Within the organization, staff members continued to express negative comments about the changes that had occurred when a merger took place. The staff felt that after the merger, the new organization had lost its vision and mission
The members of this new organization were experiencing:
a. An adaptive culture
b. A dysfunctional culture
c. A cultural rut
d. Culture shock
ANS: D
Culture shock occurs when the members of an organization realize that the organization is out of touch with its settings, mission, and assumptions.
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The nurse notices small purplish dots on the abdomen of a patient. Which of the following demonstrates the best way for the nurse to document the finding?
a. "Multiple petechiae noted across the abdomen." b. "Scattered ecchymoses noted on abdomen." c. "Diffuse erythema of the abdomen." d. "Purpura scattered across abdomen."
A hospitalized American Indian client is approaching death. Family members who are standing vigil in the client's room begin to divide up his possessions among themselves as his symptoms progress
What is the nurse's most important intervention? a. Ask the family members to step outside the room so the client cannot hear them. b. Tell the family that they are being insensi-tive and their behavior is inappropriate. c. Recognize that this is a culturally appro-priate activity and document it in the chart. d. Report these activities to the client's phy-sician and the nursing supervisor.
While conducting a physical examination of the thorax, a nurse notes and documents breath sounds as moderate "blowing" sounds with equal inspiration and expiration. What type of breath sounds are these?
A) bronchial B) bronchovesicular C) vesicular D) adventitious
The client has pancreatitis. Which client monitoring does the nurse implement for early detection of complications of pancreatitis?
1. Slow deep tendon reflexes. 2. Peaked T waves on EKG. 3. Hypotension with activity. 4. Positive Chvostek's sign