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Test Bank For Leading and Managing in Nursing 8thvEdition by Patricia S. Yoder-Wise, Susan Sportsman
Test Bank For Leading and Managing in Nursing 8thvEdition by Patricia S. Yoder-Wise, Susan Sportsman
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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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,v
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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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MULTIPLEvCHOICEv
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1. Avnursevmanagervofvav20-
bedvmedicalvunitvfindsvthatv80%vofvthevpatientsvarevoldervadults.vShevisvaskedvtovassessvandvadaptvthe
vunitvtovbettervmeet vthevuniquevneedsvofvthevoldervadultvpatient.vUsingvcomplexityvprinciples, vwhatv
wouldvbevthevbestvapproachvtovtakevinvmakingvthisvchange?va.vLeveragevthevhierarchicalvmanageme
ntvpositionvtovgetvunitvstaffvinvolvedvinvassessmentvandvplanning.v
b. Engagevinvolvedvstaffvatvallvlevelsvinvthevdecision-makingvprocess.v
c. Focusvthevassessmentvonvthevunit,vandvomitvthevhospitalvandvcommunityvenvironment.v
d. Hirevavgeriatricvspecialistvtovoverseevandvcontrolvthevproject.v
v
ANS:vBv
Complexityvtheoryvsuggestsvthatvsystemsvinteractvandvadaptvandvthatvdecisionvmakingvoccursvt
hroughoutvthevsystems,vasvopposedvtovbeingvheldvinvavhierarchy.vInvcomplexityvtheory,veveryvv
oicevcounts,vandvtherefore,vallvlevelsvofvstaffvwouldvbevinvolvedvinvdecisionvmaking.v
v
REF:vPagev8v TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
2. Avunitvmanagervofvav25-
bedvmedical/surgicalvareavreceivesvavphonevcallvfromvavnursevwhovhasvcalledvinvsickvfivevtimesvinvth
evpastvmonth.vHevtellsvthevmanagervthatvhevveryvmuchvwantsvtovcomevtovworkvwhenvscheduledvbutvm
ustvoftenvcarevforvhisvwife,vwhovisvundergoingvtreatmentv
v
forvbreastvcancer.vAccordingvtovMaslow‘svneedvhierarchyvtheory,vwhatvwouldvbevthevbestvapproachvtovsatisfyingvt
hevneedsvofvthisvnurse,vothervstaff,vandvpatients?v
a. Linevupvagencyvnursesvwhovcanvbevcalledvinvtovworkvonvshortvnotice.v
b. Placevthevnursevonvunpaidvleavevforvthevremaindervofvhisvwife‘svtreatment.v
c. Sympathizevwithvthevnurse‘svdilemmavandvletvthevchargevnursevknowvthatvthisvnursevmayvbevc
allingvinvfrequentlyvinvthevfuture.v
d. Workvwithvthevnurse,vstaffingvoffice,vandvothervnursesvtovarrangevhisvscheduledvdaysvoffvarou
ndvhisvwife‘svtreatments.v
v
v
ANS:vDv
Placingvthevnursevonvunpaidvleavevmayvthreatenvthevnurse‘svcapacityvtovmeetvphysiologicvneedsva
ndvdemotivatevthevnurse.vUnsatisfactoryvcoveragevofvshiftsvonvshortvnoticevcouldvaffectvpatientvc
arevandvthreatenvthevneedsvofvstaffvtovfeelvcompetent.vArrangingvthevschedulevaroundvthevwife‘svn
eedsvmeetsvthevneedsvofvthevstaffvandvofvpatientsvwhilevsatisfyingvthevnurse‘svneedvforvaffiliation.v
v
REF:vPagev10v TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v v
