Based on Elizabeth's insights and suggestions, you involve pharmacy, only to discover that the change in practice involves practice committees, a medical practice committee, and concerns from administration about potential costs and safety of the
proposed change to the IV protocols. The change process at this point is: a. Linear.
b. Nonlinear.
c. Sabotaged.
d. Neutralized.
B
Complex change involves nonlinear processes and a variety of strategies to negotiate influences on change. Complexity theories alter the traditional systems thinking approach by asserting that system behavior is unpredictable. This theory views change as emergent, nonlinear, and highly influenced by all individuals and subsystems in an organization.
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How can the nurse differentiate the client with obsessive-compulsive personality disorder from a client with perfectionist personality traits?
1. Clients with obsessive-compulsive personality disorder will exhibit order in all areas of their lives. 2. Clients with obsessive-compulsive personality disorder will exhibit fear, anxiety, and an excessive need for order. 3. Clients with obsessive-compulsive personality disorder will exhibit the need for perfection in everyone but themselves. 4. Clients with obsessive-compulsive personality disorder will exhibit order in their work lives but are able to relax when away from work.
The nurse expects the patient diagnosed with polycythemia vera to display which of the following manifestations of the disease?
A) Elevated red blood cells and splenomegaly B) Lowered hematocrit and splenomegaly C) Lowered hematocrit and jaundice D) Elevated red blood cells and jaundice
A patient requests information regarding smallpox vaccination. Select the accurate statement
a. "The virus in the vaccine is dead and therefore risk free." b. "Patients recently exposed to a patient with smallpox need not receive the vaccine." c. "Mortality associated with the vaccine is 1-2 deaths per 1 million persons vaccinated." d. "The vaccine is given by deep IM injection and must be repeated once every 5 years."
A nursing instructor teaches that the movement of fluid from extracellular to intracellular compartments is most dependent on which of the following?
1. Age 2. Water intake 3. Potassium balance 4. Percentage of body fat