Exam 2: Systems Thinking, Healthcare Organizations, and the Advanced Practice Nurse Leader

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According to James P. Lewis, unintended consequences should be looked at as unintended opportunities.

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Systems thinking was pioneered by:

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Discuss the benefits, concerns, and challenges of the systems approach as it relates to the multiple dimensions of a health care system.

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Answers may vary, but some components may include that the systems approach helps one gain an explicit understanding of social systems and offers a discipline for understanding unique structures in complex systems and how to affect those systems. The systems approach also brings continuous quality improvement (CQI) and a blameless culture. Moreover, a systems approach supports transformational leadership processes. Organizational systems may be challenged to develop a lifelong learning culture and need to abandon the reductionist approach. Concerns include that different individuals within the system tend to produce similar results, and that the interrelatedness of a system creates its own crises. Additionally, in the systems approach, the purpose of the system becomes to maximize the output of the system. Challenges also include achieving personal mastery and going beyond traditional management.

The use of a systems approach to view the healthcare crisis provides the framework for seeing which of the following?

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Match the author to the idea: -Duck

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From a systems perspective, advanced practice leaders need to focus on individual mistakes to understand issues.

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In 2017, what did the Senate attempt to do with health care in the United States?

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The goal of healthcare systems is to do which of the following to the performance of each of its components?

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According to David Garvin, in order to determine if an organization is ready to change, it is important to do what first?

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Describe how the advanced practice nurse is poised to meet the needs of the struggling US healthcare system.

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It is important that advance practice nurses are able to differentiate issues quickly and effectively and contribute to system redesign. This is best described by Senge in the Fifth Discipline, when he described the _________ model as "turning the mirror inward".

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One of the key benefits of the application of systems thinking to the healthcare crisis is the ability to deal effectively with a variety of problems from a holistic viewpoint.

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According to the systems perspective, an advanced practice leader must do which of the following?

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According to Churchman's systems model, which of the following may include a person or thing that blocks the achievement of the objectives?

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In which field did systems thinking begin?

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Churchman's Systems Model is centered around which of these?

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According to Kouzes and Posner, leadership can be best described as a collection of practices and behaviors.

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Discuss the two extreme contentions pertaining to the American health care system: 1) America has the "best healthcare system in the world", versus 2) the American health care system is fragmented and inefficient.

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Match the author to the idea: -Dossey

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Because of quality improvement initiatives, systems thinking has become pervasive in health care. This led to the advent of a less threatening venue with regard to medical errors. This has become known as which kind of culture?

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