v
v
v
, 3. Avgrievancevbroughtvbyvavstaffvnursevagainstvthevunitvmanagervrequiresvmediation.vAtvthevfirstvmedi
ationvsession,vthevstaffvnursevrepeatedlyvcallsvthevunitvmanager‘svactionsvunfair,vandvthevunitvmanag
ervcontinuesvtovreiteratevthevreasonsvforvhervactions.vWhatvwouldvbevthevbestvcoursevofvactionvatvthisv
time?v
a. Sendvthevtwovdisputantsvawayvtovreachvtheirvownvresolution.v
b. Involvevanothervstaffvnursevinvthevdiscussionvsovasvtovclarifyvissues.v
c. Askveachvpartyvtovexaminevhervownvmotivesvandvissuesvinvthevconflict.v
d. Continuevtovlistenvasvthevpartiesvrepeatvtheirvthoughtsvandvfeelingsvaboutvthevconflict.v
v
v
ANS:vCv
Ury,vBrett,vandvGoldbergvoutlinevstepsvtovrestoringvunity,vthevfirstvofvwhichvisvtovaddressvthevi
nterestsvandvinvolvementvofvparticipantsvinvthevconflictvbyvexaminingvthevrealvissuesvofvallvpa
rties.v
v
REF:vPagev16v TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
4. Atvavsecondvnegotiationvsession,vthevunitvmanagervandvstaffvnursevarevunablevtovreachvavresolution.vI
tvwouldvnowvbevbestvto:v
a. Arrangevanothervmeetingvinvavweek‘svtimevsovasvtovallowvavcooling-offvperiod.v
b. Turnvthevdisputevovervtovthevdirectorvofvnursing.v
c. Insistvthatvparticipantsvcontinuevtovtalkvuntilvavresolutionvhasvbeenvreached.v
d. Backvthevunitvmanager‘svactionsvandvendvthevdispute.v
v
v
ANS:vBv
AccordingvtovthevprinciplesvoutlinedvbyvUry,vBrett,vandvGoldberg,vav―cooling-
off‖vperiodvisvrecommendedvifvresolutionvfails.v
v
REF:vPagev16v TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
5. ThevmanagervofvavsurgicalvareavhasvavvisionvforvthevfuturevthatvrequiresvthevadditionvofvRNvassistants
orvunlicensedvpersonsvtovfeed,vbathe,vandvwalkvpatients.vThevRNsvonvthevstaffvhavevalwaysvpractice
v
dvinvavprimaryvnursing–
deliveryvsystemvandvarevveryvresistantvtovthisvidea.vThevbestvinitialvstrategyvinvthisvsituationvwouldvi
nclude:v
a. ExploringvthevvaluesvandvfeelingsvofvthevRNvgroupvinvrelationshipvtovthisvchange.v
b. LeavingvthevRNsvalonevforvavtimevsovtheyvcanvthinkvaboutvthevchangevbeforevitvisvimplemente
d.v
c. DroppingvthevideavandvtryingvforvthevchangevinvavyearvorvsovwhenvsomevofvthevpresentvRNsvha
vevretired.v
d. HiringvthevassistantsvandvallowingvthevRNsvtovseevwhatvgoodvadditionsvtheyvare.v
ANS:vAv
Influencingvothersvrequiresvemotionalvintelligencevinvdomainsvsuchvasvempathy,vhandlingvrelatio
nships,vdeepeningvself-
awarenessvinvselfvandvothers,vmotivatingvothers,vandvmanagingvemotions.vMotivatingvothersvreco
gnizesvthatvvaluesvarevpowerfulvforcesvthatvinfluencevacceptancevofvchange.vLeavingvthevRNsvalo
nevforvavperiodvofvtimevbeforevimplementationvdoesvnotvprovidevopportunityvtovexplorevdifferentv
perspectivesvandvvalues.vAvoidingvdiscussionvuntilvthevteamvchangesvmayvnotvpromotevadoptionv
ofvthevchangevuntilvtherevisvopportunityvtovexplorevperspectivesvandvvaluesvrelatedvtovthevchange.v
HiringvofvthevassistantsvdemonstratesvlackvofvempathyvforvthevperspectivesvofvthevRNvstaff.v
