A nurse manager in a hospital is deeply concerned that senior administration makes decisions about budgetary directions that affect staffing and other resources without sharing the rationale for changes or demonstrating concern as to how these
changes may affect patients or staff. She says she does not feel respected and is emotionally tired as a result. This situation represents: a. Bureaucratic organization.
b. Realities of current health care.
c. Negative organizational culture.
d. Quantum leadership.
D
Organizational culture refers to the basic assumptions and values of an organization and whether they contribute to relationships and decision making that is marked by empowerment, informa-tion sharing, and truthfulness. Positive work cultures contribute to a perception of being res-pected in the work environment. Collaborative organizational cultures are essential for nurse managers to proactively work in today's complex healthcare environment in a manner that en-gages them in their work. Interpersonal relationships can be fostered with organizational designs fostering a culture of collaboration, reward and recognition, communication, and a mentoring environment.
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An 18-year-old pregnant female has tested positive for HIV and asks the nurse if her baby is going to be born with HIV. What is the nurse's best response?
A) "There is no way to know that for certain, but we do know that your baby has a one in four chance of being born with HIV." B) "Your physician is likely the best one to ask that question." C) "If the baby is HIV positive there is nothing that can be done until it is born, so try your best not to worry about it now." D) "It's possible that your baby could contract HIV, either before, during, or after delivery."
The nurse is reviewing instruction provided to a graduate nurse regarding insulin therapy. Which statement made by the graduate indicates that further instruction is needed?
Select all that apply. 1. Lispro is a rapid-acting insulin. 2. Regular insulin can be administered intravenously. 3. NPH insulin may be mixed with lispro insulin. 4. Insulin detemir is administered prior to each meal. 5. Insulin glargine may be used to treat gestational diabetes.
At 1923 there are 240 mL left in an IV that is infusing at 45 mL/hr. Calculate the infusion time and the completion time
What will be an ideal response?
The nurse is caring for an elderly patient with Alzheimer's disease who is ambulatory but requires total assistance with his activities of daily living (ADLs). The nurse notices that his skin is dry and wrinkled. The nurse should
a. Make sure that the patient is receiving daily baths. b. Reduce the number of baths per week if possible. c. Be aware that sweat glands become more active with aging. d. Be sure that the patient is using soap with his bath.