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 C

Explanation

A. Evidence-based practice should focus solely on the advancement of the nursing profession, while prohibiting involvement of other healthcare disciplines: Evidence-based practice involves a multidisciplinary approach to improve patient outcomes, not limited to nursing alone.
B. Evidence-based practice replaces continuous quality improvement: Evidence-based practice complements continuous quality improvement rather than replacing it, as both aim to enhance patient care and outcomes.
C. Evidence-based practice integrates the best research evidence with clinical expertise and the patient's unique values and circumstances in making care decisions: This definition accurately describes evidence-based practice, highlighting the integration of research, clinical expertise, and patient preferences.
D. Evidence-based practice began with medicine and assists in determining which medical models can be applied in nursing practice: While evidence-based practice has roots in medicine, it has evolved to be a fundamental aspect of nursing and other healthcare disciplines, emphasizing a broader application beyond medical models.

A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity. B. Encouraging the potential in all staff. C. Being conscious of the dynamics when culture interacts. D. Conducting a cultural self-assessment. E. Fostering unity by imposing American values upon all staff members.

Correct Answer is ["B","C","D"]

Explanation

A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity: This approach is based on stereotypes and can lead to misunderstandings and discrimination, hindering effective management of a diverse staff.
B. Encouraging the potential in all staff: By recognizing and fostering the abilities of each individual, a nurse manager can create an inclusive environment that respects and values diversity.
C. Being conscious of the dynamics when culture interacts: Understanding how different cultures interact helps in managing conflicts and promoting effective communication and collaboration among staff.
D. Conducting a cultural self-assessment: This allows a nurse manager to reflect on their own cultural biases and improve their ability to manage a culturally diverse team.
E. Fostering unity by imposing American values upon all staff members: Imposing a single cultural perspective can lead to cultural insensitivity and resentment, negatively impacting staff morale and unity.

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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

Which of the following is most accurate regarding evidence-based practice?

Correct Answer is C

Explanation

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

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Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

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