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Leading and Managing Nursing 7th Edition Yoder-Wise Test Bank
Leading and Managing Nursing 7th Edition Yoder-Wise Test Bank
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LeadingvandvManagingvinvNursingv7thvEditionvYoder-WisevTestvBankvv
v NURSINGTB.COMv
, LeadingvandvManagingvinvNursingv7thvEditionvYoder-WisevTestvBankv
v
v v
Chapter 01: Leading, Managing, and Following
v v v v v v
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
v v v v v v v v v
v
MULTIPLEvCHOICEv
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1. Avnursevmanagervofvav20-
bedvmedicalvunitvfindsvthatv80%vofvthevpatientsvarevoldervadults.vShevisvaskedvtovassessvandvadaptv
thevunitvtovbettervmeetvthevuniquevneedsvofvthevoldervadultvpatient.vUsingvcomplexityvprinciples,v
whatvwouldvbevthevbestvapproachvtovtakevforvimplementationvofvthisvchange?v
a. Leveragevthevhierarchicalvmanagementvpositionvtovgetvunitvstaffvinvolvedvinvassessmentvandv
planning.v
b. Engagevinvolvedvstaffvatvallvlevelsvinvthevdecision-makingvprocess.v
c. Focusvthevassessmentvonvthevunitvandvomitvthevhospitalvandvcommunityvenvironment.v
d. Hirevavgeriatricvspecialistvtovoverseevandvcontrolvthevproject.v
ANS:vBv
Complexityvtheoryvsuggestsvthatvsystemsvinteractvandvadaptvandvthatvdecisionvmakingvoccursvth
roughoutvthevsystems,vasvopposedvtovbeingvheldvinvavhierarchy.vInvcomplexityvtheory,veveryvvoi
cevcounts,vandvtherefore,vallvlevelsvofvstaffvwouldvbevinvolvedvinvdecisionvmaking.v
v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
2. Avunitvmanagervofvav25-
bedvmedical/surgicalvareavreceivesvavphonevcallvfromvavnursevwhovhasvcalledvinvsickvfivevtimesvin
vthevpast vmonth.vHevtellsvthevmanagervthatvhevveryvmuchvwantsvtovcomevtovworkvwhenvscheduledv
butvmustvoftenvcarevforvhisvwife,vwhovisvundergoingvtreatmentvforvbreastvcancer.vAccordingvt o
N
U MRaS sloIwN ’Gs T neB.Ced hiOe rMa rchy theory, what would be the best approach to
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satisfyingvthevneedsvofvthisvnurse,vothervstaff,vandvpatients?v
a. Linevupvagencyvnursesvwhovcanvbevcalledvinvtovworkvonvshortvnotice.v
b. Placevthevnursevonvunpaidvleavevforvthevremaindervofvhisvwife’svtreatment.v
c. Sympathizevwithvthevnurse’svdilemmavandvletvthevchargevnursevknowvthatvthisvnursevmayvbev
callingvinvfrequentlyvinvthevfuture.v
d. Workvwithvthevnurse,vstaffingvoffice,vandvothervnursesvtovarrangevhisvscheduledvdaysvoffvarou
ndvhisvwife’svtreatments.v
ANS:vDv
Placingvthevnursevonvunpaidvleavevmayvthreatenvthevnurse’svcapacityvtovmeetvphysiologicvneedsva
ndvdemotivatevthevnurse.vUnsatisfactoryvcoveragevofvshiftsvonvshortvnoticevcouldvaffectvpatientvc
arevandvthreatenvthevneedsvofvstaffvtovfeelvcompetent.vArrangingvthevschedulevaroundvthevwife’svn
eedsvmeetsvthevneedsvofvthevstaffvandvofvpatientsvwhilevsatisfyingvthevnurse’svneedvforvaffiliation.v
v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
3. Avgrievancevbroughtvbyvavstaffvnursevagainstvthevunitvmanagervrequiresvmediation.vAtvthevfirstvm
ediationvsession,vthevstaffvnursevrepeatedlyvcallsvthevunitvmanager’svactionsvunfair,vandvthevunitv
managervcontinuesvtovreiteratevthevreasonsvforvthevactions.vWhatvwouldvbevthevbestvcoursevofvacti
onvatvthisvtime?v
