A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?

Set a target date.

Use tactics to alert staff nurses that a change is needed.

Evaluate the effectiveness of the change.

Assess the problem.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Set a target date is crucial during the moving stage to create a timeline for implementation and facilitate progress towards the change.

B. Use tactics to alert staff nurses that a change is needed is part of the earlier stage of planning and communicating the need for change, not specifically the moving stage.

C. Evaluate the effectiveness of the change occurs after the change has been implemented, not during the moving stage.

D. Assess the problem is part of the initial stage of change, not the moving stage.

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Correct Answer is B

Explanation

Rationale:

A. Identifying changes within the family unit can be important but is not the immediate priority for medical stabilization.

B. Gaining weight is a critical goal for clients with anorexia nervosa to address their physical health and nutritional status.

C. Making positive statements about body image is helpful but secondary to the goal of weight gain.

D. Feeling in control of behavior is important for long-term recovery but is not the immediate priority compared to physical health.

A. "It is time to sign the consent so your treatment can begin." B. "Have you discussed other treatments with your provider?" C. "I can inform the surgeon you do not want the surgery." D. "I would not have this type of surgery if I were you."

Correct Answer is B

Explanation

Rationale:

A. "It is time to sign the consent so your treatment can begin." dismisses the client's valid question about alternative options and does not address their concern.

B. "Have you discussed other treatments with your provider?" is an appropriate response as it encourages the client to seek information about alternatives from their healthcare provider, who can offer comprehensive options and explanations.

C. "I can inform the surgeon you do not want the surgery." does not address the client's question about alternatives and assumes the client’s decision without further discussion.

D. "I would not have this type of surgery if I were you." is a personal opinion and is not appropriate for a nurse to provide, as it is not based on the client’s individual medical needs or informed consent principles.

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A charge nurse plans to use effective change strategies when implementing a change in a nursing procedure on the medical-surgical unit. Which of the following actions should the charge nurse take during the moving stage of change?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Correct Answer is B

Explanation

A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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