A nurse manager wants to implement a new method for delivery of patient care. While the nurses do not all agree that primary care will be the solution, they acknowledge that they will be able to live with and support the group's decision
This is an example of which of the following? a. Decision making c. Consensus building
b. Problem solving d. Nursing process
C
The nurses have implemented what is known as consensus building. Consensus means that all group
members can live with and fully support the decision regardless of whether they totally agree.
Building consensus is useful with groups because all group members participate and can realize the
contributions each member makes to the decision.
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The patient has been diagnosed as having gouty arthritis. He asks the nurse to explain the cause of the inflammation of his great toe. The most appropriate nursing response is
a. "You have calcium oxalate deposits that are seen in gouty arthritis." b. "The inflammation is from small accumulations of uric acid crystals which are called tophi." c. "The small nodules are not related to the arthritis condition." d. "You have fat deposits that are common with gouty arthritis."
The nurse is assessing an older client who is having an annual assessment. In order to assess age-related changes of the musculoskeletal system, the nurse should assess:
1. the client's weight. 2. vital signs 3. the client's height. 4. the client's normal urine output.
Which of the following is an appropriate nursing action when evaluating a client's neck for thyroid enlargement?
A) Inspect changes in pigmentation in the neck. B) Palpate the thyroid gland repeatedly. C) Palpate the thyroid gland gently. D) Examine the skin of the neck for excessive oiliness.
An adolescent who recently moved to a new school in a different town presents to an ambulatory care center and describes the following:
"I have no friends in my new school, and I no longer want to go to college. I know I will be lonely there,too." Which of these takes priority when speaking with the adolescent? 1. Helping the adolescent realize thevalue of postsecondary education 2. Promoting healthy mental-healthoutcomes 3. Acknowledging the fact that it takesseveral months to make new friends at a new school due to adolescent exclusion behaviors 4. Stressing the importance of remainingin a close parent/child relationship during these stressful times