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 B

Explanation

A. Evaluate the results: Evaluation is necessary but comes after identifying the problem and implementing a resolution.
B. Identify the problem: Identifying the root cause of the conflict is essential before any effective solutions can be developed and implemented.
C. Brainstorm solutions: Brainstorming is useful but should occur after clearly defining the problem to ensure relevant solutions are proposed.
D. Implement a resolution: Implementing a resolution without first understanding the problem may not address the underlying issues and could lead to ineffective or temporary fixes.

A. Referring all errors in nursing judgment to state disciplinary boards. B. Verifying that attending physicians are properly licensed to provide care on patient care units. C. Practicing within legal guidelines established under state law and nurse practice acts. D. Creating an environment of severe consequences for nursing errors to ensure quality practice. E. Ensuring that nursing staff under their supervision are currently licensed to practice.

Correct Answer is ["C","E"]

Explanation

A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.

B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.

C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.

D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.

E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.

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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 nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

Correct Answer is B

Explanation

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

Correct Answer is ["C","E"]

Explanation

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