The manager identifies a staff nurse to serve as a change agent for the implementation of a computerized documentation system. What attributes did the manager observe to designate the staff nurse to have this role?

1. Self-confident
2. Skilled in teaching
3. Hesitant with decision making
4. Excellent communication skills
5. Effective utilization of resources


Correct Answer: 1, 2, 4, 5

Rationale: Change agents are self-confident and are able to take risks and inspire trust in themselves and others.

Nursing

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The nurse notes that a patient has difficulty breathing in the supine position, and the patient admits that he sleeps in a recliner at home. These are cardinal signs of ____________ disease

ANS:

Nursing

When developing a plan of care for the patient receiving a glucocorticoid, what nursing diagnosis would be of highest priority?

A) Deficient fluid volume related to water retention B) Risk for injury related to muscle weakness C) Imbalanced nutrition: less than body requirements D) Risk for infection related to immunosuppression

Nursing

A herniation is present when the client stands and disappears when the client lies down. What could the nurse infer from this finding?

A. The hernia is strangulated. B. The hernia is incarcerated. C. There is no herniation. D. The hernia is reducible.

Nursing

A patient with rapid-cycling bipolar disorder is not responding to lithium therapy. At the next multidisciplinary team meeting, the nurse should point out that many rapid-cycling patients have been effectively treated using

a. sertraline (Zoloft). b. phenytoin (Dilantin). c. benztropine (Cogentin). d. divalproex (Depakote).

Nursing