Successful implementation of a system can be facilitated by addressing significant barriers presented by staff. Which aspect of resistance should be addressed by committee members during the planning phase?
1. Staff members need to control the workflow and do not want changes imposed on them.
2. The impact of the change on off shift personnel
3. The nurse to patient ratio
4. Emotions of staff
4
Rationale: The need for control has little to do with resistance to a technology change.
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A nurse manager has begun working in an organization with decentralized decision making. Decentralized decision making allows the nurse manager to:
a. Make decisions effectively b. Make long-range plans c. Develop organizational goals d. Initiate policy development
The nurse is caring for a client with Cushing's syndrome. Which of the following is a primary nursing consideration in this situation?
A) Checking electrolyte and glucose levels for changes B) Replacing fluids and adding sodium to the diet C) Teaching the client to count and limit carbohydrates D) Administering anticonvulsants to prevent seizures
The nurse is assessing a 3-day-old, breast-fed newborn who weighed 7 pounds, 8 ounces at birth. The newborn's mother is now concerned that the newborn weighs 6 pounds, 15 ounces. Which is the most appropriate nursing intervention?
a. Recommend supplemental feedings of formula. b. Explain that this weight loss is within normal limits. c. Assess child further to determine cause of excessive weight loss. d. Encourage mother to express breast milk for bottle feeding the newborn.
A community health nurse is working with other members of a team who will be implementing a citywide immunization program. The nurse is coordinating the services and addressing the needs of the population groups to ensure which of the following?
A) Involvement of the community B) Client participation C) Continuity of service D) Plan for follow-up