Successful Nurse Communication By Boynton -Test Bank

Chapter 11: Complex Adaptive Systems

MULTIPLE CHOICE

1. All of the following are true about complicated systems EXCEPT:
A. They have many distinct parts that exist separately.
B. They can be controlled and are predictable.
C. The parts adapt to changes in the environment.
D. If they break down, they are often fixed by repairing broken parts.

ANS: C PTS: 1 REF: Page: 144
TOP: Complicated versus complex systems

2. Which of the following is NOT an example of a complex adaptive system?
A. A nursing team
B. An automatic external defibrillator
C. A flock of birds
D. A red blood cell

ANS: B PTS: 1 REF: Page: 144
TOP: Complicated versus complex systems

3. The mechanistic and linear way of studying systems arose from:
A. Newtonian physics and reductionist philosophy
B. Astrophysics and theology
C. Newtonian philosophy and organic chemistry
D. Reductionist philosophy and Greek mythology

ANS: A PTS: 1 REF: Page: 144
TOP: A paradigm shift to complexity science

4. Linear thinking has contributed to:
A. Hierarchal business structures
B. The development of separate departments in hospitals
C. Discipline-specific educational programs for healthcare professionals
D. All of the above

ANS: D PTS: 1 REF: Page: 144
TOP: A paradigm shift to complexity science

5. 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:
A. A rise in medical errors due to lack of collaboration
B. Rapid advances in technology and an onslaught of new information
C. Cost containment efforts that forced healthcare professionals to work at a faster pace
D. An increase in antibiotic-resistant bacteria

ANS: D PTS: 1 REF: Pages: 144-145
TOP: A paradigm shift to complexity science

6. In a complex adaptive system, the rules are constant, and adhering to them does all of the following EXCEPT:
A. Allows individual parts to adapt to change in varied ways
B. Requires a planning meeting to account for all possible changes
C. Allows the system to spontaneously respond to changes in the environment
D. Allows individual parts to practice emergence

ANS: B PTS: 1 REF: Page: 145
TOP: Understanding complex adaptive systems

7. 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:
A. The mysterious nature of complexity science
B. Adaptability
C. The butterfly effect
D. Self-organization

ANS: C PTS: 1 REF: Page: 148
TOP: Major properties of complex adaptive systems

8. Sharing and learning are inherent in which property of complex adaptive systems?
A. Conformity
B. Adaptability
C. Diversity
D. Agility

ANS: B PTS: 1 REF: Page: 148
TOP: Major properties of complex adaptive systems

9. 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:
A. Emergence
B. Self-organization
C. Diversity
D. Command-and-control hierarchy

ANS: C PTS: 1 REF: Pages: 149-150
TOP: Major properties of complex adaptive systems

10. Respectful listening and speaking up assertively are communication strategies related to complex adaptive systems in what way?
A. They are simple rules that humans can follow.
B. They are properties of linear systems that are well understood.
C. They are theoretical proposals associated with complexity science.
D. They are behaviors arising from command-and-control management.

ANS: A PTS: 1 REF: Page: 150
TOP: Major properties of complex adaptive systems