Healthcare is a field that continues to undergo constant and profound change, both planned and unplanned. Which of these situations is an example of reactive change?
A) Hospital administrators have announced a desire to implement the principles of evidencebased
practice.
B) A hospital's accreditation review revealed systemic problems and the hospital has been
directed to resolve these.
C) The introduction of automated medication dispensing machines at a hospital is scheduled
for later this year.
D) A transition will soon begin whereby the practical (vocational) nurses will begin to practice
within their full scope.
Ans: B
Planned change has a definite design and structure established to facilitate the
process, including time lines, identification of stake holders, goals, plans for implementation,
and processes for evaluation. Thoughtful planning often results in more effective and efficient
change processes and is essential for projects that are complex or large in scope and that require
greater time, resources, or skills. Change also may be unplanned and occur as a reaction to
another issue, such as a failed accreditation. This is referred to as reactive change. Reactive
change occurs when some problem or event arises that requires a different way of doing things.
You might also like to view...
You are caring for a patient admitted with a myocardial infarction. While you are doing the admission assessment, the patient asks you for a laxative. The patient tells you he suffers from constipation
What would you teach this patient to do to help his constipation? A) Take a mild laxative every day B) Drink prune juice every day C) Establish a nutritious diet D) Don't strain during defecation
Mr. S is a 45-year-old posttrauma client. A motor vehicle accident 6 months ago paralyzed him and killed his wife and daughter. He is now receiving isocarboxazid for depression. Close attention to Mr. A's diet is essential
Which of the following foods will he have to avoid completely? 1. American cheese, cabbage, and Italian bread 2. Banana, canned meats, and chocolate 3. Honey, brown sugar, and white rice 4. Roast beef, wax beans, and pita bread
What is the priority intervention for a nurse beginning to work with a patient with a schizotypal personality disorder?
a. Respect the patient's need for periods of social isolation. b. Prevent the patient from violating the nurse's rights. c. Engage the patient in many community activities. d. Teach the patient how to match clothing.
Which of the following conditions are associated with acute hemorrhagic pancreatitis?
A. Necrosis and inflammation of pancreas and adjacent adipose tissue B. Activated pancreatic enzymes destroy pancreatic tissue C. Marked hemorrhage in pancreas resulting from disruption of pancreatic blood vessels by activated enzymes and associated inflammation D. Severe abdominal pain and tenderness E. All of the listed conditions are associated with acute hemorrhagic pancreatitis.