TEST BANK Yoder-Wise: Leading and Managing in Nursing, 8th Edition Update

TEST BANK Yoder-Wise: Leading and Managing in Nursing, 8th Edition Update

Chapter 01: Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. Sheis 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 implementationofthis 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 makingoccursthroughout the systems, as opposed to being held in a hierarchy. In complexity theory, everyvoice counts, and therefore, all levels of staff would be involved in decision making. TOP: AONE competency: Communication and Relationship-Building
2. A unit manager of a 25-bed medical/surgical area receives a phone call froma nurse whohascalled in sick five times in the past month. He tells the manager that he very much wantstocome to work when scheduled but must often care for his wife, who is undergoing treatment
for breast cancer. According toUMaSslowN’sTneed hiOerarchy 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’s treatment. c. Sympathize with the nurse’s dilemma and let the charge nurse knowthat this nursemay be calling in frequently in the future. d. Work with the nurse, staffing office, and other nurses to arrange his scheduled
days off around his wife’s treatments. ANS: D
Placing the nurse on unpaid leave may threaten the nurse’s capacity to meet physiologicneedsand 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 schedulearoundthe wife’s needs meets the needs of the staff and of patients while satisfying the nurse’sneedfor affiliation. TOP: AONE competency: Communication and Relationship-Building
3. A grievance brought by a staff nurse against the unit manager requires mediation. At thefirstmediation session, the staff nurse repeatedly calls the unit manager’s actions unfair, andtheunit manager continues to reiterate the reasons for the actions. What would be the best courseof 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.
Leading and Managing in Nursing 8th Edition Yoder-Wise Test Bank
NURSINGTB.COM
U S N T
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 about the
conflict. ANS: C
For resolution of conflict, one should address the interests and involvement of participantsinthe conflict by examining the real issues of all parties. TOP: AONE competency: Communication and Relationship-Building
4. At a second negotiation session, the unit manager and staff nurse are unable to reacharesolution. What is the appropriate next step?
a. Arrange another meeting in a week’s 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’s actions and end the dispute. ANS: B
Part of leadership is understanding conflict resolution and ability to negotiate and manageforresolution 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 atthis point. TOP: AONE competency: Communication and Relationship-Building
5. The manager of a surgical area has a vision for the future that requires the additionof RNassistants or unlicensed persons to feed, bathe, and ambulate patients. The RNs onthestaffhave always practiced in a prNimaRry nIursiGng-Bde.liCveryMsystem and are very resistant tothisidea. 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, handlingrelationships, deepening self-awareness in self and others, motivating others, and managingemotions. Motivating others recognizes that values are powerful forces that influenceacceptance of change. Leaving the RNs alone for a period of time before implementationdoesnot provide opportunity to explore different perspectives and values. Avoiding discussionuntil the team changes may not promote adoption of the change until there is opportunitytoexplore perspectives and values related to the change. Hiring of the assistants demonstrateslack of empathy for the perspectives of the RN staff. TOP: AONE competency: Knowledge of the Health Care Environment

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