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Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank
Leading and Managing in Nursing 6th Edition Yoder-Wise Test Bank
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Leading and Managing in Nursing 6th Editionm m m m m m Yod
mmmmmmmmmm
er-Wise Test Bank
m m
m
Chapter 01: Leading, Managing, and Following
m m m m m mm
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
m m m m m m m mm
m
mm
MULTIPLEmCHOICEmm
mm
1. Amnursemmanagermofmam20-
bedmmedicalmunitmfindsmthatm80%mofmthempatientsmaremoldermadulmaskedmtomassessmandmadaptmthemunitmto
ettermmeetmthemuniquemneedsmofmthemoldermadultmp
Usingmcomplexitymprinciples,mwhatmwouldmbemthembestmapproachmtomtakeminmmakingmthis
a. Leveragemthemhierarchicalmmanagementmpositionmtomgetmunitmstaffminvolvedminmassessmemplanning
b. Engageminvolvedmstaffmatmallmlevelsminmthemdecision-makingmprocess.mm
c. Focusmthemassessmentmonmthemunit,mandmomitmthemhospitalmandmcommunitymenvironmmm
d. Hiremamgeriatricmspecialistmtomoverseemandmcontrolmmthemproject.
mm
ANS:mBmm
Complexitymtheorymsuggestsmthatmsystemsminteractmandmadaptmandmthatmdecisionmmakinmthroughoutmt
systems,masmopposedmtombeingmheldminmamhierarchy.mInmcomplexitymtheormvoicemcounts,mandmtherefore
lmlevelsmofmstaffmwouldmbeminvolvedminmdecisionmmaking.mm
mm
m REF:mPagem8mm TOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmm
mm
2. Amunitmmanagermofmam25-
bedmmedical/surgicalmareamreceivesmamphonemcallmfrommamnursemwmcalledminmsickmfivemtimesminmthempastmm
nth.mHemtellsmthemmanagermthatmhemverymmuchmwanmtomworkmwhenmscheduledmbutmmustmoftenmcaremformh
wife,mwhomismundergoingmtreatmentm
mformbreastmcancer.mAccordingmtomMaslow’smneedmhierarchymtheory,mwhatmwouldmbemthembestmapproachmtoms
sfyingmthemneedsmofmthismnurse,mothermstaff,mandmpatients?m mm
a. Linemupmagencymnursesmwhomcanmbemcalledminmtomworkmonmmshortmnotice.
b. Placemthemnursemonmunpaidmleavemformthemremaindermofmhismwife’smtreatment.mm
c. Sympathizemwithmthemnurse’smdilemmamandmletmthemchargemnursemknowmthatmthismnurmcallingminmfre
uentlyminmthemfuture.mm
d. Workmwithmthemnurse,mstaffingmoffice,mandmothermnursesmtomarrangemhismscheduledmdamaroundmhism
e’smtreatments.mm
mm
mm
ANS:mDmm
,LeadingmandmManagingminmNursingm6thmEditionmYoder-WisemTestmBankm
Placingmthemnursemonmunpaidmleavemmaymthreatenmthemnurse’smcapacitymtommeetmphysiolmandmdemotiv
emthemnurse.mUnsatisfactorymcoveragemofmshiftsmonmshortmnoticemcouldmaffmpatientmcaremandmthreatenm
emneedsmofmstaffmtomfeelmcompetent.mArrangingmthemschedumthemwife’smneedsmmeetsmthemneedsmofmthe
affmandmofmpatientsmwhilemsatisfyingmthemnurmformaffiliation.mm
mm
REF:mPagem10mm TOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmm
mm
3. Amgrievancembroughtmbymamstaffmnursemagainstmthemunitmmanagermrequiresmmediation.mAtmthmmediationms
ion,mthemstaffmnursemrepeatedlymcallsmthemunitmmanager’smactionsmunfair,manmmanagermcontinuesmtomreite
emthemreasonsmformhermactions.mWhatmwouldmbemthembestmcoumactionmatmthismtime?mm
a. Sendmthemtwomdisputantsmawaymtomreachmtheirmownmresolution.mm
b. Involvemanothermstaffmnurseminmthemdiscussionmsomasmtomclarifymissues.mm
c. Askmeachmpartymtomexaminemhermownmmotivesmandmissuesminmthemconflict.mm
d. Continuemtomlistenmasmthempartiesmrepeatmtheirmthoughtsmandmfeelingsmaboutmthemconflmm
mm
mm
ANS:mCmm
Ury,mBrett,mandmGoldbergmoutlinemstepsmtomrestoringmunity,mthemfirstmofmwhichmismtomaddreminterestsman
