Who is responsible for the implementation of a change project?
a. mental model c. sender
b. change agent d. receiver
B
Change agents are those whose purpose it is to be responsible for the implementation of a change effort or project. Receivers (receives information and/or communication) and sender (sends information and/or communication) are participators in the communication process. Mental models are one of the five learning disciplines noted by Senge (1990; Senge et al, 1994).
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What should the nurse do with an injection of 2 mL of Demerol that the patient has refused? (Select all that apply.)
a. Independently waste the drug in a secure place. b. Record in the narcotic log that the drug was wasted. c. Chart in the patient's record the reason the medication was refused. d. Get any staff member to sign the narcotic log as witness to the drug being wasted. e. Confirm the count is correct on the narcotic log.
In 1994 Jeffrey Bauer described some exciting possibilities that would affect nursing and healthcare delivery if instituted. What did Bauer propose?
1. Place health care on the free market so that maximum choice and quality competition are available. 2. Socialize medicine. 3. Do not change anything. The system is working. 4. Maintain the monopoly held by physicians over the delivery of health care to Americans.
You are discharging a client after a cardiac catheterization. What would you include in your discharge teaching?
A) Eat only soft foods for the next 12 hours. B) Report any numbness, tingling, or sharp pain in the extremity. C) Restrict your intake of water until the dye is out of your system. D) You can move around whenever you feel like getting up.
In performing a structure evaluation to determine if orientation programs provide information necessary for job performance, an appropriate data source would include:
a. procedure manuals. c. client care budgets. b. standards of care. d. standardized care plans.