A manager is concerned about the level of gossip and "grapevine" communication on the unit. A management consultant explains to the manager that the "grapevine" often occurs when

a. little communication comes from management.
b. management is not trusted to divulge information.
c. regular communication is too slow or irregular.
d. workers feel uncertain or worried about changes.


D
Grapevines provide a valued source of information when employees feel threatened, insecure, or are facing organizational changes.
Lack of communication is not one of the core reasons grapevines come into being.
Distrust of management is not one of the core reasons grapevines exist.
Slow or irregular communication is not one of the causative factors for the "grapevine."

Nursing

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A patient with a brain injury is undergoing intracranial pressure (ICP) monitoring and cerebrospinal fluid (CSF) drainage, along with mannitol therapy, to relieve ICP

What other intervention can the nurse make to aid in relieving this patient's ICP? A) Extend and rotate the patient's head. B) Flex the patient's hips to greater than 90 degrees. C) Elevate the head of the patient's bed to 20 degrees. D) Perform frequent blood draws.

Nursing

The nurse is completing an assessment on a client with myasthenia gravis. Which of the following historical recounting provides the most significant evidence regarding when the disorder began?

A) Shortness of breath B) Sensitivity to bright light C) Muscle spasms D) Drooping eyelids

Nursing

A patient with chronic sinus infections is scheduled for the Caldwell-Luc procedure. What should the nurse include when teaching the patient about this procedure?

Select all that apply. 1. Dentures should be inserted immediately after the surgery. 2. Avoid the Valsalva maneuver for 2 weeks after the surgery. 3. Packing will be present for 24 to 48 hours after the procedure. 4. A liquid diet will be permitted for the first day after the surgery. 5. The upper lip and teeth may be numb for several months after the surgery.

Nursing

The nurse is finalizing clinical practice guidelines generated from a research study. The phase of the ACE Star Model in which the nurse is functioning would be:

a. 1 c. 3 b. 2 d. 4

Nursing