Exam 1: Leading, Managing, and Following

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 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?

The nurse manager wants to increase motivation by providing motivating factors for the nurse on the unit.What action would be appropriate to motivate the staff?

The chief nursing officer has asked the staff development coordinator to facilitate the development of a clinical competency program for the facility.While making rounds on the units,the staff development coordinator overhears RN staff complaining that they feel it is insulting to be required to participate in a competency program.What behavior by the staff development coordinator is most appropriate in this situation?

As the head of a nursing program,you consistently invite the ideas of your team about innovations in teaching,community partnerships,and curriculum design and invite participation in decisions.Many of these ideas have been implemented successfully,and your staff members are keen to try on other ideas.What is the leadership you are employing?

The unit is shifting from primary nursing to a team model in an effort to contain costs.Staff members are upset about the change and ask for a meeting to discuss the new model.After hearing their concerns related to reduction in professional autonomy,what is the initial response by the manager to address the concerns?