A nurse manager encourages nursing staff members to assist in developing a new creative staffing pattern that can respond quickly when staff resign or go back to school. This is an example of the use of which organizational theory?
1. Contingency theory
2. Closed-systems theory
3. Classical theory
4. Chaos theory
4
Rationale 1: Contingency theorists study the environment in which the organization will exist and create the structure to match that environment.
Rationale 2: Closed systems are self-contained and do not exist in organizations dependent on the interplay of people. Examples can be found in the physical sciences.
Rationale 3: Classical leadership theory focuses on developing a well-structured and stable environment where chain of command and control are valued.
Rationale 4: Chaos theory posits that an organization is dependent on its adaptability and response to change in its environment. Nurse managers must create an environment that accepts change, tolerates conflict, and promotes creative solutions.
Global Rationale:
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A pregnant woman's diet may not meet her need for folates. A good source of this nutrient is:
a. chicken. b. cheese. c. potatoes. d. green leafy vegetables.
The nurse is checking on a client who is up in a chair and is reading the morning newspaper. The nurse should plan to assess the client for presbyopia because the client:
1. holds the paper away from his body. 2. brings the paper closer to his face. 3. decreases blinking. 4. has increased tearing of his eyes.
What does Butler, a well-known gerontologist, relay regarding ageism?
a. It dehumanizes older individuals. b. It is based on the biologic theory of aging. c. It is based on natural and purposeful oc-currences. d. It continues to change as the population ages.
An older adult recently had a hysterectomy and has requested some medication for pain. The physician leaves an order for meperidine (Demerol). Which action by the nurse is most appropri-ate?
a. Assess the client's pain 1 hour after giving the medication. b. Call the physician and request a different pain medication. c. Assess the client's respiratory rate often after administering the Demerol. d. Ensure that the client does not receive iron supplements at the same time.