Test Bank For Leading and Managing in

Test Bank For Leading and Managing in Nursing 7th Edition By Patricia S. Yoder- Wise; Susan Sportsman (2023 - 2024) / Chapter 1- 30 / Complete Questions and Answers| Boston College

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Yoder-Wise: Leading and Managing in Nursing, 7th Edition

MULTIPLE CHOICE

• 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?

• Leverage the hierarchical management position to get unit staff

involved in assessment and planning.

• Engage involved staff at all levels in the decision-making process.
• Focus the assessment on the unit and omit the hospital and community

environment.

• 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.

• A unit manager of a 25-bed medical/surgical area receives a phone call

from a nurse who has 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’s need hierarchy theory, what would be the best approach to satisfying the needs of this nurse, other staff, and patients?

• Line up agency nurses who can be called in to work on short

notice.

• Place the nurse on unpaid leave for the remainder of his

wife’s treatment.

• Sympathize with the nurse’s dilemma and let the

charge nurse know that this nurse may be calling in frequently in the future.

• Work with the nurse, staffing office, and other nurses to

arrange his scheduled days off around his wife’s treatments.

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ANS: D

Placing the nurse on unpaid leave may threaten the nurse’s 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’s needs meets the needs of the staff and of patients while satisfying the nurse’s need for affiliation.

TOP: AONE competency: Communication and Relationship-Building

• 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’s 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?

• Send the two disputants away to reach their own resolution.
• Involve another staff nurse in the discussion for clarity

issues.

• Ask each party to examine their own motives and issues in

the conflict.

• 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 participants in the conflict by examining the real issues of all parties.

TOP: AONE competency: Communication and Relationship-Building

• At a second negotiation session, the unit manager and staff

nurse are unable to reach a resolution. What is the appropriate next step?

• Arrange another meeting in a week’s time so as to allow a

cooling-off period.

• Elevate the next negation session to the next manager, one

level above.

• Insist that participants continue to talk until a resolution has

been reached.

• Back the unit manager’s actions and end the dispute.
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