v
, REF:vPagev7v|vPagev15v
TOP:vAONEvcompetency:vKnowledgevofvthevHealthvCarevEnvironmentv
v
6. AsvthevRNvchargevnursevonvthevnightvshiftvinvavsmallvlong-
termvcarevfacility,vyou‘vevfoundvthatvtherevisvlittlevturnovervamongvyourvLPNvandvnursingvassistant
v(NA)vstaffvmembers,vbutvtheyvarevnotvveryvmotivatedvtovgovbeyondvtheirvjobvdescriptionsvinvtheirv
work.vWhichvofvthevfollowingvstrategiesvmightvmotivatevthevstaffvandvleadvtovgreatervjobvsatisfactio
n?v
a. AskvthevdirectorvofvnursingvtovoffervhighervwagesvandvbonusesvforvextravworkvforvthevnightvL
PNsvandvNAs.v
b. AllowvthevLPNsvandvNAsvgreatervdecision-
makingvpowervwithinvthevscopevofvtheirvpositionsvinvthevinstitution.v
c. Hirevadditionalvstaffvsovthatvtherevarevmorevstaffvavailablevforvenhancedvcarevandvindividualv
workloadsvarevlessened.v
d. Askvthevdirectorvofvnursingvtovincreasevjobvsecurityvforvnightvstaffvbyvhavingvthemvsignvcontr
actsvthatvguaranteevwork.v
v
v
ANS:vBv
Hygienevfactorsvsuchvasvsalary,vworkingvconditions,vandvsecurityvarevconsistentvwithv
Herzberg‘svtwo-
factorvtheoryvofvmotivation;vmeetingvthesevneedsvavoidsvjobvdissatisfaction.vMotivatorvfactorsvsu
chvasvrecognitionvandvsatisfactionvwithvworkvpromotevavsatisfyingvandvenrichedvworkvenvironme
nt.vTransformationalvleadersvusevmotivatorvfactorsvliberallyvtovinspirevworkvperformancevandvinc
reasevjobvsatisfaction.v
v
REF:vPagev9v|vPagev10v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
7. Asvthevnursevmanagervwhovwantsvtovincreasevmotivationvbyvprovidingvmotivatingvfactors,vwhichva
ctionvwouldvyouvselect?v
a. Collaboratevwithvthevhumanvresource/personnelvdepartmentvtovdevelopvon-
sitevdaycarevservices.v
b. Providevavhierarchicalvorganizationalvstructure.v
c. Implementvavmodelvofvsharedvgovernance.v
d. Promotevthevdevelopmentvofvavflexiblevbenefitsvpackage.v
ANS:vCv
Complexityvtheoryvsuggestsvthatvsystemsvinteractvandvadaptvandvthatvdecisionvmakingvoccursvthr
oughoutvsystems,vasvopposedvtovbeingvheldvinvavhierarchy.vInvcomplexityvtheory,veveryvvoicevcou
nts,vandvthereforevallvlevelsvofvstaffvwouldvbevinvolvedvinvdecisionvmaking.vThisvprinciplevisvthevf
oundationvofvsharedvgovernance.v
v
REF:vPagesv8-11v TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
8. Avchargevnursevonvavbusyv40-
bedvmedical/surgicalvunitvisvapproachedvbyvavfamilyvmembervwhovbeginsvtovcomplainvloudlyvabou
tvthevqualityvofvcarevhisvmothervisvreceiving.vHisvbehaviorvisvsovdisruptivevthatvitvisvoverheardvbyvsta
ff,vphysicians,vandvothervvisitors.vThevfamilyvmembervrejectsvanyvattemptvtovintervenevtherapeutic
allyvtovresolvevthevissue.vHevleavesvthevunitvabruptly,vandvthevnursevisvleftvfeelingvfrustrated.vWhich
vbehaviorvbyvthevchargevnursevbestvillustratesvrefinedvleadershipvskillsvinvanvemotionallyvintelligent
vpractitioner? v
a. Reflectvtovgainvinsightvintovhowvthevsituationvcouldvbevhandledvdifferentlyvinvthevfuture.v
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