Which statements by a hospital executive reflect power-coercive strategies to implement change? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. "We must follow the federal guidelines in the way we bill for our services."
2. "If we don't reduce our nosocomial infection rate, Medicare won't reimburse us."
3. "Administration has to make this change or our accreditation status will be at risk."
4. "This change is the only logical action we can take."
5. "All our sister institutions in the association have already made this change."
1,2,3
Rationale 1: Power-coercive strategies are based on the application of power by a legitimate authority—in this case, the federal government.
Rationale 2: Power-coercive strategies are based on the application of power by a legitimate authority—in this case, Medicare.
Rationale 3: Power-coercive strategies are based on the application of power by a legitimate authority—in this case, the accrediting body.
Rationale 4: The empirical-rational model of change focuses on logical actions.
Rationale 5: Normative-reeducative strategies rest on the assumption that people act in accordance with social norms and values.
Global Rationale:
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A) Risk for Injury related to CNS depressant effects B) Diarrhea related to anticholinergic effects C) Altered Nutrition, Less than Body Requirements, related to appetite suppression D) Impaired Swallowing related to increased muscle tone
The nurse, providing information about nutritional support to a client, explains that to benefit from enteral nutrition that:
1. It must be administered as a continuous infusion. 2. The gag and swallow reflexes must be intact. 3. The client must not need specialized nutrient formulas. 4. The GI tract must be functional.
A nurse is reviewing the assessment findings of several clients. Which patient would the nurse identify as having a type D personality?
A) A man who threatens the receptionist in the emergency department with bodily harm if a doctor does not see him right away B) A woman who sits quietly reading in a waiting room before seeing her doctor for her annual physical C) A quiet teen who drinks a six pack of beer against his better judgment because of peer pressure D) A man who reacts negatively to almost everything but never discusses his feelings with anyone
Which of the following is a normal physiological change that occurs during middle age?
a. Increase in gastric emptying resulting in acid reflux b. Reduction in height caused by kyphosis c. Reduction of glomerular filtration by 50% d. Increase in the amount of estrogen produced in both genders