a. Sendvthevtwovdisputantsvawayvtovreachvtheirvownvresolution.v
b. Involvevanothervstaffvnursevinvthevdiscussionvforvclarityvissues.v
c. Askveachvpartyvtovexaminevtheirvownvmotivesvandvissuesvinvthevconflict.v
v NURSINGTB.COMv
, LeadingvandvManagingvinvNursingv7thvEditionvYoder-WisevTestvBankv
v
d. Continuevtovlistenvasvthevpartiesvrepeatvtheirvthoughtsvandvfeelingsvaboutvthevconflict.v
ANS:vCv
Forvresolutionvofvconflict,vonevshouldvaddressvthevinterestsvandvinvolvementvofvparticipantsvinvth
evconflictvbyvexaminingvthevrealvissuesvofvallvparties.v
v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
4. Atvavsecondvnegotiationvsession,vthevunitvmanagervandvstaffvnursevarevunablevtovreachvavresolutio
n.vWhatvisvthevappropriatevnextvstep?v
a. Arrangevanothervmeetingvinvavweek’svtimevsovasvtovallowvavcooling-offvperiod.v
b. Elevatevthevnextvnegationvsessionvtovthevnextvmanager,vonevlevelvabove.v
c. Insistvthatvparticipantsvcontinuevtovtalkvuntilvavresolutionvhasvbeenvreached.v
d. Backvthevunitvmanager’svactionsvandvendvthevdispute.v
ANS:vBv
Partvofvleadershipvisvunderstandingvconflictvresolutionvandvabilityvtovnegotiatevandvmanagevforvre
solutionvofvissuesvandvconcerns.vThisvsituationvhasvfailedvavsecondvnegotiationvsession,velevation
vtovavmanagervwithvadditionalvtrainingvtovfacilitatevconflictvresolutionvisvimportantvatvthisvpoint.v
v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
5. ThevmanagervofvavsurgicalvareavhasvavvisionvforvthevfuturevthatvrequiresvthevadditionvofvRNvassist
antsvorvunlicensedvpersonsvtovfeed,vbathe,vandvambulatevpatients.vThevRNsvonvthevstaffvhavevalw
U R v
I v
N G T
aysvpracticedvinvavprvNim strategya ryvSn urs vfori ng vimplementation-
v
B de.liCveO ryMsystem and
v v v ofvthisavrechange?vveryvrevsistantvtovthisvidea.v
vv
Whatvwouldvbevthevbestvinitialv
a. ExploringvthevvaluesvandvfeelingsvofvthevRNvgroupvinvrelationshipvtovthisvchangev
b. LeavingvthevRNsvalonevforvavtimevsovtheyvcanvthinkvaboutvthevchangevbeforevitvisvimplemente
dv
c. DroppingvthevideavandvtryingvforvthevchangevinvavyearvorvsovwhenvsomevofvthevpresentvRNsvh
avevretiredv
d. HiringvthevassistantsvandvallowingvthevRNsvtovseevwhatvgoodvadditionsvtheyvarev
ANS:vAv
Influencingvothersvrequiresvemotionalvintelligencevinvdomainsvsuchvasvempathy,vhandlingvrelati
onships,vdeepeningvself-
awarenessvinvselfvandvothers,vmotivatingvothers,vandvmanagingvemotions.vMotivatingvothersvrec
ognizesvthatvvaluesvarevpowerfulvforcesvthatvinfluencevacceptancevofvchange.vLeavingvthevRNsva
lonevforvavperiodvofvtimevbeforevimplementationvdoesvnotvprovidevopportunityvtovexplorevdiffere
ntvperspectivesvandvvalues.vAvoidingvdiscussionvuntilvthevteamvchangesvmayvnotvpromotevadopti
onvofvthevchangevuntilvtherevisvopportunityvtovexplorevperspectivesvandvvaluesvrelatedvtovthevchan
ge.vHiringvofvthevassistantsvdemonstratesvlackvofvempathyvforvthevperspectivesvofvthevRNvstaff.v
v
TOP:vAONEvcompetency:vKnowledgevofvthevHealthvCarevEnvironmentv
6. AsvthevRNvchargevnursevonvthevnightvshiftvinvavsmallvlong-
termvcarevfacility,vyou’vevfoundvthatvtherevisvlittlevturnovervamongvyourvLPNvandvnursingvassista
ntv(NA)vstaffvmembers,vbutvtheyvarevnotvveryvmotivatedvtovgovbeyondvtheirvjobvdescriptionsvinvth
