Resources for Leading and Managing in Nursing, 7th Edition- Midterm
leadership Exam.
1. 1. A nurse manager of a 20-bed medical unit finds that 80%
... [Show More] of the patientsare older adults. She is asked to assess and adapt the unit to better meet theunique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?
a. Leverage the hierarchical management position to get unit staff involvedin assessment and planning.
b. Engage involved staff at all levels in the decision-making process.
c. Focus the assessment on the unit and omit the hospital and community environment.
d. Hire a geriatric specialist to oversee and control the project.: ANS: B Complexity theory suggests that systems interact and adapt and that decisionmaking occurs throughout the systems, as opposed to being held in a hierarchy. In complexitytheory, every
voice counts, and therefore, all levels of staff would be involved in decision making.TOP: AONE competency: Communication and Relationship-Building
2. 2. A unit manager of a 25-bed medical/surgical area receives a phone callfrom a nurse who has called in sick five times in the past month. He tells the manager that he very much wants to come to work when scheduled
but must often care for his wife, who is undergoing treatment for breast cancer. According to Maslow's need hierarchy theory, what would be the bestapproach to satisfying the needs of this nurse, other staff, and patients?
a. Line up agency nurses who can be called in to work on short notice.
b. Place the nurse on unpaid leave for the remainder of his wife's treatment.
c. Sympathize with the nurse's dilemma and let the charge nurse know thatthis nurse may be calling in frequently in the future.
d. Work with the nurse, staffing office, and other nurses to arrange his
scheduled
days off around his wife's treatments.: ANS: D
Placing the nurse on unpaid leave may threaten the nurse's capacity to meet physiologic needs and demotivate the nurse. Unsatisfactory coverage of shifts on short notice could affect patient care and threaten the needs of staff to feel competent. Arranging the schedule around the wife's needs meets the needs ofthe staff and of patients while satisfying the nurse's need for affiliation.
TOP: AONE competency: Communication and Relationship-Building
3. 3. A grievance brought by a staff nurse against the unit manager requiresmediation. At the first mediation session, the staff nurse repeatedly calls the [Show Less]