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MULTIPLEgCHOICE
1. Agnursegmanagergofgag20-
bedgmedicalgunitgfindsgthatg80%gofgthegpatientsgaregoldergadults.gShegisgaskedgtogassessgandga
daptgthegunitgtogbettergmeetgtheguniquegneedsgofgthegoldergadultgpatient.gUsinggcomplexitygpri
nciples,gwhatgwouldgbegthegbestgapproachgtogtakegforgimplementationgofgthisgchange?
a. Leveragegtheghierarchicalgmanagementgpositiongtoggetgunitgstaffginvolvedgi
ngassessmentgandgplanning.
b. Engageginvolvedgstaffgatgallglevelsgingthegdecision-makinggprocess.
c. Focusgthegassessmentgongthegunitgandgomitgtheghospitalgandgcommunit
ygenvironment.
d. Hiregaggeriatricgspecialistgtogoverseegandgcontrolgthegproject.
ANS:g B
Complexitygtheorygsuggestsgthatgsystemsginteractgandgadaptgandgthatgdecisiongmakinggoccur
sgthroughoutgthegsystems,gasgopposedgtogbeinggheldgingaghierarchy.gIngcomplexitygtheory,gev
erygvoicegcounts,gandgtherefore,gallglevelsgofgstaffgwouldgbeginvolvedgingdecisiongmaking.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
2. Agunitgmanagergofgag25-
bedgmedical/surgicalgareagreceivesgagphonegcallgfromgagnursegwhoghasgcalledgingsickgfivegtim
esgingthegpastgmonth.gHegtellsgthegmanagergthatghegverygmuchgwantsgtogcomegtogworkgwheng
Ng Rg Ig Gg B.Cg M
scheduledgbutgmustgoftengcaregforghisgwife,gwhogisgundergoinggtreatment
forgbreastgcancer.gAccordinggt oUM aSs l o w
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approachgtogsatisfyinggthegneedsgofgthisgnurse,gothergstaff,gandgpatients?
a. Linegupgagencygnursesgwhogcangbegcalledgingtogworkgongshortgnotice.
b. Placegthegnursegongunpaidgleavegforgthegremaindergofghisgwife’sgtreatment.
c. Sympathizegwithgthegnurse’sgdilemmagandgletgthegchargegnursegknowgthatgthisgnurse
maygbegcallinggingfrequentlygingthegfuture.
d. Workgwithgthegnurse,gstaffinggoffice,gandgothergnursesgtogarrangeghisgscheduled
daysgoffgaroundghisgwife’sgtreatments.
ANS:g D
Placinggthegnursegongunpaidgleavegmaygthreatengthegnurse’sgcapacitygtogmeetgphysiologicgnee
dsgandgdemotivategthegnurse.gUnsatisfactorygcoveragegofgshiftsgongshortgnoticegcouldgaffectg p
atientgcaregandgthreatengthegneedsgofgstaffgtogfeelgcompetent.gArranginggthegschedulegaround
thegwife’sgneedsgmeetsgthegneedsgofgthegstaffgandgofgpatientsgwhilegsatisfyinggthegnurse’sgneed
forgaffiliation.
TOP:g AONEgcompetency:gCommunicationgandgRelationship-Building
3. Aggrievancegbroughtgbygagstaffgnursegagainstgthegunitgmanagergrequiresgmediation.gAtgthegfir
stgmediationgsession,gthegstaffgnursegrepeatedlygcallsgthegunitgmanager’sgactionsgunfair,gandgt
hegunitgmanagergcontinuesgtogreiterategthegreasonsgforgthegactions.gWhatgwouldgbegthegbestgco
ursegofgactiongatgthisgtime?
a. Sendgthegtwogdisputantsgawaygtogreachgtheirgowngresolution.
b. Involveganothergstaffgnursegingthegdiscussiongforgclaritygissues.
NURSINGTB.COM
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DownloaDdisetdribbuytiS
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