involvementmofmparticipantsminmthemconflictmbymexaminingmthemrealmissuesmparties.mm
mm
m REF:mPagem16mm TOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmm
mm
4. Atmamsecondmnegotiationmsession,mthemunitmmanagermandmstaffmnursemaremunablemtomreachmamItmwouldmno
bembestmto:mm
a. Arrangemanothermmeetingminmamweek’smtimemsomasmtomallowmamcooling-offmperiod.mm
b. Turnmthemdisputemovermtomthemdirectormofmnursing.mm
c. Insistmthatmparticipantsmcontinuemtomtalkmuntilmamresolutionmhasmbeenmreached.mm
d. Backmthemunitmmanager’smactionsmandmendmthemdispute.mm
mm
mm
ANS:mBmm
AccordingmtomthemprinciplesmoutlinedmbymUry,mBrett,mandmGoldberg,mam“cooling-
off”mperiomrecommendedmifmresolutionmfails.mm
mm
m REF:mPagem16mm TOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmm
mm
5. Themmanagermofmamsurgicalmareamhasmamvisionmformthemfuturemthatmrequiresmthemadditionmofmassistantsmorm
licensedmpersonsmtomfeed,mbathe,mandmwalkmpatients.mThemRNsmonmthemstaffmalwaysmpracticedminmamprima
nursing–
deliverymsystemmandmaremverymresistantmtomthismidembestminitialmstrategyminmthismsituationmwouldminclude:m
a. ExploringmthemvaluesmandmfeelingsmofmthemRNmgroupminmrelationshipmtomthismchange.mm
b. LeavingmthemRNsmalonemformamtimemsomtheymcanmthinkmaboutmthemchangembeforemitmismimplemented
c. Droppingmthemideamandmtryingmformthemchangeminmamyearmormsomwhenmsomemofmthempresmhavemretire
mm
d. HiringmthemassistantsmandmallowingmthemRNsmtomseemwhatmgoodmadditionsmtheymare.mm
mm
mm
ANS:mAmm
NURSINGTB.COMm
, LeadingmandmManagingminmNursingm6thmEditionmYoder-WisemTestmBankm
m
Influencingmothersmrequiresmemotionalmintelligenceminmdomainsmsuchmasmempathy,mhandmrelationships
eepeningmself-
awarenessminmselfmandmothers,mmotivatingmothers,mandmmmemotions.mMotivatingmothersmrecognizesmth
valuesmarempowerfulmforcesmthatminfluencemacceptancemofmchange.mLeavingmthemRNsmalonemformamperio
ofmtimembeforemimplementamnotmprovidemopportunitymtomexploremdifferentmperspectivesmandmvalues.mA
oidingmdiscusmuntilmthemteammchangesmmaymnotmpromotemadoptionmofmthemchangemuntilmtheremismoppo
exploremperspectivesmandmvaluesmrelatedmtomthemchange.mHiringmofmthemassistantsmdemomlackmofmempa
ymformthemperspectivesmofmthemRNmstaff.mm
mm
m REF:mPagem7m|mPagem15mmmm mm
TOP:mAONEmcompetency:mKnowledgemofmthemHealthmCaremEnvironmentmmm
mm
6. AsmthemRNmchargemnursemonmthemnightmshiftminmamsmallmlong-
termmcaremfacility,myou’vemfounmtheremismlittlemturnovermamongmyourmLPNmandmnursingmassistantm(NA)mst
mmembers,mbutmtmnotmverymmotivatedmtomgombeyondmtheirmjobmdescriptionsminmtheirmwork.mWhichmofmthe
ollowmstrategiesmmightmmotivatemthemstaffmandmleadmtomgreatermjobmsatisfaction?mm
a. AskmthemdirectormofmnursingmtomoffermhighermwagesmandmbonusesmformextramworkmformthmLPNsmandm
s.mm
b. AllowmthemLPNsmandmNAsmgreatermdecision-
makingmpowermwithinmthemscopemofmtheirmpositionsminmtheminstitution.mm
c. Hiremadditionalmstaffmsomthatmtheremaremmoremstaffmavailablemformenhancedmcaremandmimworkloadsma
mlessened.mm
d. Askmthemdirectormofmnursingmtomincreasemjobmsecuritymformnightmstaffmbymhavingmthemmsmcontractsmt
tmguaranteemwork.mm
mm
mm
ANS:mBmm
Hygienemfactorsmsuchmasmsalary,mworkingmconditions,mandmsecuritymaremconsistentmwithmm
Herzberg’smtwo-
factormtheorymofmmotivation;mmeetingmthesemneedsmavoidsmjobmdissatisfamMotivatormfactorsmsuchmasmre
ognitionmandmsatisfactionmwithmworkmpromotemamsatisfyingmenrichedmworkmenvironment.mTransformat
almleadersmusemmotivatormfactorsmliberallymworkmperformancemandmincreasemjobmsatisfaction.mm
