Exam 30: Thriving for the Future

Your unit has a number of patients who have undergone limb amputation.In working with the clients,you begin to think beyond therapies such as pharmacotherapeutics and surgery and you explore biomechanics,robotics,mind-body approaches,and cognitive behavioral therapies as possibilities in working with these clients.You begin to amass information in a number of areas with which you previously had little familiarity.According to the Wise Forecast Model,you are

To move beyond stereotypical thinking and toward thinking about the future,which of the following would be most consistent with thinking wildly in the Wise Forecast Model?

The chief nursing officer has been developing her portfolio for years.What is the chief nursing officer modeling?

You have just hired a recent graduate.The graduate is thrilled with the opportunity that she has been given,as well as with the idea that "working means no more essays,tests,or assignments!" She indicates that she has no intention of touching a book,journal,or health information Website for a "long time." Which of the following would be your best response?

Nathan tells you that he has selected nursing as a career because many jobs are available and he will have job security.Your best response to Nathan is:

Which of the following will require greater attention in the future?

Which of the following actions is most representative of how health care of the future might be delivered? As a nurse leader,you:

You notice that wait times in your Emergency Department are growing longer,because of factors such as increases in the numbers of persons with chronic disorders,discharge of patients into the community at a higher level of acuity,and limited resources for transfer of inpatients.You begin to think about an application that would use your knowledge of the Emergency Department but also software and business applications and wonder if this would reduce wait times.You have not encountered anything similar to this idea.According to the Wise Forecast Model,you are in what phase?

Your organization is in the middle of re-designing patient care units,with decisions based on best practices and various other sources of evidence.In the middle of the transition,there is a temporary halt called to the transition because of a re-design of the health care system and greater emphasis on primary care.As a manager in this situation,your staff experience a gap between what they expected (the original re-design of the units)and what is actually happening (a need to integrate primary care in some way).According to Selye,the nurses on your nursing team are likely experiencing what?

As a team,you and the staff have determined that there is a need to reduce medication errors on your unit.Together,you developed the questions that you would like addressed and searched the literature for relevant research studies.Based on the evidence,you suggested a change to your practices and now are involved in implementation of these changes.Today,there was a major study released that would significantly change what you have decided to do.What are you and your staff experiencing?

In order to plan long term,you consider what the client of the future will look like.Which of the following client profiles would best capture shifting demographics and trends in health care?

Which aspect of our tradition and history in nursing may impede our movement towards future-oriented thinking?

Based on studies of workplace environments for nurses and future projections,the workplace of the future will be:

In developing curricula that will address needs based on forecasts for the future,nursing educators need to contemplate (select all that apply):

A stroke unit experiences numerous changes related to implementation of new technology,a changed nursing care delivery model,and staff turnover within a period of 6 months.Staff members begin to show signs of reluctance to implement any more changes.The phenomenon experienced by the staff is termed:

Nursing professionals in the twenty-first century will accomplish most of their work:

The starfish analogy is exemplified in which of the following?

A business condition that may assist forecasting but add to the complexity of change is:

Which of the following strategies is most important in developing a strong vision?

A number of changes are introduced to a unit,including changes to familiar clinical procedures and the use of PDAs to enable bedside documentation.You,as unit manager,anticipate which of the following will contribute most to complexity compression?