As a nurse manager, you identify that a shift in nursing care models might increase patient and staff satisfaction and avoid downsizing. Administration is reluctant to adopt this approach because downsizing is seen as critical to reduction of costs

To leverage your ideas, you:

a. Ask staff to send e-mails to administration encouraging consideration of your option.
b. Invite a senior member of administration to your staff meeting, so you can tell him what you are planning.
c. Write a letter of complaint to a member of the institutional board about the lack of openness of the administration.
d. Identify influential members of your nurse manager group with similar ideas and request an opportunity to meet with administration to discuss options.


ANS: D
Staff members often look to nurse managers to lead them in addressing workplace issues with higher levels of administration. To do this, nurse managers must possess the ability to address power sources in the work environment and to define power-based strategies, such as in organizing a following of other nurse managers with similar concerns.

Nursing

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All nursing interventions that are implemented for patients must be documented or charted. Proper documentation of interventions:

a. facilitates communication with all members of the health care team. b. are only considered "legal" if documented in the paper chart. c. leads to errors of omission and repetition of care. d. does not directly measure goal achievement or outcomes.

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Traits associated with schizoid, obsessive-compulsive, and _____________________ personality disorders are commonly seen in clients with the diagnosis of body dysmorphic disorder

Fill in the blank(s) with correct word

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Which of the following entities has been most active in creating change and alternative approaches in health care delivery?

a. Consumers b. Corporations c. Health care professionals d. State legislators

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Morphine sulfate (30 mg) IM PRN was prescribed for pain for an 80-year-old patient with emphysema who weighs 100 lb. What is the most appropriate action for the licensed practic-al/vocational nurse (LPN/LVN)?

a. Transcribe the order and wait to see if the patient needs it. b. Transcribe the order for an oral dose in-stead of IM dose. c. Call the physician and clarify the order. d. Tell the RN about the order.

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