A nurse found that several professionals resented time spent interacting with and teaching clients. Which of the following describes the most likely underlying motivation for resisting client involvement?
a. Believing that people could change their lives if they really wanted to do so.
b. Empowering others shifts power from the experts to the community.
c. It is more efficient to plan appropriate care without listening to client ideas.
d. Longtime experience with community members has led to disillusionment.
ANS: B
Successful programs rely on empowering citizens to make decisions about their care. Empowering citizens causes power to shift from health providers to community members. Many prefer to remain in positions of power rather than sharing. Client ideas must be included in the planning process in order to get them involved. Empowerment will lead the clients to change their lives.
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A) "Your doctor may have been concerned about causing depression." B) "Your doctor may have been worried about the possibility of convulsions." C) "Long-term use of benzodiazepines can result in dependency." D) "Long-term use of benzodiazepines can cause insomnia."
What instruction should the nurse provide to a nursing assistant who is assigned to care for an older patient with a stage I pressure ulcer on the right heel?
1. Apply a dry dressing to the site. 2. Apply a donut under the right heal. 3. Cleanse the area with tepid water without soap. 4. Keep the head of the bed elevated to a 45-degree angle.
In the Unity Healthcare organization, communication flows:
a. Laterally. b. Bottom to top. c. Top to bottom. d. Intermittently.
Which plan offers the looser organizational structure and no requirement for primary care physician approval before seeing a specialist?
A. Health care networks B. Health maintenance organizations C. Point of service plans D. Preferred provider organizations