Deck 30: Thriving for the Future

Question 1

The starfish analogy is exemplified in which of the following?

A)A unit manager resigns after continued tension between the administration and her regarding implementation of primary nursing. The primary nursing project dies.
B)Nurses try to establish a clinic that provides ambulatory care to parents and young children in an impoverished neighborhood. Community members advocate for funding from political leaders and insurers.
C)Alana, a new graduate, promotes continence care based on evidence. When she presents her ideas, senior staff refuses to consider it.
D)The head of a community health service moves on to another position. Programs are disbanded.

Answer 1

Nurses try to establish a clinic that provides ambulatory care to parents and young children in an impoverished neighborhood. Community members advocate for funding from political leaders and insurers.

Question 2

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?

A)Compression complexity
B)Distress
C)Information lag
D)Technology advancement

Answer 2

Compression complexity

Question 3

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?

A)Meaning of the change
B)Pace of changes
C)Previous experiences with change
D)Confidence of the leader in the value of the change

Answer 3

Pace of changes

Question 4

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

A)Lack of confidence
B)Focus on the discipline of nursing
C)Focus on details in the everyday practice
D)Mistrust of trends and new evidence

Question 5

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:

A)Eustress.
B)Care process.
C)Stereotypical thinking.
D)Complexity compression.

Question 6

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?

A)Eustress
B)Distress
C)Stress
D)Compression

Question 7

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

A)Chronic disorders
B)Obstetrical outcomes
C)Prevention of hospital-based errors
D)Team conflict resolution strategies

Question 8

As a nurse manager,it is important to become a "future thinker." Which is an example of a "future thinker"?

A)Keeping traditional practices
B)Moving toward evidence-based practices
C)Finding less need for more knowledge
D)Believing that macromarketing will be a necessity

Question 9

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

A)Consulting with professional groups about change.
B)Researching about trends on futuristic sites.
C)Asking patients to examine options for change.
D)Building profit projects and sustainability into planning.

Question 10

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

A)Through teams of internationally prepared professionals.
B)In teams and through group work.
C)Through long-term, secure jobs.
D)In competitive environments and work groups.

Question 11

Nursing research has indicated that the foundation for becoming a nursing leader is the ability to:

A)Write effectively.
B)Speak two or three languages.
C)Focus on day-to-day priorities.
D)Think futuristically.

Question 12

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

A)Acting wildly.
B)Learning wildly.
C)Engaging in interprofessional care.
D)Increasing your complexity compression.

Question 13

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.This exemplifies:

A)A poor relationship between leaders and staff.
B)Lack of knowledge regarding the importance of changes.
C)Striving to achieve stability in the midst of great disequilibrium.
D)The importance of chaos in promoting adherence with established practices.

Question 14

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

A)Seeking out evidence to support trends and out-of-the-box thinking
B)Spending time with others with whom we discuss ideas
C)Setting up focus groups to provide information on current realities
D)Being honest and open about what we think for the future

Question 15

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.What would be a healthy response to this situation?

A)Salvage as much of the original planning as possible so as to reduce expenditures.
B)Engage in consultation to create innovative solutions that bridge the existing plans and the new directions.
C)Abandon the current planning in favor of addressing the new trends.
D)Continue with the current planning because trends come and go.

Question 16

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?

A)Listing everything that we know about our current situation
B)Defining which practices will remain unchanged and which will change
C)Asking someone with a great deal of experience to share ideas about best practice
D)Challenging current and future practices with questions of "what if?"

Question 17

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

A)Refer families who require immediate help to a local food bank. You also work with local agencies and families to establish a mothers collective in which mothers learn about nutrition and prepare low-cost, nutritious meals that are shared with the mothers in the collective.
B)Work together with a local agency to set up a free clinic in which addicts and the homeless can receive free health care and prescriptions for immediate needs.
C)Ensure that individuals who are admitted to your unit are asked about their smoking history and that preoperative and postoperative planning takes into account how smoking will affect status during and after surgery.
D)Address the health of those who are overweight and obese on your unit by ensuring that hospital meals offer nutritious, healthy food choices that are satisfying.

Question 18

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

A)Less intense because of more technology.
B)About the same as it is now.
C)More intense because of more technology.
D)Fluctuating between intense periods and less intense periods.

Question 19

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?

A)Wild thinking
B)Act widely
C)Think wildly
D)Learn widely

Question 20

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

A)Her clinical expertise
B)Affection for tradition
C)Her employability
D)Her busy professional life

Question 21

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

A)Prevention strategies.
B)Leadership skills and knowledge.
C)Violence de-escalation strategies.
D)Strategies for job security.

Question 22

A necessary leadership strength for nurses of the future is:

A)Inspiring others to work their best to create the future.
B)Understanding the nuances of fundraising to make up funding shortfall.
C)Guarding the tendency of other professions to encroach on nursing roles.
D)Adapting work life to an aging nursing workforce.

Question 23

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?

A)The expectations and design of educational programs means that new graduates are better prepared for the workforce.
B)The new graduate will still have to learn, but it will be job-specific learning.
C)An ideal learning plan for nurses emphasizes followership.
D)The amount and intensity of knowledge demands lifelong learning that includes assessment of relevancy of knowledge for practice.

Question 24

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?

A)Younger, knowledgeable about health options
B)Female, uses emergency care services for parents and children
C)Older, one or more chronic disorders, diverse background
D)Male, various occupationally generated disorders, diverse ethnic background

Question 25

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:

A)"With many young people going overseas, many jobs and options will be available. Stable jobs and job security will be part of the nursing employment market."
B)"The job market for nurses will be diminished with funding cuts to hospitals."
C)"The employment prospects for nurses are positive with many options to choose from. Flexibility and adaptability are essential to income security."
D)"It is unlikely that nursing will survive in the long term with funding cuts and a declining population of seniors."