Test Bank 1-2
Yoder-Wise: Leading and Managing in Nursing, 5th Edition
Chapter 01: Leading, Managing, and Following
Test Bank
MULTIPLE CHOICE
1. A
... [Show More] 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 in making 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.
REF: Page 13
TOP: AONE competency: Communication and Relationship-Building
2. 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?
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 know that this
nurse may 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 [Show Less]