Which comment by a staff nurse would indicate to the nurse manager that further clarification regarding the concept of shared governance is needed? Shared governance:
a. formalizes and insists upon collaboration among the health care team members.
b. affirms that the patient is the center of care.
c. distributes power more evenly among nursing staff and leaders.
d. provides an outlet for the recognition of inappropriate processes.
D
Shared governance is the process that formalizes and insists upon collaboration among the members of
the health care team and confirms that the patient is the center of care. It is also a means by which
power can be equalized because it is more evenly distributed among the team members. It is not a
means by which inappropriate behaviors or processes are confronted, criticized, or affirmed.
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The primiparous client at 40 weeks' gestation reports to the nurse that she has had increased pelvic pressure and increased urinary frequency. Which response by the nurse is best?
1. "Unless you have pain with urination, we don't need to worry about it." 2. "These symptoms usually mean the baby's head has descended further." 3. "Come in for an appointment today and we'll check everything out." 4. "This might indicate that the baby is no longer in a head down position."
The nurse is identifying clinical practice problems on a cardiac unit. What question is a foreground question?
a. "What is the pathophysiology of conges-tive heart failure?" b. "How does smoking affect the internal lumens of arteries? c. "What is the best treatment for a myocar-dial infarction? d. "How are a client's vital signs affected by anxiety?"
One reason that teenage pregnancy is a community problem affecting all of us is:
A. Such pregnancy is inconsistent with community values and norms. B. Pregnant teenagers are poor role models for younger children. C. The community pays financially for the consequences of teen pregnancy. D. There are cultural and social sanctions against adolescent sexuality.
A client who is to undergo repair of a damaged tricuspid valve asks the nurse why it is important for the valve to be repaired. The nurse should explain that the function of this valve is to:
1. Help monitor the pressures in the heart. 2. Prevent backflow into the right atrium. 3. Prevent backflow into the left ventricle. 4. Prevent clots from entering the lungs.