Which findings would indicate to the nurse executive that a dissonant culture exists in the healthcare agency? Select all that apply
1. Nurses frequently voice complaints to the administration about healthcare deficiencies when they emerge.
2. The facility has a high turnover rate among its registered nursing staff.
3. The organization focuses more on patient issues than on financial viability.
4. There is a means for providing care for those patients who lack health insurance coverage.
5. The education budget for the division of nursing has been cut by half.
2, 5
Explanation: 1. Having nurses who appropriately voice concerns indicates a working level of trust in administration.
2. A high nurse turnover rate is likely to indicate a dissonant organizational culture.
3. Agencies that focus more on finances than on patient issues often have nursing staff that are dissatisfied and alienated, which results in a dissonant culture.
4. Agencies that lack means for indigent care often have nursing staff that are dissatisfied and alienated, which results in a dissonant culture.
5. Limited educational/training programs for employees often results in a dissonant culture.
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The nursing diagnosis that would be applicable to a client who is unaware of the impact of ingesting green leafy vegetables on the effectiveness of the medication. Coumadin to thin his blood would be:
a. deficient knowledge. b. inadequate knowledge base. c. imbalanced nutrition—more than body requirements. d. inappropriate medication administration.
When assisting with an abdominal ultrasound procedure to determine fetal age, the nurse:
1. Asks the woman to sign an operative consent form prior to the procedure. 2. Has the woman empty her bladder before the test begins. 3. Assists the woman into a supine position on the examining table. 4. Instructs the woman to eat a fat-free meal 2 hours before the scheduled test time.
The nurse is reviewing clients scheduled for prenatal care. Which client should the nurse identify as being most likely to have a newborn at risk for mortality or morbidity?
1. 37-year-old G8 P2323, works in a chemical factory 2. 16-year-old primipara, began prenatal care at 30 weeks 3. 28-year-old G2 P1001, history of gestational diabetes 4. 23-year-old primipara, low socioeconomic status, unmarried
A pregnant client who swims 3 to 5 times per week asks the nurse if she should stop this activity. What is the appropriate nursing response?
1. "You should discontinue your exercise program immediately." 2. "You should increase the number of times you swim per week." 3. "You should decrease the number of times you swim per week." 4. "You should continue your exercise program because it would be beneficial."