What is the first step in coping with changes that occur in the healthcare environment?
1. Understanding personal response to change.
2. Identifying the change agent.
3. Investigate the facility's history of change.
4. Identify the purpose of the change.
1
Explanation: 1. Some people have an immediate negative response to change. Other people are invigorated by change, whether the change is positive or negative. The nurse must understand personal response to the idea of change so that response to a particular change can be unbiased.
2. While this is important information, the nurse must first identify personal response to the concept of change.
3. While this is important information, the nurse must first identify personal response to the concept of change.
4. While this is important information, the nurse must first identify personal response to the concept of change.
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A patient has a diagnosis of heart failure. When the nurse walks into his room, he is orthopneic. The patient is
a. sitting or standing in order to breathe deeply and comfortably. b. complaining of sudden awakenings from sleep because of shortness of breath. c. complaining of pain in lower extremities. d. unable to respond to simple questions.
Which one of the following could form the basis for a potential research study?
The majority of patients are admitted between the hours of midnight and 4:00 a.m. b. The majority of nurses do not want to work the night shift. c. The majority of patient falls occur on the evening shift. d. The nurses who work the evening shift are not attentive to their patients.
Nursing interventions should be documented according to specific criteria in order that they may be clearly understood by other members of the nursing team. The most appropriate of the fol-lowing intervention statements is:
1. Offer fluids to the client q2h 2. Observe the client's respirations 3. Change the client's dressing daily 4. Irrigate the nasogastric tube q2h with 30 ml normal saline
Creating an artificial opening in the abdominal wall and bringing a section of the colon to it for elimination purposes is called a/an
A. colectomy. B. colostomy. C. ileostomy. D. gastrectomy.