A health care organization is preparing to measure the adequacy of meeting the needs of clients in the facility. Which of the following would NOT be a source of data at this time?
a. Policy and procedure manuals
b. Staffing patterns
c. Client interviews
d. Written care plans
ANS: C
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In the Unity Healthcare organization, decisions, including those at the unit level, are made by a group of senior executives. Rules for employees are clear, and nursing care is delineated by procedures and protocols. This exemplifies:
a. Transformational leadership. b. Transactional leadership. c. Bureaucratic organization. d. Chaos theory.
The nurse is caring for a patient with conductive hearing loss resulting from prolonged cerumen impaction. Which intervention by the nurse is most important in establishing effective communication with the patient?
a. Speaking in a loud voice, enunciating every syllable b. Having direct conversation with the patient in his affected ear c. If the patient does not understand what the nurse is saying, repeating the phrase again d. Speaking with hands, face, and expressions
A school-age client comes to the clinic for routine follow-up after being placed on amphetamine sulfate (Adderall) 2 weeks ago for a diagnosis of ADHD. The client weighed 15 pounds over normal for height prior to the start of the Adderall
The mother states concern that the client is no longer snacking, barely finishes meals, and "will lose too much weight." What is the nurse's best response to this concern? 1. "Make an appointment each week for us to monitor against too much weight loss." 2. "It is normal for clients to lose weight when taking Adderall." 3. "Over time, the diminished appetite might be reduced. Begin by offering small, frequent meals, and monitor for excessive weight loss." 4. "The Adderall will help the client to return to normal weight for his height."
Which action is a birth belief among Shintos?
1. Saving the umbilical cord as a lasting bond between mother and child 2. Never setting up a crib for an infant until after the birth 3. Wearing white and blue bead charms on the wrist as a protection from evil 4. Hoping that a newborn is not a female baby because it will decrease the mother's looks