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TEST BANK For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman| Verified Chapter's 1 - 30 | Complete ISBN: 9780323792073 $20.99
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TEST BANK For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman| Verified Chapter's 1 - 30 | Complete ISBN: 9780323792073

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TEST BANK For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman| Verified Chapter's 1 - 30 | Complete ISBN: 9780323792073 TEST BANK For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder-Wise, Susan Sportsman| Verified Chapter's 1 - 30 | Complet...

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  • Leading and Managing in Nursing, 8th
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,Chapter01: Leading, Managing, and Following
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Yoder-Wise: Leading and Managing in Nursing, 8th Edition r q H r q H r q r q r q r q r q




MULTIPLE CHOICE r q




1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She
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ris asked to assess and adapt the unit to better meet the unique needs of the
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older adult patient. Using complexity principles, what would be the best approach to take for
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implementation of this change?
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a. Leverage the hierarchical management position to get unit staff involved in rq rq rq rq rq rq rq rq rq rq




assessment and planning.
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b. Engage involved staff at all levels in the decision-making process. rq r q r q r q r q r q H r q r q r q




c. Focus the assessment on the unit and omit the hospital and community rq rq rq rq rq rq rq rq rq rq rq




environment. rq




d. Hire a geriatric specialist to oversee and control the project.
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HH: B
Complexity theory suggests r q r q r q that systems interact and adapt and that decision r q r q r q r q r q r q r q H rq




throughout rq , as opposed to being held in a hierarchy.
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voice H rq , and therefore, all levels of staff would be
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decision involved in r q r q




making.
r q




TOP: AONE competency: Communication and Relationship-Building
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2. A unit manager of a 25-bed medical/surgical area receives a phone call from a
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nurse whohas called in sick five times in the past month. He tells the
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manager that he very much wants to come to work when scheduled but must
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often care for his wife, who is undergoing treatment for breast cancer. According
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to Maslow‘s need hierarchy theory, what would be the best approach to
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satisfying the needs of this nurse, other staff, and patients?
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a. Line up agencynurses who can be called in to work on short notice.
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b. Place the nurse on unpaid leave for the remainder of his wife‘s treatment.
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c. Sympathize with the nurse‘s dilemma and let the charge nurse know that rq rq rq rq rq rq H r q rq rq rq rq




thisnurse may be calling in frequently in the
rq future. r q rq r q r q r q r q r q




d. Work with the nurse, staffing office, and other nurses to arrange rq rq rq rq rq r q rq rq r q rq




hisscheduled days off around his wife‘s treatments.
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HH: D
Placing the nurse on unpaid leave may threaten the nurse‘s capacity to meet physiologic needs
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and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could
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affect patient care and threaten the needs of staff to feel competent. Arranging
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rthe schedule around the wife‘s needs meets the needs of the staff and of
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rpatients while satisfying the nurse‘s need for affiliation.
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TOP: AONE competency: Communication and Relationship-Building
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3. A grievance brought bya staff nurse against the unit manager requires mediation. At
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the first mediation session, the staff nurse repeatedly calls the unit manager‘s
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ractions unfair, and the unit manager continues to reiterate the reasons for the actions.
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What would be the best course of action at this time?
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a. Send the two disputants away to reach their own resolution.H r q r q r q r q rq r q r q r q rq




b. Involve another staff nurse in the discussion for clarity issues. r q r q r q r q rq r q r q r q r q

, c. Ask each partyto examine their own motives and issues in the rq r q rq r q r q r q r q r q r q r q r q r q conflict.
d. Continue to listen as the parties repeat their thoughts and feelings rq rq rq rq rq H r q rq rq rq rq




aboutt he conflict.
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HH: C rq




For resolution of conflict, one should address the interests and involvement of participants
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in the conflict by examining the real issues of all parties.
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TOP: AONE competency: Communication and Relationship-Building
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4. At a second negotiation session, the unit manager and staff nurse are unable to
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rq reach a resolution. What is the appropriate next step?
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a. Arrange another meeting in a week‘s time so as to allow a cooling-off period. H r q r q r q rq r q r q r q r q r q r q r q r q r q




b. Elevate the next negation session to the next manager, one level above. rq r q r q r q r q r q r q r q r q r q r q




c. Insist that participants continue to talk until a resolution has been reached.
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d. Back the unit manager‘s actions and end the dispute. r q r q rq r q rq r q rq r q




HH: B rq




Part of leadership is understanding conflict resolution and abilityto negotiate and
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manage for resolution of issues and concerns. This situation has failed a second
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negotiation session, elevation to a manager with additional training to facilitate
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conflict resolution is important at this point.
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TOP: AONE competency: Communication and Relationship-Building
r q r q r q r q r q




