The unit is shifting from primary nursing to a team model in an effort to contain costs. Staff members are angry and ask for a meeting to discuss the change
After hearing their concerns re-lated to reduction in professional autonomy and care quality, you: a. Acknowledge the loss.
b. Explain the reasons for change, empha-sizing the need to reduce costs.
c. Repeat the information several times, giving detailed budget overviews.
d. Adjourn the meeting and provide explana-tion through e-mail.
A
Visioning involves engaging with others to assess the current reality, specify the end point, and then strategize to reduce differences. This requires trusting relationships that acknowledge the differences in values and ideas. When done well, the nurse and the nurses within a unit expe-rience creative tension that inspires working in concert to achieve desired goals.
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When a patient wishes to learn more about alternative or complementary treatments, the nurse should refer the patient to the:
a. American Medical Association. b. American Nurses Association. c. National League for Nursing. d. National Center for Complementary and Alternative Medicine.
A preschool-age child is scheduled for a tonsillectomy. Which strategy might help lessen the child's anxiety before surgery?
a. Show the child a short, animated video (DVD) about the hospital visit and procedure. b. Give the child a tour of the hospital a week before the surgery is scheduled. c. Allow the child to use online sources of information to teach him about the procedure. d. Provide one-to-one instruction about the care he will need after surgery.
A client at 32 weeks' gestation is admitted with painless vaginal bleeding. Placenta previa has been confirmed by ultrasound. What should be included in the nursing plan? Select all that apply
1. No vaginal exams 2. Encourage activity. 3. No intravenous access until labor begins 4. Evaluate fetal heart rate with an external monitor. 5. Monitor blood loss, pain, and uterine contractility. Correct
A nurse is working in a clinic with an emphasis on cost control, customer satisfaction, health promotion, and preventive services. This represents which type of system?
1. Managed care 2. Case management 3. Differentiated practice 4. Client-focused care