system and are very resistant
w w w w w w w w w w w w
w to this idea. Thebest initial strategy in this situation would include:
w w w w w w w w w w
a. Exploring the values and feelings of the RN group in relationship to this change.
w w w w w w w w w w w w w
b. Leaving the RNs alone for a time so they can think about the change before it
w w w w w w w w w w w w w w w
is implemented.
w w
c. Dropping the idea and trying for the change in a year or so when some of the present
w w w w w w w w w w w w w w w w w
RNs have retired.
w w w
d. Hiring the assistants and allowing the RNs to see what good additions they are.
w w w w w w w w w w w w w
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test
w w w w w w w w
Bank
w
ANS: A w
Influencing others requires emotional intelligence in domains such as empathy, handling
w w w w w w w w w w
relationships, deepening self-awareness in self and others, motivating others, and
w w w w w w w w w w
managing emotions. Motivating others recognizes that values are powerful forces that
w w w w w w w w w w w
influence acceptance of change. Leaving the RNs alone for a period of time before
w w w w w w w w w w w w w w
implementation doesnot provide opportunity to explore different perspectives and values.
w w w w w w w w w w
Avoiding discussion until the team changes may not promote adoption of the change until
w w w w w w w w w w w w w w
there is opportunity to explore perspectives and values related to the change. Hiring of the
w w w w w w w w w w w w w w w
assistants demonstrates lack of empathy for the perspectives of the RN staff.
w w w w w w w w w w w w
REF: Page 7 | Page 15
w w w w w
TOP: AONE competency: Knowledge of the Health Care Environment
w w w w w w w w
6. As the RN charge nurse on the night shift in a small long-term care facility, you’ve found
w w w w w w w w w w w w w w w w
w that there is little turnover among your LPN and nursing assistant (NA) staff members,
w w w w w w w w w w w w w
w but they arenot very motivated to go beyond their job descriptions in their work. Which
w w w w w w w w w w w w w w
w of the following strategies might motivate the staff and lead to greater job satisfaction?
w w w w w w w w w w w w w
a. Ask the director of nursing to offer higher wages and bonuses for extra work for the
w w w w w w w w w w w w w w w
night LPNs and NAs.
w w w w
b. Allow the LPNs and NAs greater decision-making power within the scope of
w w w w w w w w w w w
their positions in the institution.
w w w w w
c. Hire additional staff so that there are more staff available for enhanced care and
w w w w w w w w w w w w w
individual workloads are lessened.
w w w w
d. Ask the director of nursing to increase job security for night staff by having them
w w w w w w w w w w w w w w
sign contracts that guarantee work.
w w w w w
ANS: B w
Hygiene factors such as salary, working conditions, and security are consistent with
w w w w w w w w w w w
Herzberg’s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
w w w w w w w w w w w
Motivator factors such as recognition and satisfaction with work promote a satisfying and
w w w w w w w w w w w w w
enriched work environment. Transformational leaders use motivator factors liberally to
w w w w w w w w w w
inspirework performance and increase job satisfaction.
w w w w w w
REF: Page 9 | Page 10
w w w w w
TOP: AONE competency: Communication and Relationship-Building
w w w w w
7. As the nurse manager who wants to increase motivation by providing motivating factors,
w w w w w w w w w w w w
wwhich action would you select?
w w w w
a. Collaborate with the human resource/personnel department to develop on-site
w w w w w w w w
daycare services.
w w
b. Provide a hierarchical organizational structure. w w w w
c. Implement a model of shared governance. w w w w w
d. Promote the development of a flexible benefits package.
w w w w w w w
NURSINGTB.COM
, Leading and Managing in Nursing 8th Edition Yoder-Wise Test
w w w w w w w w
Bank
w
ANS: C w
Complexity theory suggests that systems interact and adapt and that decision making occurs
w w w w w w w w w w w w
throughout systems, as opposed to being held in a hierarchy. In complexity theory, every
w w w w w w w w w w w w w w
voice counts, and therefore all levels of staff would be involved in decision making. This
w w w w w w w w w w w w w w w
principle is the foundation of shared governance.
w w w w w w w
REF: Pages 8-11 w w TOP: AONE competency: Communication and Relationship-Building
w w w w w
8. A charge nurse on a busy 40-bed medical/surgical unit is approached by a family member
w w w w w w w w w w w w w w
wwho begins to complain loudly about the quality of care his mother is receiving. His
w w w w w w w w w w w w w w
wbehavior is so disruptive that it is overheard by staff, physicians, and other visitors. The
w w w w w w w w w w w w w w
wfamily member rejectsany attempt to intervene therapeutically to resolve the issue. He leaves
w w w w w w w w w w w w
wthe unit abruptly, and thenurse is left feeling frustrated. Which behavior by the charge
w w w w w w w w w w w w w
wnurse best illustrates refined leadership skills in an emotionally intelligent practitioner?
w w w w w w w w w w
a. Reflect to gain insight into how the situation could be handled differently in the future.
w w w w w w w w w w w w w w
b. Try to catch up with the angry family member to resolve the concern.
w w w w w w w w w w w w
c. Discuss the concern with the patient after the family member has left.
w w w w w w w w w w w
d. Notify nursing administration of the situation.
w w w w w
ANS: A w
Goleman suggests that emotional intelligence involves insight and being able to step
w w w w w w w w w w w
outside of the situation to envision the context of what is happening as well as being able
w w w w w w w w w w w w w w w w w
to manage emotions such as frustration effectively.
w w w w w w w
REF: Page 7 | Page 8
w w w w w TOP: AONE competency: Leadership
w w w
9. The chief nursing officer has asked the staff development coordinator to facilitate the
w w w w w w w w w w w w
development of a clinical competency program for the facility. While making rounds on
w w w w w w w w w w w w w
the units, the staff development coordinator overhears RN staff complaining that they
w w w w w w w w w w w w
feel it is insulting to be required to participate in a competency program. Which
w w w w w w w w w w w w w w
behavior by the staffdevelopment coordinator is most appropriate in this situation?
w w w w w w w w w w w
a. Disregard staff concerns and continue with development of the program.
w w w w w w w w w
b. Inform the nurses that this program is a requirement for JCAHO accreditation.
w w w w w w w w w w w
c. Schedule a meeting with the chief nurse executive to apprise her of the situation.
w w w w w w w w w w w w w
d. Facilitate a meeting so nurses can articulate their values and concerns about a
w w w w w w w w w w w w
competency program.
w w
ANS: D w
The manager role involves guiding others through a set of derived practices that are
w w w w w w w w w w w w w
evidence- based and known to satisfy preestablished outcomes such as participation in a
w w w w w w w w w w w w w
competency program. This involves engagement of staff through sharing of concerns and
w w w w w w w w w w w w
ideas. A close analysis of the IOM report and the summary of the PPACA suggests that no
w w w w w w w w w w w w w w w w w
health reform canunfold without active nursing engagement. Each document emphasizes
w w w w w w w w w w
that nurses must lead,
w w w w
NURSINGTB.COM
The benefits of buying summaries with Stuvia:
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
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
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 SuccessMaestro. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81503 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now