Elizabeth, an RN with approximately 15 years of service on your unit, walks away from one of the learning sessions on IV care and you overhear her telling a colleague that she thought the session was a waste of time because "the unit has been using
heparin for years and there has never been any adverse effects." According to Havelock (1973), this comment may originate from failure in which phase of the six phases of planned change? a. Generating self-renewal
b. Choosing the solution
c. Diagnosing the problem
d. Building a relationship
D
The first phase of this model of planned change involves building a relationship as a basis for later phases, which include diagnosing the problem and choosing the solution. At this point, as a new manager, the relationship may not have yet developed sufficiently with Elizabeth.
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A patient presents to the ED complaining of increasing shortness of breath. The nurse assessing the patient notes a history of left-sided HF. The patient is agitated and occasionally coughing up pink-tinged, foamy sputum
The nurse should recognize the signs and symptoms of what health problem? A) Right-sided heart failure B) Acute pulmonary edema C) Pneumonia D) Cardiogenic shock
A nurse maintains a client's confidentiality, addressed the client appropriately, and does not discriminate based on gender, age, race, or religion. Which guiding principle of recovery has this nurse employed?
1. Recovery is culturally based and influenced. 2. Recovery is based on respect. 3. Recovery involves individual, family, and community strengths and responsibility. 4. Recovery is person-driven.
The greatest risk to the newborn after an elective cesarean birth is
a. Trauma due to manipulation during delivery b. Tachypnea due to maternal anesthesia c. Prematurity due to miscalculation of gestation d. Tachycardia due to maternal narcotics
After being diagnosed with Parkinson's disease, which of the following responses made to the nurse by the client would indicate a basic understanding of Parkinson's disease?
a. "I have too much dopamine in my brain." b. "I need to increase the amount of calcium in my diet." c. "I don't have enough levodopa in my brain." d. "I have too much acetylcholine in my brain."