{"id":117559,"date":"2023-08-29T04:22:37","date_gmt":"2023-08-29T04:22:37","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117559"},"modified":"2023-08-29T04:22:38","modified_gmt":"2023-08-29T04:22:38","slug":"test-bank-for-leading-and-managing-in-nursing-8th-edition-by-patricia-s-yoder","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/29\/test-bank-for-leading-and-managing-in-nursing-8th-edition-by-patricia-s-yoder\/","title":{"rendered":"Test Bank For Leading and Managing in Nursing, 8th Edition by Patricia S. Yoder"},"content":{"rendered":"\n
    \n
  1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She
    is asked to assess and adapt the unit to better meet the unique needs of the older adult patient.
    Using complexity principles, what would be the best approach to take for implementation of
    this change?
    a. Leverage the hierarchical management position to get unit staff involved in
    assessment and planning.
    b. Engage involved staff at all levels in the decision-making process.
    c. Focus the assessment on the unit and omit the hospital and community
    environment.
    d. Hire a geriatric specialist to oversee and control the project.
    ANS: B
    Complexity theory suggests that systems interact and adapt and that decision making occurs
    throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
    voice counts, and therefore, all levels of staff would be involved in decision making.
    TOP: AONE competency: Communication and Relationship-Building<\/li>\n\n\n\n
  2. A unit manager of a 25-bed medical\/surgical area receives a phone call from a nurse whohas
    called in sick five times in the past month. He tells the manager that he very much wants to
    come to work when scheduled but must often care for his wife, who is undergoing treatment
    for breast cancer. According to Maslow\u2018s need hierarchy theory, what would be the best
    approach to satisfying the needs of this nurse, other staff, and patients?
    a. Line up agency nurses who can be called in to work on short notice.
    b. Place the nurse on unpaid leave for the remainder of his wife\u2018s treatment.
    c. Sympathize with the nurse\u2018s dilemma and let the charge nurse know that this nurse
    may be calling in frequently in the future.
    d. Work with the nurse, staffing office, and other nurses to arrange hisscheduled
    days off around his wife\u2018s treatments.
    ANS: D
    Placing the nurse on unpaid leave may threaten the nurse\u2018s capacity to meet physiologic needs
    and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect
    patient care and threaten the needs of staff to feel competent. Arranging the schedule around
    the wife\u2018s needs meets the needs of the staff and of patients while satisfying the nurse\u2018s need
    for affiliation.
    TOP: AONE competency: Communication and Relationship-Building<\/li>\n\n\n\n
  3. A grievance brought by a staff nurse against the unit manager requires mediation. At the first
    mediation session, the staff nurse repeatedly calls the unit manager\u2018s actions unfair, and the
    unit manager continues to reiterate the reasons for the actions. What would be the best course
    of action at this time?
    a. Send the two disputants away to reach their own resolution.
    b. Involve another staff nurse in the discussion for clarity issues.<\/li>\n<\/ol>\n\n\n\n

    c. Ask each party to examine their own motives and issues in the conflict.
    d. Continue to listen as the parties repeat their thoughts and feelings aboutthe
    conflict.
    ANS: C
    For resolution of conflict, one should address the interests and involvement of participants in
    the conflict by examining the real issues of all parties.
    TOP: AONE competency: Communication and Relationship-Building<\/p>\n\n\n\n

