The novice nurse manager is acting in the role of change agent for the unit. Which statement indicates that this manager needs further training in regard to change?
1. "I must not get so bogged down in details that I lose focus on the ultimate goal."
2. "As we go through this process, I think I need to be flexible but persistent."
3. "Those who are resistant will probably accept it sooner or later with my support."
4. "I think the implementation will go much better if I stay available the whole time."
4
Rationale 1: The ability to retain a big-picture focus while dealing with each part of the change is a desirable trait for a change agent.
Rationale 2: The change agent must have sufficient flexibility to modify ideas when this will improve the change, but enough persistence to resist nonproductive tampering with the planned change.
Rationale 3: It is likely that those who are resistant will adapt to the change if given enough time and support.
Rationale 4: Staying available the whole time is not realistic and will make it difficult for the change agent to maintain the energy it will take to make the change more successful.
Global Rationale:
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A nurse is assessing a 52-year-old primigravida woman who presents complaining of moderate dark-brown vaginal bleeding. On physical exam, her uterus is large for dates. Which action by the nurse is most appropriate?
A. Assess the woman's diet for folic acid intake. B. Facilitate an ultrasound examination. C. Instruct the woman on a fetal kick count. D. Prepare the woman for pelvic cultures.
The nurse would document "unable to assess" for which patient in relation to performing Phalen's test?
1. a patient with a long leg cast 2. a patient with an above-the-elbow amputation 3. a patient wearing compression stockings 4. a patient with osteoarthritis of the hips
The parents of a preschool child who is experiencing pain from ear surgery inform the nurse that the child is uncharacteristically withdrawn and seems ambivalent. What is the nurse's most appropriate action?
A) Explain that this is likely a normal, short-term response. B) Facilitate further assessment by a pediatric psychiatrist. C) Assess for further signs of emotional regression. D) Assess the family for the signs of abuse.
When nurses are confronted with ethical dilemmas that challenge their values and beliefs, what is the best source to rely on to make the right decision?
a. Personal religious beliefs b. Hospital chaplain c. Family interactions d. Belief in patient advocacy