Nokea
The nurse working in a long-term care setting attended a workshop on creating a restraint-free environment for the residents. When several coworkers firmly resist changing stating that their current methods are satisfactory, which action should aid the nurse in being effective in facilitating change?
- A. Pointing out to coworkers the various mistakes that they are presently making in adhering to outdated restraint procedures
- B. Informing the nursing supervisor that current restraint policies must be changed and requesting that all staff be required to comply
- C. Writing a new restraint policy over the weekend and distributing it to coworkers for immediate implementation on Monday morning
- D. Asking coworkers to help gather data comparing the facility's restraint procedures and outcomes with those of others using revised procedures
Correct Answer: D
Rationale: To be an effective change agent, the nurse must work collaboratively with others to solve common problems. The nurse who works collaboratively with others to facilitate change has a much greater chance of success than one who unilaterally demands or implements change. By enlisting the assistance of others, there is a greater chance that they will support proposed changes in procedures. To focus on errors (perceived or real) serves only to alienate others and is not effective in promoting change. A punitive atmosphere is not effective in promoting change because it discourages people from taking risks.
You may also like to solve these questions
A client with rheumatoid arthritis tells the nurse that she feels 'quite alone' in adjusting to changes in her lifestyle. Which of the following nursing actions is most appropriate in response to this statement?
- A. Refer the client and her husband for counseling to decrease her sense of isolation.
- B. Suggest the client develop a hobby to occupy her time.
- C. Tell the client about her community's arthritis support group.
- D. Suggest that the client discuss her feelings with her minister.
Correct Answer: C
Rationale: A community arthritis support group provides peer support, reducing feelings of isolation and addressing specific needs.
A client has been diagnosed with viral hepatitis. Which of the following goals is most appropriate for the client?
- A. Achieve control of abdominal pains
- B. Increase activity levels gradually
- C. Reduce jaundice
- D. Prevent liver damage
Correct Answer: B
Rationale: Increasing activity levels gradually is an appropriate goal for viral hepatitis, as rest is needed initially but gradual return to activity supports recovery. Pain is less common, and jaundice or liver damage prevention are secondary.
The nurse is preparing to start an I.V. infusion. Before inserting the needle into a vein, the nurse should apply a tourniquet to the client's arm to accomplish which of the following?
- A. Distend the veins.
- B. Stabilize the veins.
- C. Immobilize the arm.
- D. Occlude arterial circulation.
Correct Answer: A
Rationale: A tourniquet distends veins by restricting venous return, making them easier to access for I.V. insertion.
As a nurse preceptor, you are in the operating room with a student nurse. The client has received general anesthesia. The student nurse says, 'Oh no, the general anesthesia is not working. The client is shaking and moving.' How should you respond to this student nurse?
- A. The client is having anesthesia awareness which is not good.'
- B. This often happens during stage 2 of general anesthesia.'
- C. The client needs more general anesthesia.'
- D. The client is having a seizure.'
Correct Answer: B
Rationale: Shaking and moving during stage 2 (excitement phase) of general anesthesia is normal due to loss of inhibitory control before deeper anesthesia is achieved.
A client has been receiving radiation therapy for 3 weeks to treat his cancer. He is complaining of fatigue. Which of the following should be considered while the nurse plans interventions to help the client with the fatigue?
- A. Fatigue is a temporary problem that requires no active intervention
- B. The client should be closely examined to determine the cause of fatigue
- C. Fatigue indicates that the client's cancer is not under control
- D. The client should be encouraged to maintain activity to combat the fatigue
Correct Answer: B
Rationale: Fatigue during radiation therapy may have multiple causes (e.g., anemia, dehydration), requiring thorough assessment to guide interventions. It is not always temporary, not necessarily indicative of cancer progression, and activity should be balanced, not forced.