chapter 1 leading and managing in nursing-final | Questions and Answers with complete solution

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 in making this change? - b. Engage involved staff at all levels in the decision-making process. 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 Maslows need hierarchy theory, what would be the best approach to satisfying the needs of this nurse, other staff, and patients? - d. Work with the nurse, staffing office, and other nurses to arrange his scheduled days off around his wifes treatments. A grievance brought by a staff nurse against the unit manager requires mediation. At the first mediation session, the staff nurse repeatedly calls the unit managers actions unfair, and the unit manager continues to reiterate the reasons for her actions. What would be the best course of action at this time? - c. Ask each party to examine her own motives and issues in the conflict. At a second negotiation session, the unit manager and staff nurse are unable to reach a resolution. It would now be best to: - b. Turn the dispute over to the director of nursing. 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 walk patients. The RNs on the staff have always practiced in a primary nursingdelivery system and are very resistant to this idea. The best initial strategy in this situation would include: - a. Exploring the values and feelings of the RN group in relationship to this change. As the RN charge nurse on the night shift in a small long-term care facility, youve found that there is little turnover among your LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in their work. Which of the following strategies might motivate the staff and lead to greater job satisfaction? - b. Allow the LPNs and NAs greater decision-making power within the scope of their positions in the institution.