A hospital planned to begin using a new computerized medication administration record. The hospital used an external consultant to act as a change agent and educate the staff. An advantage to using external consultants is that they:

a. Will devote more time to the problem
b. Are less costly
c. Have limited backgrounds
d. Bring new ideas and different perspectives to the situation


ANS: D
External consultants have more diverse backgrounds, bring new ideas and a different perspective to the situation, and are independent of the power structure; consequently, they have more power.

Nursing

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An 80-year-old man has been diagnosed with early-stage Alzheimer's disease and has begun treatment with donepezil (Aricept). When providing health education to the patient and his wife, the nurse should identify what goal of treatment?

A) Remission of Alzheimer's disease B) Cure of Alzheimer's disease C) Improvement of cognition and function D) Resolution of memory and cognitive deficits

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An infection control nurse who has been asked to speak to a group of adolescents regarding HIV informs them that HIV-1 can be transmitted by:

A) Kissing B) Hugging C) Holding hands D) Sexual intercourse

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The RRR is the estimated proportion of baseline (untreated) risk that is reduced through exposure to the intervention

A) True B) False

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Which situation would be most likely to serve as a trigger to a catastrophic reaction in a client with stage 2 Alzheimer's disease?

1. Participating in singing "Happy Birthday" to another client at dinner 2. Being scolded by an aide for spilling a glass of milk 3. Listening to Big Band music from the 1940s 4. Eating cupcakes in the activities room

Nursing