The nursing supervisor identified ineffective communication as a problem among the managers. According to Lippitt?s Phases of Change, which is the final stage of the improving this problem?

1. Develop the action and evaluation plan.
2. Determine the role of the change agent.
3. Communicate often to maintain the change.
4. Withdraw from the role of change agent gradually.


4
Explanation: 1. According to Lippitt?s Phases of Change, the final stage is terminating the helping relationship.
Developing the action and evaluation plan is incorrect because an action and evaluation plan
are developed with the assistance of the change agent. Determining the role of the change
agent is incorrect because the role of the change agent must be determined early in the process
of change. Communicating often is incorrect because communication is vital throughout the
whole process of change.

Nursing

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The nurse is working with a client who suffers from addiction. What treatment approach would be most appropriate for this client who has had multiple substance abuse treatments and has relapsed?

1. 12-step self-help program 2. Long-term outpatient therapy 3. Lifestyle change 4. One week detoxification program

Nursing

A family health nurse works with a variety of cultures providing health care services that include preventive care, acute treatment, and education. Of the following families, which is most likely to use folk medicine?

1. The family who speaks little English and does not have a member who holds a job 2. A family who has numerous relatives in a Spanish-American sector of the city 3. A female client whose culture is one of male dominance 4. A Chinese client who has a small, family-run business in the area

Nursing

The nursing staff on a busy unit enjoys autonomy and needs minimal direction for patient care. Which leadership style would be most effective on this unit?

a. Democratic c. Laissez-faire b. Authoritarian d. Bureaucratic

Nursing

The nurse is teaching a client about the need for supplemental thyroid hormone following a hypophysectomy because of an anterior pituitary adenoma. The client says, "I thought thyroid hormone came from a gland in my neck."

Which follow-up statement by the nurse is most appropriate? 1. "Your thyroid gland no longer gets messages from the pituitary." 2. "You will only need to take thyroid hormone until healing occurs." 3. "You need this hormone because your TSH is too high since surgery." 4. "Your thyroid gland was damaged because of the long surgical procedure."

Nursing