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?

Involve affected staff in the decision-making process.

Focus the assessment on the unit and do not consider the hospital as a whole.

Create a mandatory policy to force workers to participate in problem-solving solutions.

Select a management approach that does not change.

Answer and Explanation

The Correct Answer is A

A. Involve affected staff in the decision-making process: Involving staff in decision-making aligns with complexity principles, which emphasize collaboration and the consideration of multiple perspectives to address complex issues effectively.
B. Focus the assessment on the unit and do not consider the hospital as a whole: Ignoring broader organizational factors may limit the effectiveness of adaptations and does not fully consider the complexity of the hospital environment.
C. Create a mandatory policy to force workers to participate in problem-solving solutions: Mandating participation without engagement may lead to resistance and does not align with complexity principles that value collaboration and buy-in.
D. Select a management approach that does not change: Maintaining the status quo may fail to address the unique needs of older adults and does not reflect the adaptive nature of complexity principles.

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Correct Answer is D

Explanation

A. Progress through the workday without a plan: Working without a plan can lead to inefficient use of time and missed priorities, making it difficult to manage tasks effectively.
B. Put off important tasks until they feel motivated to start them: Procrastination can lead to delays and increased stress, affecting overall productivity and management effectiveness.
C. Only accept projects that exactly fit their specifications: Limiting acceptance to projects that fit exactly within specifications may hinder flexibility and the ability to address broader needs or priorities.
D. Decline requests that are not in alignment with their priorities: Prioritizing tasks and declining requests that do not align with current priorities helps manage time effectively and ensures focus on the most important tasks.

A. Review the events leading up to each medication administration error. B. Require staff nurses to demonstrate competency by passing a medication administration examination. C. Develop a quality improvement program for nurses involved in medication administration errors. D. Provide an inservice on medication administration to all the nurses.

Correct Answer is A

Explanation

A. Review the events leading up to each medication administration error: Analyzing the events that led to medication errors helps identify root causes and contributing factors, which is crucial for developing targeted interventions and improving practices.
B. Require staff nurses to demonstrate competency by passing a medication administration examination: While competency is important, it should be based on insights gained from reviewing errors and understanding specific areas needing improvement.
C. Develop a quality improvement program for nurses involved in medication administration errors: This is a valuable step but should come after understanding the underlying causes of the errors through a review process.
D. Provide an inservice on medication administration to all the nurses: Training is important, but it should be informed by the findings from the error review to address specific issues and improve practices effectively.

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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?

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Naxlex Comprehensive Predictor Exams

To help nurse managers better manage their time, the chief nursing officer suggests that they:

Correct Answer is D

Explanation

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

Correct Answer is A

Explanation

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?

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