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.leading and managing in nursing 8th edition by patricia
.leading_and_managing_in_nursing__8th_edition_by_patricia_
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Test Bank For
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Leading and Managing in Nursing
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8th Edition by
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Patricia S. Yoder-Wise, Susan Sportsman
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,g
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Chapter 01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 8th Edition
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MULTIPLEgCHOICEg
g
1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogassessgandgadaptgthe
gunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsinggcomplexitygprinciples,gwhatg
wouldgbegthegbestgapproachgtogtakegingmakinggthisgchange?ga.gLeveragegtheghierarchicalgmanageme
ntgpositiongtoggetgunitgstaffginvolvedgingassessmentgandgplanning.g
b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.g
c. Focusgthegassessmentgongthegunit,gandgomitgtheghospitalgandgcommunitygenvironment.g
d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.g
g
ANS:gBg
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmakinggoccursgt
hroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplexitygtheory,geverygv
oicegcounts,gandgtherefore,gallglevelsgofgstaffgwouldgbeginvolvedgingdecisiongmaking.g
g
REF:gPageg8g TOP:gAONEgcompetency:gCommunicationgandgRelationship-Buildingg
g
2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickgfivegtimesgingth
egpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcomegtogworkgwhengscheduledgbutgm
ustgoftengcaregforghisgwife,gwhogisgundergoinggtreatmentg
g
forgbreastgcancer.gAccordinggtogMaslow‘sgneedghierarchygtheory,gwhatgwouldgbegthegbestgapproachgtogsatisfyinggt
hegneedsgofgthisgnurse,gothergstaff,gandgpatients?g
a. Linegupgagencygnursesgwhogcangbegcalledgingtogworkgongshortgnotice.g
b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife‘sgtreatment.g
c. Sympathizegwithgthegnurse‘sgdilemmagandgletgthegchargegnursegknowgthatgthisgnursegmaygbegc
allinggingfrequentlygingthegfuture.g
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgscheduledgdaysgoffgarou
ndghisgwife‘sgtreatments.g
g
g
ANS:gDg
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse‘sgcapacitygtogmeetgphysiologicgneedsga
ndgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegcouldgaffectgpatientgc
aregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthegschedulegaroundgthegwife‘sgn
eedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhilegsatisfyinggthegnurse‘sgneedgforgaffiliation.g
g
REF:gPageg10g TOP:gAONEgcompetency:gCommunicationgandgRelationship-Buildingg
g g
g
g
g
, 3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAtgthegfirstgmedi
ationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager‘sgactionsgunfair,gandgthegunitgmanag
ergcontinuesgtogreiterategthegreasonsgforghergactions.gWhatgwouldgbegthegbestgcoursegofgactiongatgthisg
time?g
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.g
b. Involveganothergstaffgnursegingthegdiscussiongsogasgtogclarifygissues.g
c. Askgeachgpartygtogexamineghergowngmotivesgandgissuesgingthegconflict.g
d. Continuegtoglistengasgthegpartiesgrepeatgtheirgthoughtsgandgfeelingsgaboutgthegconflict.g
g
g
ANS:gCg
Ury,gBrett,gandgGoldberggoutlinegstepsgtogrestoringgunity,gthegfirstgofgwhichgisgtogaddressgthegi
nterestsgandginvolvementgofgparticipantsgingthegconflictgbygexamininggthegrealgissuesgofgallgpa
rties.g
g
REF:gPageg16g TOP:gAONEgcompetency:gCommunicationgandgRelationship-Buildingg
g
4. Atgagsecondgnegotiationgsession,gthegunitgmanagergandgstaffgnursegaregunablegtogreachgagresolution.gI
tgwouldgnowgbegbestgto:g
a. Arrangeganothergmeetinggingagweek‘sgtimegsogasgtogallowgagcooling-offgperiod.g
b. Turngthegdisputegovergtogthegdirectorgofgnursing.g
c. Insistgthatgparticipantsgcontinuegtogtalkguntilgagresolutionghasgbeengreached.g
d. Backgthegunitgmanager‘sgactionsgandgendgthegdispute.g
g
g
ANS:gBg
AccordinggtogthegprinciplesgoutlinedgbygUry,gBrett,gandgGoldberg,gag―cooling-
off‖gperiodgisgrecommendedgifgresolutiongfails.g
g
REF:gPageg16g TOP:gAONEgcompetency:gCommunicationgandgRelationship-Buildingg
g
