Exam 11: Complex Adaptive Systems

All of the following trends in the late 20th century raised awareness about problems with the command-and-control approach to healthcare delivery and education EXCEPT:

The mechanistic and linear way of studying systems arose from:

Linear thinking has contributed to:

Sharing and learning are inherent in which property of complex adaptive systems?

The emergency room doctor and nurses work together with paramedics to get a trauma victim off the ambulance gurney. Simultaneously, the paramedics and nurses continue CPR while the doctor orders stat x-rays, blood work, and an ortho-surgical consult. This set of activities is an example of all of the following EXCEPT:

An understanding of systems thinking, according to the Institute of Medicine (IOM) report The Future of Nursing: Focus on Education, "must become part of every nurse's professional formation."

The study of complex adaptive systems helps students and nurses understand the complexity of nursing work and implications for workplace environments as they apply to which of the following standards? Select all that apply.

Which of the following is NOT an example of a complex adaptive system?

All of the following are true about complicated systems EXCEPT:

In a complex adaptive system, the rules are constant, and adhering to them does all of the following EXCEPT:

Respectful listening and speaking up assertively are communication strategies related to complex adaptive systems in what way?

Ebright theorizes that understanding the complexity of nursing work is conducive to promoting all of the following activities that contribute to a healthy work environment EXCEPT:

The behavioral approach to communication is relevant to relationships in complex adaptive systems where nurses practice because it promotes:

Complexity science brings a new emphasis on the importance of relationships, individual choice, and sharing expertise.

A nurse reminds a colleague about a family member's concern about a patient's hydration. On the way to assess the patient, the colleague grabs a juice for the patient, which leads to the family member feeling assured that the team is listening to his concerns. The patient's hydration status stabilizes, contributing to the IV being discontinued, a shorter hospital stay, and positive responses on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. This series of actions is an example of:

The study of complex adaptive systems involves theories and research from which of the following disciplines? Select all that apply.

The Institute of Medicine (IOM) report Crossing the Quality Chasm: A New Health System for the 21st Century used principles of complex adaptive systems to describe a vision of a healthcare system in which care would be (select all that apply):

When complex adaptive systems break down, it is most effective to get them under control so the parts can be analyzed and fixed.