The charge nurse of a small nursing unit plans would like to gain staff acceptance of a time-intensive, budget-imposed change required by the hospital administration
She plans to emphasize several evidence-based research projects that have shown improved patient health outcomes as a result of implementing this change. This is an example of which of the following organizational change strategies? a. Budget-oriented
b. Normative-reeducative
c. Power-coercive
d. Rational-empirical
B
Normative-reeducative strategy bases power in the underlying premise that individuals are com-mitted to maintaining values and norms in society. In this case, the strategy bases power in the premise that nurses are committed to optimizing patient health outcomes.
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A parent is concerned about her children's reaction should their grandmother die. What understanding will guide the nurse's response?
a. Children are unlikely to notice their grandmother's absence if no one reminds them. b. Young children often understand that other people die, but do not equate it with themselves. c. The children's response will depend entirely on whether they have been acquainted with death before this. d. Children can understand the concept of a higher being much like adults can.
Costing out nursing services relies on nursing interventions that are initiated by ____
a. Medical and nursing diagnoses b. Physician contacts c. Primary, secondary, and tertiary levels of care d. Treatment needs
When using azelaic acid, patients should be counseled that:
a. it may decrease pigmentation in dark-skinned patients. b. it is more effective than other acne medications. c. the risk of allergy is higher than it is in other acne medications. d. the drug has been determined to have significant systemic toxicity.
A community mental health nurse receives a new client for his caseload. The diagnosis of the client is residual schizophrenia. Documentation states that the client has a number of negative symptoms
Which symptom would the nurse expect to assess in the client? 1. Bizarre, somatic delusions 2. Disorganized speech pattern 3. Catatonic posturing 4. Emotional blunting