Which factor best represents a driving force in the process of change?
1. An ineffective nurse manager
2. An administration composed of long-term employees
3. A staff composed of long-term employees
4. A financial deficit of millions of dollars
4
Rationale 1: An ineffective nurse manager is a restraining force that impedes change by discouraging participants from making specified changes.
Rationale 2: An administration of long-term employees can be a restraining force that impedes change by discouraging participants from making specified changes.
Rationale 3: A staff of long-term employees can be a restraining force that impedes change by discouraging participants from making specified changes.
Rationale 4: A budget in the red necessitates change and pushes participants in the desired direction.
Global Rationale:
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The nurse working in the Emergency Department admits a woman who states she has been raped. The nurse's priority of care includes:
1. Assist the woman to bathe to remove the dirty feeling she reports. 2. Have the woman tested for blood alcohol level. 3. Provide emotional support. 4. Ask the woman to explain exactly what happened.
An adolescent male patient had an orchiopexy for cryptorchidism as an infant. Which health promotion activity does the nurse educate this patient about?
A. Annual digital prostate exam B. Fertility testing C. Genetic screening D. Testicular self-exam monthly
A patient reports to the nurse that last night she had difficulty falling sleep after a social evening with friends, during which she consumed several alcoholic drinks
When unable to fall sleep after half an hour in bed, she brewed herself two cups of herbal tea containing valerian. In the morning, she awakened feeling very groggy and with a severe headache. The nurse should explain that: a. valerian should be taken at least 1 hour after any alcohol to avoid side effects. b. the "side effects" are really a hangover from her excessive alcohol use. c. valerian may worsen the sedation from other central nervous system depressants. d. herbal teas usually cause nervous system side effects such as headaches.
A patient recovering from a stroke at home seems to have a pleasant environment. Family members come in to talk with him, and he has his own familiar clothing and books in his room. A calendar shows the current date
A television and a radio are near his bed. No one disturbs him with the details of his condition. However, he seems depressed and anxious. A visiting nurse would most likely recommend which of the following? A) Encouraging reminiscence. B) Giving him antidepressant drugs. C) Redecorating his room. D) Giving him more information.