5. ThegmanagergofgagsurgicalgareaghasgagvisiongforgthegfuturegthatgrequiresgthegadditiongofgRNgassistants
orgunlicensedgpersonsgtogfeed,gbathe,gandgwalkgpatients.gThegRNsgongthegstaffghavegalwaysgpractice
g
dgingagprimarygnursing–
deliverygsystemgandgaregverygresistantgtogthisgidea.gThegbestginitialgstrategygingthisgsituationgwouldgi
nclude:g
a. ExploringgthegvaluesgandgfeelingsgofgthegRNggroupgingrelationshipgtogthisgchange.g
b. LeavinggthegRNsgalonegforgagtimegsogtheygcangthinkgaboutgthegchangegbeforegitgisgimplemente
d.g
c. DroppinggthegideagandgtryinggforgthegchangegingagyeargorgsogwhengsomegofgthegpresentgRNsgha
vegretired.g
d. HiringgthegassistantsgandgallowinggthegRNsgtogseegwhatggoodgadditionsgtheygare.g
ANS:gAg
Influencinggothersgrequiresgemotionalgintelligencegingdomainsgsuchgasgempathy,ghandlinggrelatio
nships,gdeepeninggself-
awarenessgingselfgandgothers,gmotivatinggothers,gandgmanaginggemotions.gMotivatinggothersgreco
gnizesgthatgvaluesgaregpowerfulgforcesgthatginfluencegacceptancegofgchange.gLeavinggthegRNsgalo
negforgagperiodgofgtimegbeforegimplementationgdoesgnotgprovidegopportunitygtogexploregdifferentg
perspectivesgandgvalues.gAvoidinggdiscussionguntilgthegteamgchangesgmaygnotgpromotegadoptiong
ofgthegchangeguntilgtheregisgopportunitygtogexploregperspectivesgandgvaluesgrelatedgtogthegchange.g
HiringgofgthegassistantsgdemonstratesglackgofgempathygforgthegperspectivesgofgthegRNgstaff.g
g
, REF:gPageg7g|gPageg15g
TOP:gAONEgcompetency:gKnowledgegofgthegHealthgCaregEnvironmentg
g
6. AsgthegRNgchargegnursegongthegnightgshiftgingagsmallglong-
termgcaregfacility,gyou‘vegfoundgthatgtheregisglittlegturnovergamonggyourgLPNgandgnursinggassistant
g(NA)gstaffgmembers,gbutgtheygaregnotgverygmotivatedgtoggogbeyondgtheirgjobgdescriptionsgingtheirg
work.gWhichgofgthegfollowinggstrategiesgmightgmotivategthegstaffgandgleadgtoggreatergjobgsatisfactio
n?g
a. AskgthegdirectorgofgnursinggtogofferghighergwagesgandgbonusesgforgextragworkgforgthegnightgL
PNsgandgNAs.g
b. AllowgthegLPNsgandgNAsggreatergdecision-
makinggpowergwithingthegscopegofgtheirgpositionsgingtheginstitution.g
c. Hiregadditionalgstaffgsogthatgtheregaregmoregstaffgavailablegforgenhancedgcaregandgindividualg
workloadsgareglessened.g
d. Askgthegdirectorgofgnursinggtogincreasegjobgsecuritygforgnightgstaffgbyghavinggthemgsigngcontr
actsgthatgguaranteegwork.g
g
g
ANS:gBg
Hygienegfactorsgsuchgasgsalary,gworkinggconditions,gandgsecuritygaregconsistentgwithg
Herzberg‘sgtwo-
factorgtheorygofgmotivation;gmeetinggthesegneedsgavoidsgjobgdissatisfaction.gMotivatorgfactorsgsu
chgasgrecognitiongandgsatisfactiongwithgworkgpromotegagsatisfyinggandgenrichedgworkgenvironme
nt.gTransformationalgleadersgusegmotivatorgfactorsgliberallygtoginspiregworkgperformancegandginc
reasegjobgsatisfaction.g
g
REF:gPageg9g|gPageg10g
TOP:gAONEgcompetency:gCommunicationgandgRelationship-Buildingg
g
7. Asgthegnursegmanagergwhogwantsgtogincreasegmotivationgbygprovidinggmotivatinggfactors,gwhichga
ctiongwouldgyougselect?g
a. Collaborategwithgtheghumangresource/personnelgdepartmentgtogdevelopgon-
sitegdaycaregservices.g
b. Providegaghierarchicalgorganizationalgstructure.g
c. Implementgagmodelgofgsharedggovernance.g
d. Promotegthegdevelopmentgofgagflexiblegbenefitsgpackage.g
ANS:gCg
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmakinggoccursgthr
oughoutgsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplexitygtheory,geverygvoicegcou
nts,gandgthereforegallglevelsgofgstaffgwouldgbeginvolvedgingdecisiongmaking.gThisgprinciplegisgthegf
oundationgofgsharedggovernance.g
g
REF:gPagesg8-11g TOP:gAONEgcompetency:gCommunicationgandgRelationship-Buildingg
g
8. Agchargegnursegongagbusyg40-
bedgmedical/surgicalgunitgisgapproachedgbygagfamilygmembergwhogbeginsgtogcomplaingloudlygabou
tgthegqualitygofgcareghisgmothergisgreceiving.gHisgbehaviorgisgsogdisruptivegthatgitgisgoverheardgbygsta
ff,gphysicians,gandgothergvisitors.gThegfamilygmembergrejectsganygattemptgtogintervenegtherapeutic
allygtogresolvegthegissue.gHegleavesgthegunitgabruptly,gandgthegnursegisgleftgfeelinggfrustrated.gWhich
gbehaviorgbygthegchargegnursegbestgillustratesgrefinedgleadershipgskillsgingangemotionallygintelligent
gpractitioner? g
a. Reflectgtoggainginsightgintoghowgthegsituationgcouldgbeghandledgdifferentlygingthegfuture.g
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