1.A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. Sheis
Test Bank for Leading and Managing inNursing 7th
NRIGB.CM
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 ofthischange?
a.Leverage the hierarchical management position to get unit staff involved in
assessmentand planning.
b.Engageinvolvedstaffat alllevelsinthedecision-makingprocess.
c.
d.
e.Focus the assessment on the unit and omit the hospital and community
environment.
f.Hireageriatricspecialist tooversee andcontroltheproject.
ANS:B
Complexity theory suggests that systems interact and adapt and that decision making occurs
throughout the systems, as opposed to being held in a hierarchy. In complexity theory, every
voicecounts, andtherefore, all levelsof staffwould beinvolvedin decision making.
TOP:AONEcompetency:CommunicationandRelationship-Building
2.A unit manager of a 25bed medical/surgical area receives a phone call from a nurse who hascalled
in sick five times in the past month. He tells the manager that he very much wants tocometowork
whenscheduledbutmust oftencareforhiswife,whoisundergoingtreatment
forbreastcancer. According toUMaSslowN‘sTneed hiOerarchy theory, what wouldbe thebest
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