The nurse manager on a medical-surgical unit wants to change to walking rounds in the patients' rooms for change of shift report. In the past, it has been face to face at the nurses' station.
The nurse manager is meeting resistance from the staff, because they think that it will take longer, and the nurses will not finish their shift on time. What could the manager do to increase the nurses' acceptance of this change? a. Inform all shifts that there have been some lapses in communication regarding patient needs and that involving the patient in the report will help alleviate this.
b. Inform all nurses that to reach Magnet status, this type of change of shift report is required.
c. Ask the nurses to participate in the plan-ning and implementation of the change.
d. Ask the nurses to try this type of change of shift report for 1 week and then have them evaluate it.
Question 2Population-based risk assessment is useful when:
a. determining the best use of staff and re-sources.
b. evaluating a community health center.
c. instituting new health promotion pro-grams.
d. providing care for terminally ill patients.
Question 3Janice is going to give her patient a bath. She has the option of using prepackaged bathing wipes or a bath basin and washcloths. She chooses the bath basin and washcloths because she knows their performance is the same but they are less expensive.
Janice's choice is an example of: a. rationing.
b. fiscal responsibility.
c. costing out services.
d. activity-based costing.
Question 4An experienced nurse has recently taken a position on a telemetry unit in the local hospital. After 2 weeks on the job, he finds that the staffing is not what was discussed during his employment interview with the nurse manager.
Which approach would be most appropriate for the nurse to take? a. Give 2 weeks' notice and begin seeking employment at another hospital.
b. Discuss the situation with the nursing manager who interviewed him.
c. Talk to other employees about the staffing situation.
d. Notify the charge nurse that this was not what was explained to him prior to em-ployment.
Question 5Statistics from the National Center for Health Statistics show that the leading cause of death in the United States is a result of which one of the following?
a. Accidents
b. Cancer
c. Diabetes
d. Heart disease
Question 6Sarah wonders about the direction that you have given regarding management of incontinent, confused patients.
She brings you evidence that she has found regarding incontinence interven-tions and asks you if she and you could talk about the guidance that you have given after you have had an opportunity to read the articles she has given you. This is an example of (select all that apply): a. Assertiveness.
b. Followership.
c. Management.
d. Insubordination.
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