Several senior nurses have opposed the installation of the new computerized charting system. The nurse manager hears these senior nurses make negative comments to the novice nurses about the new system
According to Rogers, the senior nurses are which kind of adopters?
a. Innovators
b. Early adopters
c. Laggards
d. Rejecters
ANS: D
The rejecters were identified in Rogers's 1983 book as opposing change and encouraging others to reject change as well.
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The client complains of pain, and tells the nurse that the last time he got pain medication, it was dark outside
The nurse checks the medical record and sees that the day shift nurse documented administering an injection of narcotic analgesics twice during the day. The client's wife says she was with him all day and he never received an injection. The nurse's priority action is to: 1. Call the Board of Nursing to notify them of falsification of records. 2. Notify the nursing supervisor immediately of the situation. 3. Call the day shift nurse to ask if the medication was actually given. 4. Complete an incident report.
The nurse is taking a history of a new patient in the clinic. Histories tend to be lengthy, and the sexual part can be difficult for the patient. The nurse should use what technique to make it easier for the patient?
1. Let the patient fill out a paper copy, so she does not have to talk about intimate matters. 2. Skip the sexual part until the next time the patient comes into the clinic. 3. Start with the easier medical and surgical questions, and develop a feeling of trust with the patient. 4. Leave the sexual part of the history for the doctor to ask about.
During the physical assessment, the nurse asks an elderly female patient if she experiences constipation. The nurse knows that
1. Elderly patients almost always abuse laxatives, which creates problems with constipation. 2. Aging patients always have difficulty having a bowel movement while hospitalized. 3. In elderly patients, the rectal sphincter has lost elasticity, which decreases the sensation of urgency. 4. It is common for intestinal peristalsis to slow down as a person ages, causing problems with constipation.
Freedom from restraint:
a. Is a resident right protected by CMS b. Is a nursing center policy c. Applies only to confused and disoriented persons d. Requires informed consent