Computerized charting will be initiated on select units of the hospital. Orientation to this new system will be provided to each nurse by a team of nurses educated in nursing informatics. This is an example of which type of change strategy?
1. Normative-reeducative strategies
2. Lippitt's phases
3. Empirical-rational model
4. Power-coercive strategies
3
Rationale 1: Normative-reeducative strategies focus on people's roles and relationships, perceptual orientations, and attitudes that influence their acceptance of change.
Rationale 2: Lippitt's phases of change are a seven-step process of change that involves participants in every step of the process.
Rationale 3: The assumption of the empirical-rational model is that people are rational and will follow their rational self-interest if that self-interest is made clear to them. In this instance, when the nurses have the knowledge to use the charting system and have a chance to try it, it will become clear that it is in their best interest to adopt the new system.
Rationale 4: Power-coercive strategies are based on the application of power by legitimate authority, economic sanctions, or political influence.
Global Rationale:
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A nurse instructing a group of parents about steps to reduce the incidence of sudden infant death syndrome should instruct the parents to:
a. bottle-feed an infant at night. b. place infants on their stomach to sleep. c. keep an infant's room well ventilated. d. place soft bedding and pillows in an infant's crib.
Which is the largest group from among this list?
a. Accessible population b. Control group c. Sample d. Target population
A patient is admitted with a leg wound with a large amount of pus exudate. The nurse assesses that which part of the immune process is functioning?
1. The complement system causing cellular destruction 2. The natural killer lymphocytes circulating through the lymph 3. The neutrophils arriving at the wound as the first line of defense 4. The macrophages circulating in the blood
Mrs. Johnson is a 34-year-old depressed client on an inpatient psychiatric unit. The nurse enters her room and initiates interaction with Mrs. Johnson. Which of the following approaches should the nurse avoid when interacting with Mrs. Johnson?
A) Talking to her in a quiet and empathetic manner B) Talking to her in an animated and cheerful manner C) Talking to her in a matter-of-fact manner D) Talking to her in a respectful, yet direct manner