5. The manager of a surgical area has a vision for the future that requires the
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addition of RN assistants or unlicensed persons to feed, bathe, and ambulate
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patients. The RNs on the staff have always practiced in a primarynursing-delivery
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system and are veryresistant to this idea. What would be the best initial strategy
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for implementation of this change?
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a. Exploring the values and feelings of the RN group in relationship to thischange H rq r q r q r q r q r q r q r q r q rq r q r q rq




b. Leaving the RNs alone for a time so theycan think about the change before it rq rq rq r q rq rq rq rq rq rq r q r q rq rq rq H




is implemented r q r q




c. Dropping the idea and trying for the change in a year or so when some of rq rq rq rq H r q rq rq rq rq r q rq rq rq H r q rq




the present RNs have retiredrq r q r q r q r q




d. Hiring the assistants and allowing the RNs to see what good additions they are rq r q r q r q rq r q r q r q r q r q r q r q r q




HH: A rq




Influencing others requires emotional intelligence in domains such as empathy, r q r q r q r q r q r q r q r q r q




handling relationships, deepening self-awareness in self and others, motivating
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rothers, and managing emotions. Motivating others recognizes that values are
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rpowerful forces that influence acceptance of change. Leaving the RNs alone for a
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period of time before implementation does not provide opportunity to explore
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rdifferent perspectives and values. Avoiding discussion until the team changes
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rmay not promote adoption of the change until there is opportunity to explore
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rperspectives and values related to the change. Hiring of the assistants
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rdemonstrates lack of empathy for the perspectives of the RN staff.
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TOP: AONE competency: Knowledge of the Health Care Environment
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, 6. As the RN charge nurse on the night shift in a small long-term care facility, you‘ve found
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that there is little turnover among your LPN and nursing assistant (NA) staff
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members, but they are not very motivated to go beyond their job descriptions
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rin their work. Which of the following strategies might motivate the staff and
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rlead to greater job satisfaction?
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a. Ask the director of nursing to offer higher wages and bonuses for extra work for
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the night LPNs and NAs.
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b. Allow the LPNs and NAs greater decision-making power within the scope of rq rq rq rq rq rq rq rq rq rq rq




their positions in the institution.
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c. Hire additional staff so that there are more staff available for enhanced
H r q rq rq rq rq rq rq rq rq rq rq




care,and individual workloads are lessened.
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d. Ask the director of nursing to increase job security for night staff byhaving
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them sign contracts that guarantee work.
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HH: B rq




Hygiene factors such as salary, working conditions, and security are consistent r q r q r q r q r q r q r q r q r q r q




rwith Herzberg‘s two-factor theory of motivation; meeting these needs avoids job
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dissatisfaction. Motivator factors such as recognition and satisfaction with work
rq r q r q r q r q r q r q r q r q r q




promote a satisfying and enriched work environment. Tr HHformational leaders use
r q rq r q r q r q rq rq rq rq rq rq




motivator factors liberally to inspire work performance and increase job satisfaction.
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TOP: AONE competency: Communication and Relationship-Building
r q r q r q r q r q




7. The nurse manager wants to increase motivation by providing motivating factors for
rq rq rq r q rq r q rq rq rq rq rq




thenurse on the unit. What action would be appropriate to motivate the
rq r q r q r q r q r q r q r q r q r q r q r q




staff?
r q




a. Collaborate with the human resource/personnel department to develop on- rq rq rq rq rq rq rq rq




site daycare services.rq r q r q




b. Provide a hierarchical organizational structure. rq rq r q rq




c. Implement a model of shared governance. r q r q r q rq r q




d. Promote the development of a flexible benefits package. r q r q r q r q rq r q r q




HH: C rq




Complexitytheorysuggests that systems interact and adapt and that decision making occurs rq rq rq H r q rq r q rq rq rq rq rq H rq




throughout systems, as opposed to being held in a hierarchy. In complexity
rq r q r q r q r q r q r q r q r q r q r q r q




theory, every voice counts, and therefore all levels of staff would be involved
r q rq r q r q r q r q r q r q r q r q r q r q r q




in decision making. This principle is the foundation of shared governance.
r q r q rq r q r q r q r q r q r q r q r q




TOP: AONE competency: Communication and Relationship-Building
r q r q r q r q r q




8. The nurse manager has been asked to implement an evidence-based approach to
rq rq r q r q r q r q r q rq r q r q r q




teach ostomy patients self-management skills postoperatively. The program is to
r q rq r q r q r q r q r q r q r q r q




be implemented across the entire facility. What illustrates effective leadership in
r q rq r q r q r q r q r q r q r q r q r q




this situation?
r q rq




a. The training modules are left in the staff room for times when staff are available.
rq H r q r q r q H r q rq r q r q r q r q r q r q rq r q




b. The current approach is continued because it is also evidence-based and is
rq rq rq rq rq rq rq rq rq rq rq




more familiar to staff. rq r q r q r q




c. You decide to implement the approach at a later date because of feedback from the
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RNs that the new approach takes too much time.
r q r q r q r q r q r q r q r q r q




d. An RN who is alreadyfamiliar with the new approach of volunteers to take the
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lead in mentoring and teaching others how to implement it.
r q r q r q r q r q r q r q r q r q




HH: D rq

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