The nurse manager of a postsurgical unit is preparing the next ...

[stephzh]

The nurse manager of a postsurgical unit is preparing the next month's schedule. The manager has reviewed the surgery schedule for the corresponding month and notes there are several high-acuity surgeries.
 
  Which staffing adjustment would the manager make to best provide the care needed by these postoperative clients? 1. Increase the number of unlicensed assistive personnel.
  2. Increase the number of licensed practical nurses.
  3. Increase the number of non-nursing support personnel.
  4. Increase the number of registered nurses.

Question 2

The hospital administration has changed from a traditional nursing system to self-governance. This change was recognized by nursing personnel as a positive change and is an example of which strategy?
 
  1. Power-coercive strategy
  2. Empirical-rational model
  3. A driving force
  4. A normative-reeducative strategy

[choc0chan]

Answer to Question 1

4
Rationale 1: While unlicensed assistive personnel would be needed for some nursing care, these surgeries are high acuity. UAPs are not the most critical employee for their care.
Rationale 2: LPNs could be helpful in caring for these clients, but since these are high acuity surgeries, this employee classification is not the most helpful.
Rationale 3: Non-nursing support personnel are important to client care, but adding this classification of employee is not the most helpful choice.
Rationale 4: Since these are high-acuity clients, critical thinking and clinical judgment will be important. The employees best prepared to care for these clients are RNs.
Global Rationale:

Answer to Question 2

4
Explanation: 1. In most cases, the normative-reeducative approach to change will be effective in reducing
resistance and stimulating personal and organizational creativity. Power-coercive strategies
are used when much resistance is anticipated, time is short, and the change is critical for
organizational survival. The empirical-rational model is a change agent strategy based on the
assumption that people are rational and follow self-interest if that self-interest is made clear.
A driving force is a behavior that facilitates change by pushing participants in the desired
direction in spite of restraining forces.

[stephzh]

TY

[choc0chan]

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