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 A

Explanation

A. "I need to speak with you about unit expectations regarding delegating and completing tasks.": This statement is direct, focuses on the issue at hand, and sets the stage for a constructive conversation about expectations and responsibilities.
B. "You have been very inconsiderate of others by not completing your share of the work.": This statement is accusatory and may lead to defensiveness rather than resolving the conflict.
C. "If you don't do your share of the work, I will have to inform the nurse manager.": This statement is threatening and does not foster a collaborative approach to problem-solving.
D. "Several staff members have commented that you don't do your fair share of the work.": This statement may lead to feelings of isolation and defensiveness, rather than addressing the behavior constructively.

A. Deter mistakes by emphasizing the consequences of committing a medication error. B. Include the bedside nurses in the decision-making process involving their practice. C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart. D. Relinquish responsibility by asking a separate department to oversee quality improvement.

Correct Answer is B

Explanation

A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer is A

Explanation

A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?

Correct Answer is B

Explanation

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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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