Which organizational structure approach has fewer directors with managers accountable 24 hours for staff, budget, and day-to-day management?
a. Centralized management
b. Decentralized management
c. Business unit management
d. Matrix
ANS: B
The decentralized management structure often has fewer directors, and managers are accountable around the clock for the operation of the unit. Centralized management involves having a single administrator and managers with minimal accountability for the unit operation. The matrix approach involves reorganization of hospital departments into "business units."
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A 35-year-old multiparous woman was admitted to the hospital at 36 weeks' gestation for nausea, vomiting, and severe epigastric pain
On admission, her vital signs were as follows: pulse, 90 beats/min; blood pressure, 165/100 mm Hg; respiratory rate, 18 breaths/min; and temperature, 99.4° F. The patient reported blurred and double vision and a severe headache. The fetal heart rate was normal. She was placed on bed rest. Urine analysis revealed proteinuria. Her vital signs 6 hours later were as follows: pulse, 88 beats/min; blood pressure, 185/105 mm Hg; respirations, 16 breaths/min; and temperature, 98.4° F. The fetal heart rate was normal. Severe pre-eclampsia was diagnosed. Treatment goals of severe pre-eclampsia include a. maintaining maternal blood pressure greater than 140/90 mm Hg. b. delaying delivery of the fetus as long as possible. c. preventing maternal seizures, which may compromise fetal oxygenation. d. limiting fluid intake to avoid postpartum edema.
Which of the following statements in the critique of a study would indicate to the reader that the study contains information that could assist in implementing new findings into practice?
a. "All the references are current and relevant to the topic of interest. The author is to be commended." b. "Further study is clearly needed from the lack of agreement among the experts represented in the review of literature." c. "The literature presented in this review seems to agree that the suggested intervention leads to better patient compliance." d. "This study does an excellent job of reviewing all the literature on use of compression stockings."
What is the best intervention when a child with autism is hospitalized?
a. Limit the individuals who enter the child's room. b. Perform all of the child's activities of daily living for her. c. Make sure the nurses know this child may be violent. d. Assign the strongest nurse to control the child.
Which assessment finding would indicate to the nurse that a client might have secondary Parkinson disease?
1. Confusion and difficulty performing activities of daily living 2. Nonintentional tremor and history of a brain injury 3. Progressive memory loss and history of fatigue 4. Involuntary muscle spasm and history of a motor vehicle accident