The director of nursing education for a hospital has been asked to provide continuing education on safety precautions to physicians, nurses, and all other disciplines providing patient care
Although the director is responsible for providing this education, the director is not responsible for assuring that physicians and healthcare managers adhere to the procedures. What type of healthcare organizational structure is present in this hospital? 1. Vertical structure
2. Staff authority
3. Span of control
4. Horizontal structure
2
Explanation: 1. Vertical structure uses centralized decision-making.
2. When staff members function in an advisory capacity and cannot force other staff to do something, they are operating under staff authority structure.
3. Span of control describes the number of people supervised by one person or position.
4. Horizontal structure uses decentralized decision-making, and is organized around customer-oriented processes.
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Appropriate nursing interventions for the application of erythromycin ophthalmic ointment (Ilotycin Ophthalmic) include:
1. Massaging eyelids gently following application. 2. Irrigating eyes after instillation. 3. Using a syringe to apply ointment. 4. Preceding instillation with irrigation.
Which intervention is therapeutic when facilitating communication with a cognitively impaired older client? Select all that apply
a. Explain a task using simple, concise phrasing and one step at a time b. Give instructions to a group whenever possible to provide peer support c. Allow for additional time for the client to respond to questions or directions d. Use non-verbal as well as verbal cues to help get your message across to the client e. Speak loudly to gain and retain the client's attention
When caring for a client experiencing breakthrough nausea and vomiting related to chemotherapy, assuming prescriptions are available if needed, the nurse should:
a. administer promethazine IM. b. explain to the client that the nausea will decrease soon. c. encourage the client to drink ginger ale. d. administer lorazepam IV.
Which of these patient statements would indicate an understanding of complementary and alternative medicine (CAM) therapies? (Select all that apply.)
a. "I read that melatonin can help some people sleep better.". b. "Ginkgo biloba is proven to help both my concentration and memory.". c. "I'm thinking of taking St. John's wort to eliminate my severe depression.". d. "I've heard that omega-3 fatty acids have some positive effects on depression.". e. "Herbals are produced and packaged under conditions similar to medications.".