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MULTIPLEmCHOICE
1. A mnursemmanagermof mam20-
bed mmedicalmunit mfindsmthat m80%mof mthempatientsmaremoldermadults.mShemismasked mtomassessmand
madapt mthemunit mtombettermmeet mthemuniquemneedsmofmthemoldermadult mpatient.mUsingmcomplexity
mprinciples,mwhat mwould mbemthembest mapproachmtomtakemformimplementationmof mthismchange?
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b. Engageminvolved mstaff mat mallmlevelsminmthemdecision-makingmprocess.
c. Focusmthemassessment monmthemunit mand momit mthemhospitalmand mcommuni
tymenvironment.
d. Hiremamgeriatricmspecialist mtomoverseemand mcontrolmthemproject.
ANS:m B
Complexitymtheorymsuggestsmthat msystemsm interact mand madapt mand mthat mdecisionmmakingmoccu
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everymvoice mcounts,mand mtherefore,mallmlevels mof mstaff mwould mbeminvolved minmdecisionmmakin
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2. A munit mmanagermof mam25-
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mesminmthempast mmonth.mHemtellsmthemmanagermthat mhemverymmuchmwantsmtomcomemtomworkmwh
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b. Placemthemnursemonmunpaid mleavemformthemremaindermof mhismwife’smtreatment.
c. Sympathizemwithmthemnurse’smdilemmamand mlet mthemchargemnursemknow mthat mthismnurse
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d. Workmwithmthemnurse,mstaffingmoffice,mand mothermnursesmtomarrangemhismscheduled
daysmoff maround mhismwife’smtreatments.
ANS:m D
Placingmthemnursemonmunpaid mleavemmaymthreatenmthemnurse’smcapacitymtommeet mphysiologicmne
edsmand mdemotivatemthemnurse.mUnsatisfactorymcoveragemof mshiftsmonmshort mnoticemcould maffect
m patient mcaremand mthreatenmthemneedsmof mstaff mtomfeelmcompetent.mArrangingmthemschedulemarou
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3. A mgrievancembrought mbymamstaff mnursemagainst mthemunit mmanagermrequiresmmediation.mAt mthemfi
rst mmediationmsession,mthemstaff mnursemrepeatedlymcallsmthemunit mmanager’smactionsmunfair,mand
mthemunit mmanagermcontinuesmtomreiteratemthemreasonsmformthemactions.mWhat mwould mbemthembest
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a. Send mthemtwomdisputantsmawaymtomreachmtheirmownmresolution.
b. Involvemanothermstaff mnurseminmthemdiscussionmformclaritymissues.
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m m m m m m m m
Foundations of Nursing Practice (Daytona State College)
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MULTIPLEmCHOICE
1. A mnursemmanagermof mam20-
bed mmedicalmunit mfindsmthat m80%mof mthempatientsmaremoldermadults.mShemismasked mtomassessmand
madapt mthemunit mtombettermmeet mthemuniquemneedsmofmthemoldermadult mpatient.mUsingmcomplexity
mprinciples,mwhat mwould mbemthembest mapproachmtomtakemformimplementationmof mthismchange?
a. Leveragemthemhierarchicalmmanagement mpositionmtomget munit mstaff minvolved m
inmassessment mand mplanning.
b. Engageminvolved mstaff mat mallmlevelsminmthemdecision-makingmprocess.
c. Focusmthemassessment monmthemunit mand momit mthemhospitalmand mcommuni
tymenvironment.
d. Hiremamgeriatricmspecialist mtomoverseemand mcontrolmthemproject.
ANS:m B
Complexitymtheorymsuggestsmthat msystemsm interact mand madapt mand mthat mdecisionmmakingmoccu
rsmthroughout mthemsystems,masmopposed mtombeingmheld minmamhierarchy.mInmcomplexitymtheory,m
everymvoice mcounts,mand mtherefore,mallmlevels mof mstaff mwould mbeminvolved minmdecisionmmakin
g.
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2. A munit mmanagermof mam25-
bed mmedical/surgicalmareamreceivesmamphonemcallmfromm amnursemwhomhasmcalled minmsickmfivemti
mesminmthempast mmonth.mHemtellsmthemmanagermthat mhemverymmuchmwantsmtomcomemtomworkmwh
Nm Rm Im Gm B.Cm M
enmscheduled mbut mmust moftenmcaremformhismwife,mwhomismundergoingmtreatment
formbreastmcancer.mAccordingmt oUM aSs lo w
N’ s mTneed mhiO
e rarchymtheory,mwhatmwouldmbemthembest
approachmtomsatisfyingmthemneedsmof mthismnurse,mothermstaff,mand mpatients?
a. Linemupmagencymnursesmwhomcanmbemcalled minmtomworkmonmshort mnotice.
b. Placemthemnursemonmunpaid mleavemformthemremaindermof mhismwife’smtreatment.
c. Sympathizemwithmthemnurse’smdilemmamand mlet mthemchargemnursemknow mthat mthismnurse
maymbemcallingminmfrequentlyminmthemfuture.
d. Workmwithmthemnurse,mstaffingmoffice,mand mothermnursesmtomarrangemhismscheduled
daysmoff maround mhismwife’smtreatments.
ANS:m D
Placingmthemnursemonmunpaid mleavemmaymthreatenmthemnurse’smcapacitymtommeet mphysiologicmne
edsmand mdemotivatemthemnurse.mUnsatisfactorymcoveragemof mshiftsmonmshort mnoticemcould maffect
m patient mcaremand mthreatenmthemneedsmof mstaff mtomfeelmcompetent.mArrangingmthemschedulemarou
nd
themwife’smneedsmmeetsmthemneedsmof mthemstaff mand mof mpatientsmwhilemsatisfyingmthemnurse’smnee
d
formaffiliation.
TOP:m AONEmcompetency:mCommunication mand mRelationship-Building
3. A mgrievancembrought mbymamstaff mnursemagainst mthemunit mmanagermrequiresmmediation.mAt mthemfi
rst mmediationmsession,mthemstaff mnursemrepeatedlymcallsmthemunit mmanager’smactionsmunfair,mand
mthemunit mmanagermcontinuesmtomreiteratemthemreasonsmformthemactions.mWhat mwould mbemthembest
mcoursemof mactionmat mthismtime?
a. Send mthemtwomdisputantsmawaymtomreachmtheirmownmresolution.
b. Involvemanothermstaff mnurseminmthemdiscussionmformclaritymissues.
DownloaDdisetdribbuytiSoanlloyfW
thiinskd(oscaulommeenw
tm inski@
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alail.com)
, LeadingmStuvia.com
and mManaging
m-
minmNursingm7thmEditionmYoder-
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mMarketplacemto mBuy mand mSell myour mStudy mMaterial
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