A gnurse gmanager gof ga g20-bed gmedical gunit gfinds gthat g80% gof gthe gpatients
g are golder gadults. gShegis gasked gto gassess gand gadapt gthe gunit gto gbetter gmeet
g the gunique gneeds gof gthe golder gadult gpatient.gUsing gcomplexity gprinciples,
what gwould gbe gthe gbest gapproach gto gtake gfor gimplementation gof gthis
g
change?
g
a. Leverage gthe ghierarchical gmanagement gposition gto gget
g unit gstaff ginvolved gingassessment gand gplanning.
b. Engage ginvolved gstaff gat gall glevels gin gthe gdecision-making gprocess.
c. Focus gthe gassessment gon gthe gunit gand gomit gthe
g hospital gand gcommunitygenvironment.
d. Hire ga ggeriatric gspecialist gto goversee gand gcontrol gthe gproject.
ANS: g B
Complexity gtheory gsuggests gthat gsystems ginteract gand gadapt gand gthat
g decision gmaking goccurs gthroughout gthe gsystems, gas gopposed gto gbeing
g held gin ga ghierarchy. gIn gcomplexity gtheory, gevery gvoice gcounts, gand
g therefore, gall glevels gof gstaff gwould gbe ginvolved gin gdecision gmaking.
TOP: g AONE gcompetency: gCommunication gand gRelationship-Building
A gunit gmanager gof ga g25-bed gmedical/surgical garea greceives ga gphone gcall gfrom
g a gnurse gwho ghasgcalled gin gsick gfive gtimes gin gthe gpast gmonth. gHe gtells gthe
N gR gI gG gB.C gM
g manager gthat ghe gvery gmuch gwants gto gcome gto gwork gwhen gscheduled gbut
g must goften gcare gfor ghis gwife, gwho gis gundergoing gtreatment
for gbreast gcancer. gAccording gtoUMaSslow
N‘s gT
need ghiO
erarchy gtheory, gwhat
g would gbe gthe gbest
Test gBank gfor gLeading gand gManaging gingNursing g7th
gEdition gby gYoder gWise g(chapters g1-30) gcomplete.
g together gwith gMr. gSmith, gdetermine gtriggers gfor gthe gpain gand geffective
g approaches gto gcontrolling ghis gpain?‖ gThis gsituation gis gan gexample gof
g what?
a. Lack gof gempathy gand gundNerstR
andI
inggG
for gM
B .isC
s gJoM
nes
b. Concern gwith gplacating gMrU
. gSmSithN g gT O
c. Leadership gbehavior
d. Management gbehavior
ANS: g C
The gsituation gbetween gMr. gSmith gand gMiss gJones gis ga gcomplex
g situation ginvolving gunrelievedgpatient gsymptoms gand gaggressiveness
g toward ga gstaff gmember. gProviding gengaged, gcollaborative gguidance
g and gdecision gmaking gin ga gcomplex gsituation gwhere gthere gis gno
g standardized gsolution greflects gleadership.
TOP: g AONE gcompetency: gLeadership
After gassessing gan golder gadult gpatient gin glong-term gcare gwho ghas gbeen gslowly
g deteriorating gforgweeks, gthe gnurse gmanager gcalls gthe gfamily gand gasks gthem gto
g come gin, gas gthe gpatient gis gdying. gWhat gis gthe gmost glikely gbasis gfor gthe gnurse
g manager‘s grequest?
a. An gestablished gclinical gpathway
b. Confirmatory gscientific gevidence
c. Unit gprotocol
d. Experience
ANS: g D
The gnurse gmanager gis gemploying gknowledge gand gexperience gin
g determining gthat gthe gpatient gisgdying, gbecause gthe gcourse gof gdying gis
g not gstandardized gand gcannot gbe gdetermined gby gclinical gpathways.
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