mm
m REF:mPagem9m|mPagem10mmmm mm
m TOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmmmm
mm
7. Asmthemnursemmanagermwhomwantsmtomincreasemmotivationmbymprovidingmmotivatingmfactormactionmwou
youmselect?mm
a. Collaboratemwithmthemhumanmresource/personnelmdepartmentmtomdevelopmon-sitemdamservices.mm
b. Providemamhierarchicalmorganizationalmstructure.mm
c. Implementmammodelmofmsharedmgovernance.mm
d. Promotemthemdevelopmentmofmamflexiblembenefitsmpackage.mm
mm
mm
ANS:mCmm m
NURSINGTB.COMm
, LeadingmandmManagingminmNursingm6thmEditionmYoder-WisemTestmBankm
Complexitymtheorymsuggestsmthatmsystemsminteractmandmadaptmandmthatmdecisionmmakinmthroughoutms
ems,masmopposedmtombeingmheldminmamhierarchy.mInmcomplexitymtheory,memvoicemcounts,mandmtherefore
mlevelsmofmstaffmwouldmbeminvolvedminmdecisionmmaking.mTmprinciplemismthemfoundationmofmsharedmgover
nce.mm
mm
m REF:mPagesm8-11mmTOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmm
mm
8. Amchargemnursemonmambusym40-
bedmmedical/surgicalmunitmismapproachedmbymamfamilymmemmbeginsmtomcomplainmloudlymaboutmthemquali
ofmcaremhismmothermismreceiving.mHismbehaviomdisruptivemthatmitmismoverheardmbymstaff,mphysicians,mandmo
ermvisitors.mThemfamilymmembmanymattemptmtomintervenemtherapeuticallymtomresolvemthemissue.mHemleave
hemunitmabrupmnursemismleftmfeelingmfrustrated.mWhichmbehaviormbymthemchargemnursembestmillustratesmre
eadershipmskillsminmanmemotionallymintelligentmpractitioner?mm
a. Reflectmtomgainminsightmintomhowmthemsituationmcouldmbemhandledmdifferentlyminmthemfumm
b. Trymtomcatchmupmwithmthemangrymfamilymmembermtomresolvemthemconcern.mm
c. Discussmthemconcernmwithmthempatientmaftermthemfamilymmembermhasmleft.mm
d. Notifymnursingmadministrationmofmthemsituation.mm
mm
mm
ANS:mAmm
Golemanmsuggestsmthatmemotionalmintelligenceminvolvesminsightmandmbeingmablemtomstepmofmthemsituati
mtomenvisionmthemcontextmofmwhatmismhappeningmasmwellmasmbeingmablemtomemotionsmsuchmasmfrustratio
effectively.mm
mm
m REF:mPagem7m|mPagem8mmmm TOP:mAONEmcompetency:mLeadershipmm
mm
9. Themchiefmnursingmofficermhasmaskedmthemstaffmdevelopmentmcoordinatormtomfacilitatemthemdevelopment
mamclinicalmcompetencymprogrammformthemfacility.mWhilemmakingmroundsmonmunits,mthemstaffmdevelopmen
oordinatormoverhearsmRNmstaffmcomplainingmthatmtheymfeelminsultingmtombemrequiredmtomparticipateminma
mpetencymprogram.mWhichmbehaviormbymthmdevelopmentmcoordinatormismmostmappropriateminmthismsitua
on?mm
a. Disregardmstaffmconcernsmandmcontinuemwithmdevelopmentmofmthemprogram.mm
b. InformmthemnursesmthatmthismprogrammismamrequirementmformJCAHOmmaccreditation.
c. Schedulemammeetingmwithmthemchiefmnursemexecutivemtomapprisemhermofmthemsituation.mm
d. Facilitatemammeetingmsomnursesmcanmarticulatemtheirmvaluesmandmconcernsmaboutmamcomprogram.mm
mm
mm
ANS:mDmm
Themmanagermroleminvolvesmguidingmothersmthroughmamsetmofmderivedmpracticesmthatmarembasedmandmkn
wnmtomsatisfympreestablishedmoutcomesmsuchmasmparticipationminmamcompmprogram.mThisminvolvesmenga
ementmofmstaffmthroughmsharingmofmconcernsmandmideas.mAmanalysismofmthemIOMmreportmandmthemsumm
ymofmthemPPACAmsuggestsmthatmnomhealthmrefmunfoldmwithoutmactivemnursingmengagement.mEachmdocum
ntmemphasizesmthatmnursesmmmmanage,mandmbehavemasmactivemcollaboratorsmwithmothermmembersmofm
emhealthmteammthosembeingmserved.mm
mm
m REF:mPagem3mm TOP:mAONEmcompetency:mCommunicationmandmRelationship-Buildingmm
mm
NURSINGTB.COMm
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