eirvwork.vWhichvofvthevfollowingvstrategiesvmightvmotivatevthevstaffvandvleadvtovgreatervjobvsatis
faction?v
a. AskvthevdirectorvofvnursingvtovoffervhighervwagesvandvbonusesvforvextravworkvforvthevnightvL
PNsvandvNAs.v
v NURSINGTB.COMv
, LeadingvandvManagingvinvNursingv7thvEditionvYoder-WisevTestvBankv
v
b. AllowvthevLPNsvandvNAsvgreatervdecision-
makingvpowervwithinvthevscopevofvtheirvpositionsvinvthevinstitution.v
c. Hirevadditionalvstaffvsovthatvtherevarevmorevstaffvavailablevforvenhancedvcare,vandvindividualv
workloadsvarevlessened.v
d. Askvthevdirectorvofvnursingvtovincreasevjobvsecurityvforvnightvstaffvbyvhavingvthemvsignvcontr
actsvthatvguaranteevwork.v
ANS:vBv
Hygienevfactorsvsuchvasvsalary,vworkingvconditions,vandvsecurityvarevconsistentvwithv
Herzberg’svtwo-
factorvtheoryvofvmotivation;vmeetingvthesevneedsvavoidsvjobvdissatisfaction.vMotivatorvfactorsvs
uchvasvrecognitionvandvsatisfactionvwithvworkvpromotevavsatisfyingvandvenrichedvworkvenviron
ment.vTransformationalvleadersvusevmotivatorvfactorsvliberallyvtovinspirevworkvperformancevand
vincreasevjobvsatisfaction.v
v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
7. Thevnursevmanagervwantsvtovincreasevmotivationvbyvprovidingvmotivatingvfactorsvforvthevnursevo
nvthevunit.vWhatvactionvwouldvbevappropriatevtovmotivatevthevstaff?v
a. Collaboratevwithvthevhumanvresource/personnelvdepartmentvtovdevelopvon-
sitevdaycarevservices.v
b. ProvidevavhierarchicalvorgNaniRzatiIonalvGstrBuc.tuCre.vMv
c. ImplementvavmodelvofvsharUedvgSoveNrnanTce.v
O v
d. Promotevthevdevelopmentvofvavflexiblevbenefitsvpackage.v
ANS:vCv
Complexityvtheoryvsuggestsvthatvsystemsvinteractvandvadaptvandvthatvdecisionvmakingvoccursvthr
oughoutvsystems,vasvopposedvtovbeingvheldvinvavhierarchy.vInvcomplexityvtheory,veveryvvoicevco
unts,vandvthereforevallvlevelsvofvstaffvwouldvbevinvolvedvinvdecisionvmaking.vThisvprinciplevisvth
evfoundationvofvsharedvgovernance.v
v
TOP:vAONEvcompetency:vCommunicationvandvRelationship-Buildingv
v
8. Avchargevnursevonvavbusyv40-
bedvmedical/surgicalvunitvisvapproachedvbyvavfamilyvmembervwhovbeginsvtovcomplainvloudlyvab
outvthevqualityvofvcarevhisvmothervisvreceiving.vHisvbehaviorvisvsovdisruptivevthatvitvisvoverheardvb
yvstaff,vphysicians,vandvothervvisitors.vThevfamilyvmembervleavesvthevunitvabruptly,vandvthevnurs
evisvleftvfeelingvfrustrated.vWhichvbehaviorvbyvthevchargevnursevbestvillustratesvrefinedvleadershi
pvskillsvinvanvemotionallyvintelligentvpractitioner?va.vReflectvtovgainvinsightvintovhowvthevsituatio
nvcouldvbevhandledvdifferentlyvinvthevfuture.v
b. Tryvtovcatchvupvwithvthevangryvfamilyvmembervtovresolvevthevconcern.v
c. Discussvthevconcernvwithvthevpatientvaftervthevfamilyvmembervhasvleft.v
d. Notifyvnursingvadministrationvofvthevsituation.v
ANS:vAv
Golemanvsuggestsvthatvemotionalvintelligencevinvolvesvinsightvandvbeingvablevtovstepvoutsidevofv
thevsituationvtovenvisionvthevcontextvofvwhatvisvhappeningvasvwellvasvbeingvablevtovmanagevemoti
onsvsuchvasvfrustrationveffectively.v
v
TOP:vAONEvcompetency:vLeadershipv
v
9. Thevchiefvnursingvofficervhasvaskedvthevstaffvdevelopmentvcoordinatorvtovfacilitatevthevdevelopm
entvofvavclinicalvcompetencyvprogramvforvthevfacility.vWhilevmakingvroundsvonvthevunits,vthevstaf
v NURSINGTB.COMv
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