The nurse manager assessed the culture of the unit before instituting policy changes. The nurse manager found that the environmental culture fostered teamwork and consensus building. This best describes what type of culture?

a. Individualistic culture
b. Collective culture
c. Expert culture
d. Transculturalism


ANS: B
A collective culture is characterized by highly affiliative staff who can embrace the mission, values, and vision statements of the organization. Teamwork, consensus building, interdependency, and following orders are not a part of an expert culture, an individualistic culture, or transculturalism.

Nursing

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A female client is diagnosed with carcinoma in situ of the endometrium. The nurse interprets this as which of the following?

A) Cancer is confined to the body of the uterus. B) The malignancy is localized. C) Cancer extends outside the uterus. D) The malignancy involves the uterine body and cervix.

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A surgeon prescribes potassium chloride 20 mEq by mouth for a patient with a nasogastric (NG) tube for gastric drainage. How should the nurse proceed?

1) Seek clarification from the surgeon about the medication order. 2) Clamp the NG tube while administering the dose by mouth. 3) Instill the medication through the NG tube. 4) Withhold the oral potassium chloride elixir.

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A postpartum patient is reluctant to begin taking warm sitz baths. What should the nurse emphasize when teaching the patient about this treatment approach?

A) Sitz baths may lead to increased postpartal infection. B) Sitz baths increase the blood supply to the perineal area. C) Sitz baths cause perineal vasoconstriction and decreased bleeding. D) The longer a sitz bath is continued, the more therapeutic it becomes.

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A nurse explains that a major characteristic of delirium is

a. decline in social functions and sociability. b. gradual onset and continuing decline. c. multiple types of memory impairment. d. reduced ability to focus, sustain, or shift attention.

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