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?
a. ...
1. Akinursekimanagerkiofkiaki20-
bedkimedicalkiunitkifindskithatki80%kiofkithekipatientskiarekiolderkiadults.kiShekiiskiaskedkitokiassesskiand
kiadaptkithekiunitkitokibetterkimeetkithekiuniquekineedskiofkithekiolderkiadultkipatient.Usingkicomplexityk
iprinciples,kiwhatkiwouldkibekithekibestkiapproachkitokitakekiforkiimplementationkiofkithiskichange?
a. Leveragekithekihierarchicalkimanagementkipositionkitokigetkiunitkistaffkiinvol
vedkiinkiassessmentkiandki planning.
b. Engagekiinvolvedkistaffkiatkiallkilevelskiinkithekidecision-makingki process.
c. Focuskithekiassessmentkionkithekiunitkiandkiomitkithekihospitalkiandkicom
munitykienvironment.
d. Hirekiakigeriatrickispecialistkitokioverseekiandkicontrolkithekiproject.
ANS:k i B
Complexitykitheorykisuggestskithatkisystemskiinteractkiandkiadaptkiandkithatkidecisionkimaking
kioccurskti hroughoutkithekisystems,kiaskiopposedkitokibeingkiheldkiinkiakihierarchy.kiInkicomplex
itykitheory,kieverykivoicekicounts,kiandkitherefore,kiallkilevelskiofkistaffkiwouldkibekiinvolvedkiin
kidecisionkimaking.
2. Akiunitkimanagerkiofkiaki25-
bedkimedical/surgicalkiareakireceiveskiakiphonekicallkifromkiakinursekiwhokihaskicalledkiinkisickkifivekiti
meskiinkithekipastkimonth.kiHekitellskithekimanagerkithatkihekiverykimuchkiwantskitokicomekitokiworkkiw
henkischeduledkibutkimustkioftenkicarekiforkihiskiwife,kiwhokiiskiundergoingkitreatmentforkibreastkican
cer.kiAccordingkitokiMaslow‘skineedkihierarchykitheory,kiwhatkiwouldkibekithekibestkiapproachkitokisat
isfyingkithekineedskiofki thiskinurse,kiotherkistaff,kiandki patients?
a. Linekiupkiagencykinurseskiwhokicankibekicalledkiinkitokiworkkionkishortki notice.
b. Placekithekinursekionkiunpaidkileavekiforkithekiremainderkiofkihiskiwife‘skitreatment.
c. Sympathizekiwithkithekinurse‘skidilemmakiandkiletkithekichargekinursekiknowkithatkit
hiskinursekm
i aykibekicallingkiinkifrequentlykiinkithek i future.
d. Workkiwithkithekinurse,kistaffingkioffice,kiandkiotherkinurseskitokiarrangekihiskisc
heduledkidayskioffkiaroundkihiskiwife‘skitreatments.
ANS:k i D
Placingkithekinursekionkiunpaidkileavekimaykithreatenkithekinurse‘skicapacitykitokimeetkiphysiolog
ickineedskai ndkidemotivatekithekinurse.kiUnsatisfactorykicoveragekiofkishiftskionkishortkinoticekic
ouldkiaffectkipatientkicarekiandkithreatenkithekineedskiofkistaffkitokifeelkicompetent.kiArrangingkit
hekischedulekiaroundkithekiwife‘skineedskimeetskithekineedskiofkithekistaffkiandkiofkipatientskiwhi
lekisatisfyingkithekinurse‘skineedkiforkiaffiliation.
3. Akigrievancekibroughtkibykiakistaffkinursekiagainstkithekiunitkimanagerkirequireskimediation.kiA
tkithekifirstkimediationkisession,kithekistaffkinursekirepeatedlykicallskithekiunitkimanager‘skiactionskiunfai
r,kiandkithekiunitkimanagerkicontinueskitokireiteratekithekireasonskiforkithekiactions.kiWhatkiwouldkibekit
hekibestkicourseofkiactionkiatkti hiskitime?
a. Sendkithekitwokidisputantskiawaykitokireachkitheirkiownkiresolution.
b. Involvekianotherkistaffkinursekiinkithekidiscussionkiforkiclaritykiissues.
, c. Askkieachkipartykitokiexaminekitheirkiownkimotiveskiandkiissueskiinkithekiconflict.
d. Continuekitokilistenkiaskithekipartieskirepeatkitheirkithoughtskiandkifeelingskia
boutkithekiconflict.
ANS:kiC
Forkiresolutionkiofkiconflict,kionekishouldkiaddresskithekiinterestskiandkiinvolvementkiofkipartici
pantskiinkti hekiconflictkibykiexaminingkithekirealkiissueskiofkiallkiparties.
4. Atkiakisecondkinegotiationkisession,kithekiunitkimanagerkiandkistaffkinursekiarekiunablekit
okireachkiakiresolution.kiWhatkiiskithekiappropriatekinextk i step?
a. Arrangekianotherkimeetingkiinkiakiweek‘skitimekisokiaskitokiallowkiakicooling-offkiperiod.
b. Elevatekithekinextkinegationkisessionkitokithekinextkimanager,kionekilevelkiabove.
c. Insistkithatkiparticipantskicontinuekitoki talkkiuntilkiakiresolutionkihaskibeenkireached.
d. Backkithekiunitkimanager‘skiactionskiandkiendkitheki dispute.
7. Thekinursekimanagerkiwantskitokiincreasekimotivationkibykiprovidingkimotivatingkifactorskiforki
thenursekionkithekiunit.kiWhatkiactionkiwouldkibekiappropriatekitokimotivatekithekistaff?
a. Collaboratekiwithkithekihumankiresource/personnelkidepartmentkitokidevelopkio
n-sitekidaycarekiservices.
b. Providekiakihierarchicalkiorganizationalkistructure.
c. Implementkiakimodelkiofkisharedkigovernance.
d. Promotekithekidevelopmentkiofkiakiflexiblekibenefitskipackage.
ANS:kiC
Complexitykitheorykisuggestskithatkisystemskiinteractkiandkiadaptkiandkithatkidecisionkimakingki
occurskithroughoutkisystems,kiaskiopposedkitokibeingkiheldkiinkiakihierarchy.kiInkicomplexitykith
eory,kieverykivoicekicounts,kiandkithereforekiallkilevelskiofkistaffkiwouldkibekiinvolvedkiinkideci
sionkimaking.kiThiskiprinciplekiiskithekifoundationkiofkisharedkigovernance.
8. Thekinursekimanagerkihaskibeenkiaskedkitokiimplementkiankievidence-
basedkiapproachkitokiteachkiostomykipatientskiself-
managementkiskillskipostoperatively.kiThekiprogramkiiskitokibekiimplementedkiacrosskitheentirekifacilit
y.kiWhatkiillustrateskieffectivekileadershipkiinkithisk i situation?
a. Thekitrainingkimoduleskiarekileftkiinkithekistaffkiroomkiforkitimeskiwhenkistaffkiarekiavailable.
b. Thekicurrentkiapproachkiiskicontinuedkibecausekiitkiiskialsokievidence-
basedkiandkiiskimorekfi amiliarkitoki staff.
c. Youkidecidekitokiimplementkithekiapproachkiatkiakilaterkidatekibecausekiofkifeedbackki
fromkithekiRNskithatkithekinewkiapproachkitakeskitookimuchkitime.
d. AnkiRNkiwhokiiskialreadykifamiliarkiwithkithekinewkiapproachkiofkivolunteerskitok
itakekithekileadkiinkimentoringkiandkiteachingkiotherskihowkitokiimplementk i it.
ANS:kiD
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