As the nurse manager who wants to increase motivation by providing motivating factors, which action would you select?
a. Collaborate with the human re-source/personnel department to develop on-site daycare services.
b. Provide a hierarchical organizational structure.
c. Implement a model of shared governance.
d. Promote the development of a flexible benefits package.
C
Complexity theory suggests that systems interact and adapt and that decision making occurs throughout systems, as opposed to being held in a hierarchy. In complexity theory, every voice counts, and therefore all levels of staff would be involved in decision making. This principle is the foundation of shared governance.
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The nurse admits an older adult client and reviews orders from the physician
What order would the nurse question? ? Bedrest with bathroom privileges ? Acetaminophen (Tylenol) 650 mg p.o. every 4 hours p.r.n. pain ? Meperidine (Demerol) 100 mg IM every 6 hours p.r.n. pain ? Zolpidem tartrate (Ambien) 5 mg p.o. p.r.n. HS 1. Bedrest 2. Acetaminophen 3. Meperidine 4. Zolpidem tartrate
The setting in which a new graduate may learn skills not normally acquired in an LPN/LVN program, will likely have a daytime schedule with weekends off, and will focus on prevention is a(n):
a. outpatient clinic. b. physician's office. c. home care setting. d. adult day care.
A client experiencing hepatic encephalopathy is receiving lactulose
An irate family member asks, "Why in the world would the doctor give my husband something that gives him diarrhea when he is already so sick?" The nurse's response would include that the purpose of the lactulose is to a. change ammonia to urea. b. eliminate ascites. c. empty the bowel of protein. d. reduce fluid retention.
While a health history is obtained from a client with a new diagnosis of advanced pancreatic cancer, the client begins to cry. Which is the nurse's best response?
a. "I am so sorry for making you cry!" b. "I will step out for a few minutes until you feel better." c. "I can see that you are upset about this. It is all right to cry." d. "I can see that I am upsetting you. Let's move on to something else."