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. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.

A. Progress through the workday without a plan. B. Put off important tasks until they feel motivated to start them. C. Only accept projects that exactly fit their specifications. D. Decline requests that are not in alignment with their priorities.

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.

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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

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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