Exam 1: Leading,Managing,and Following

As a leader on a rehab unit,you encourage all staff members to see themselves as having a role in decision making and quality care.You see your role as involving particular responsibilities in decision making but not as a hierarchal role.This view of decision making and leadership is consistent with:

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 in making this change?

As the nurse manager who wants to increase motivation by providing motivating factors,which action would you select?

You pull staff together to assess a situation in which the family of a seriously ill patient is anxious and is absorbing a great deal of staff time in consultation,discussion,and questioning of treatment decisions.Staff members are becoming distanced from the family.After inviting the concerns of staff,you explain that the organization values patient-centered care and that evidence supports that acting as an advocate and a listener is helpful to families.You ask the staff for ideas as to strategies that are effectively patient-centered in these situations.In this situation,you are taking on which role?

A dispute arises between an RN staff member and an LPN over a patient issue.The tension between the two begins to affect other staff members,who are drawn into the conflict; eventually,the team becomes polarized toward either the RN or the LPN.This situation might have been prevented through:

After assessing an older adult patient in long-term care who has been slowly deteriorating for weeks,the nurse manager calls the family and asks them to come in,as the patient is dying.The nurse manager's decision and actions are based on: