Exam 1: Leading, Managing, and Following

As the RN charge nurse on the night shift in a small long-term care facility, you've found that there is little turnover among your LPN and nursing assistant (NA) staff members, but they are not very motivated to go beyond their job descriptions in their work.Which of the following strategies might motivate the staff and lead to greater job satisfaction?

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 for implementation of this change?

A unit manager of a 25-bed medical/surgical area receives a phone call from 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 best approach to satisfying the needs of this nurse, other staff, and patients?

A staff nurse has been recently promoted to unit manager.During the time on the unit, the nurse formed a strong social network among staff, has promoted the development of relationships between staff and workers in other areas of the organization, and has formed relationships that generate ideas from patient organizations and the local nursing education program.According to complexity theory, what principle is being engaged?

The unit is shifting from primary nursing to a team model in an effort to contain costs.Staff members are upset about the change and ask for a meeting to discuss the new model.After hearing their concerns related to reduction in professional autonomy, what is the initial response by the manager to address the concerns?

A family is keeping vigil at a critically ill patient's bedside.Distant family members call the unit continuously asking for updates and expressing concern.The nurse speaks with the distant family members and states she is referring them to the hospital social worker, whose role is to work with family in this situation.What role is the nurse assuming through this action?