Which example best demonstrates the convergence of Kingdon's "streams"?
A) A local school board president calls for the reinstatement of school nurses in the county after everyone in her child's class contracts head lice with parents unanimously demanding action.
B) A senator introduces a bill on the basis of pressure from a constituent interest group that he knows is unlikely to pass.
C) Despite public outcry, a school principal refuses to change her ruling to dismiss a student from school for reading aloud from the Bible in class.
D) The local mayor decides to give all city officials an extra paid day off in recognition of budget surpluses recorded the prior year.
A
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A nurse prepares a client for coronary artery bypass graft surgery. The client states, "I am afraid I might die." How should the nurse respond?
a. "This is a routine surgery and the risk of death is very low." b. "Would you like to speak with a chaplain prior to surgery?" c. "Tell me more about your concerns about the surgery." d. "What support systems do you have to assist you?"
The new graduate LPN accepts a position as a staff nurse in a hospice home-care unit
Upon attending the first staff meeting the nurse learns there has been a problem with keeping nurses safe when visiting certain areas of town, and the nurses are requesting improvement. What role can this new graduate expect to take in the change process? 1. Participate in the change process. 2. Identify needed changes. 3. Recommend changes to improve processes. 4. Evaluate the effectiveness of change.
The nurse notes persistent early decelerations on the fetal monitoring strip. Which of the following would the nurse do next?
A) Continue to monitor the FHR because this pattern is benign. B) Perform a vaginal exam to assess cervical dilation and effacement. C) Stay with the client while reporting the finding to the physician. D) Administer oxygen after turning the client on her left side.
The nurse, assessing a patient with a Glasgow Coma Score 4, finds the patient's pupils to be pinpoint and nonreactive to light. The nurse realizes that this assessment finding can be caused by damage to the pons or by
1. opioid drug overdose. 2. metabolic disorders. 3. compression to the oculomotor nerve. 4. recent administration of atropine sulfate.