      \n
    1. At a second negotiation session, the unit manager and staff nurse are unable to reach a
      resolution. What is the appropriate next step?
      a. Arrange another meeting in a week\u2018s time so as to allow a cooling-off period.
      b. Elevate the next negation session to the next manager, one level above.
      c. Insist that participants continue to talk until a resolution has been reached.
      d. Back the unit manager\u2018s actions and end the dispute.
      ANS: B
      Part of leadership is understanding conflict resolution and ability to negotiate and manage for
      resolution of issues and concerns. This situation has failed a second negotiation session,
      elevation to a manager with additional training to facilitate conflict resolution is important at
      this point.
      TOP: AONE competency: Communication and Relationship-Building<\/li>\n\n\n\n
    2. The manager of a surgical area has a vision for the future that requires the addition of RN
      assistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs on the staff
      have always practiced in a primary nursing-delivery system and are very resistant to this idea.
      What would be the best initial strategy for implementation of this change?
      a. Exploring the values and feelings of the RN group in relationship to this change
      b. Leaving the RNs alone for a time so they can think about the change before it is
      implemented
      c. Dropping the idea and trying for the change in a year or so when some of the
      present RNs have retired
      d. Hiring the assistants and allowing the RNs to see what good additions they are
      ANS: A
      Influencing others requires emotional intelligence in domains such as empathy, handling
      relationships, deepening self-awareness in self and others, motivating others, and managing
      emotions. Motivating others recognizes that values are powerful forces that influence
      acceptance of change. Leaving the RNs alone for a period of time before implementation does
      not provide opportunity to explore different perspectives and values. Avoiding discussion
      until the team changes may not promote adoption of the change until there is opportunity to
      explore perspectives and values related to the change. Hiring of the assistants demonstrates
      lack of empathy for the perspectives of the RN staff.
      TOP: AONE competency: Knowledge of the Health Care Environment<\/li>\n<\/ol>\n\n\n\n
        \n
      1. As the RN charge nurse on the night shift in a small long-term care facility, you\u2018ve found that
        there is little turnover among your LPN and nursing assistant (NA) staff members, but they
        are not very motivated to go beyond their job descriptions in their work. Which of the
        following strategies might motivate the staff and lead to greater job satisfaction?
        a. Ask the director of nursing to offer higher wages and bonuses for extra work for
        the night LPNs and NAs.
        b. Allow the LPNs and NAs greater decision-making power within the scope oftheir
        positions in the institution.
        c. Hire additional staff so that there are more staff available for enhanced care,and
        individual workloads are lessened.
        d. Ask the director of nursing to increase job security for night staff by having them
        sign contracts that guarantee work.
        ANS: B
        Hygiene factors such as salary, working conditions, and security are consistent with
        Herzberg\u2018s two-factor theory of motivation; meeting these needs avoids job dissatisfaction.
        Motivator factors such as recognition and satisfaction with work promote a satisfying and
        enriched work environment. Transformational leaders use motivator factors liberally to inspire
        work performance and increase job satisfaction.
        TOP: AONE competency: Communication and Relationship-Building<\/li>\n\n\n\n
      2. The nurse manager wants to increase motivation by providing motivating factors for thenurse
        on the unit. What action would be appropriate to motivate the staff?
        a. Collaborate with the human resource\/personnel department to develop on-site
        daycare services.
        b. Provide a hierarchical organizational structure.
        c. Implement a model of shared governance.
        d. Promote the development of a flexible benefits package.
        ANS: C
        Complexity theory suggests that systems interact and adapt and that decision making occurs
        throughout systems, as opposed to being held in a hierarchy. In complexity theory, every
        voice counts, and therefore all levels of staff would be involved in decision making. This
        principle is the foundation of shared governance.
        TOP: AONE competency: Communication and Relationship-Building<\/li>\n\n\n\n
      3. The nurse manager has been asked to implement an evidence-based approach to teach ostomy
        patients self-management skills postoperatively. The program is to be implemented across the
        entire facility. What illustrates effective leadership in this situation?
        a. The training modules are left in the staff room for times when staff are available.
        b. The current approach is continued because it is also evidence-based and is more
        familiar to staff.
        c. You decide to implement the approach at a later date because of feedback from the
        RNs that the new approach takes too much time.
        d. An RN who is already familiar with the new approach of volunteers to take the
        lead in mentoring and teaching others how to implement it.
        ANS: D<\/li>\n\n\n\n
      4. <\/li>\n<\/ol>\n\n\n\n

        Followership occurs when there is acquiescence to a peer who is leading in a setting where a
        team has gathered to ensure the best clinical decision making, and actions are taken to achieve
        clinical or organizational outcomes. Followership promotes good clinical decisions and use of
        clinical resources.
        TOP: AONE competency: Communication and Relationship-Building<\/p>\n\n\n\n

          \n
        1. You overhear a new graduate RN telling a nurse colleague that leadership and management
          belong to the unit manager, not to her. As a nursing colleague, what do you know to be true in
          regard to the statement?
          a. The statement is correct. Leadership is not the role of the staff nurse.
          b. The new graduate would benefit from further understanding of her role as a
          professional, whose influence may affect the decision making of patients,
          colleagues, and other professionals.
          c. The new graduate has been influenced by nurse leaders and managers who leave
          for other positions.
          d. The general perception is that nurse leaders and managers are not satisfied in their
          jobs.
          ANS: B
          Care coordination that involves the intersection of individual, family, and community-based
          needs requires that nurses have self-confidence, knowledge of organizations and health
          systems, and an inner desire to lead and manage. There is often a view that leadership is
          isolated to those holding managerial positions, and that a direct care nurse is subject to
          following by adhering to the direction of others. Such views fail to acknowledge that to be a
          nurse requires each licensed individual to lead, manage, and follow when practicing at the
          point-of-care and beyond.
          TOP: AONE competency: Leadership<\/li>\n\n\n\n
        2. The charge nurse walks into Mr. Smith\u2018s room and finds him yelling at the LPN. He is
          obviously very upset. The charge nurse determines that he has not slept for three nights
          because of unrelieved pain levels. The LPN is very upset and calls Mr. Smith an \u2015ugly, old
          man.\u2016 The charge nurse acknowledges the LPN\u2018s feelings and concerns and then suggests that
          Mr. Smith\u2018s behavior was aggressive but was related to lack of sleep and to pain. The charge
          nurse asks, \u2015Can you, together with Mr. Smith, determine triggers for the pain and effective
          approaches to controlling his pain?\u2016 This situation is an example of what?
          a. Lack of empathy and understanding for Miss Jones
          b. Concern with placating Mr. Smith
          c. Leadership behavior
          d. Management behavior
          ANS: C
          The situation between Mr. Smith and Miss Jones is a complex situation involving unrelieved
          patient symptoms and aggressiveness toward a staff member. Providing engaged,
          collaborative guidance and decision making in a complex situation where there is no
          standardized solution reflects leadership.
          TOP: AONE competency: Leadership<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

          c. Ask each party to examine their own motives and issues in the conflict.d. Continue to listen as the parties repeat their thoughts and feelings abouttheconflict.ANS: CFor resolution of conflict, one should address the interests and involvement of participants inthe conflict by examining the real issues of all parties.TOP: AONE competency: Communication and Relationship-Building Followership […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117559","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117559","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117559"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117559\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117559"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117559"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117559"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}