The health care facility has elected to make a significant change in organization strategy. The change has been thoroughly researched and all levels of leadership have been included in the decision
Which roles are commonly undertaken by the nurse manager when such a change is necessary? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Disciplinarian
2. Resister
3. Fact manager
4. Liaison
5. Support person
6. Discussion leader
1,3,4,5,6
Rationale 1: The nurse manager may be placed in the role of disciplining staff members who are impeding the work of the organization.
Rationale 2: Once the decision to make a change has been made, the nurse manager should not act as a resister.
Rationale 3: The nurse manager may be in the role of one who supplies information about the needed change.
Rationale 4: The nurse manager may act as a liaison between the committee and the staff.
Rationale 5: The nurse manager fulfills the role of support person for staff adapting to the change.
Rationale 6: The nurse manager may act as discussion leader, both in formal and informal discussions.
Global Rationale:
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The nurse is concerned about the multiple medications prescribed for an older client, because the more medications the client is taking:
a. the more likely the client will need social services assistance. b. the more likely the client is to be compliant with medications. c. the less likely the client is to experience medication errors. d. the greater the risk for medication errors.
A nurse is teaching a patient who will begin taking verapamil (Calan) for hypertension about the drug's side effects. Which statement by the patient indicates understanding of the teaching?
a. "I may become constipated, so I should increase fluids and fiber." b. "I may experience a rapid heart rate as a result of taking this drug." c. "I may have swelling of my hands and feet, but this will subside." d. "I may need to increase my digoxin dose while taking this drug."
The nurse is planning on providing primary intervention education for patients at risk for suicide. Which action will the nurse take?
1. Teaching first responders the signs of increased risk for suicide 2. Teaching a group of parents about the signs of suicidal gestures 3. Teaching a patient about re-establishing a healthy sense of self 4. Teaching community members about resources available to prevent a suicide attempt
The nurse is aware that it is important to break the chain of infection. Which of the following is an example of a nursing intervention implemented to reduce a reservoir of infection for a client?
a. Covering the mouth and nose when sneezing b. Wearing disposable gloves c. Isolating the client's articles d. Changing soiled dressings