A registered nurse is attempting to change the method for documenting client care in a medical/surgical floor setting. What questions should be considered before planning change? (Select all that apply.)
How can the change be averted?
How cohesive does the group function as a unit?
Is the group as a whole amenable to change?
Is the group ready for change?
Correct Answer : B,C,D
Choice A rationale:
Focuses on avoiding change rather than managing it effectively. Change is often necessary for improvement and growth. Seeking ways to avert it can hinder progress and prevent potential benefits.
Undermines the nurse's role as a change agent. Nurses are expected to play a proactive role in initiating and implementing change to enhance patient care and organizational effectiveness.
May lead to missed opportunities to address issues or challenges. By focusing on averting change, underlying problems may remain unaddressed, potentially compromising patient care or organizational efficiency.
Choice B rationale:
Addresses group cohesion, which is crucial for successful change implementation. Cohesive groups demonstrate better communication, collaboration, and support, facilitating acceptance and adaptation to change.
Recognizes that change can disrupt group dynamics and relationships. Assessing group cohesion allows for identification of potential challenges and development of strategies to strengthen relationships and foster teamwork during the change process.
Highlights the importance of considering the social and relational aspects of change. Change is not only a technical process; it involves individuals with emotions, beliefs, and social connections that need to be considered for successful implementation.
Choice C rationale:
Assesses the group's overall openness and willingness to accept change. Some groups may be more resistant to change due to past experiences, fear of the unknown, or attachment to existing practices.
Determines if the change aligns with the group's values and beliefs. Change that conflicts with deeply held values is likely to encounter stronger resistance and may require additional strategies to address concerns and build consensus.
Recognizes that not all groups are equally adaptable to change. Understanding the group's amenability to change helps in tailoring implementation strategies and managing potential resistance.
Choice D rationale:
Evaluates the group's preparedness for change in terms of knowledge, skills, and resources. Insufficient preparation can lead to confusion, frustration, and decreased effectiveness during the change process.
Considers the group's emotional readiness to accept and adapt to change. Even if a change is technically feasible, emotional resistance can hinder its success. Assessing readiness allows for addressing concerns and providing support to facilitate the transition.
Ensures that the group has the necessary support and resources to implement the change successfully. Change often requires training, guidance, and time for adjustment. Providing adequate support systems is essential for successful implementation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["65"]
Explanation
Here are the steps to calculate the flow rate in gtt/min:
Step 1: Calculate the total volume of fluid to be infused.
The order is for 1.5 grams of Ampicillin added to 100 mL of Normal Saline, so the total volume is 100 mL. Step 2: Calculate the number of vials of Ampicillin needed.
Each vial contains 500 mg of Ampicillin, and the order is for 1.5 grams (which is 1500 mg). Therefore, you will need 3 vials of Ampicillin (1500 mg ÷ 500 mg/vial = 3 vials). Step 3: Calculate the total volume of Ampicillin solution.
Each vial contains 10 mL of Ampicillin solution, and you need 3 vials.
Therefore, the total volume of Ampicillin solution is 30 mL (3 vials × 10 mL/vial = 30 mL). Step 4: Calculate the total volume to be infused, including the Ampicillin solution. The total volume is 100 mL of Normal Saline + 30 mL of Ampicillin solution = 130 mL. Step 5: Calculate the infusion time in minutes.
The order is to infuse over 120 minutes.
Step 6: Calculate the flow rate in gtt/min.
Use the formula: Flow rate (gtt/min) = Total volume (mL) × Drop factor (gtt/mL) ÷ Infusion time (min) Plug in the values: Flow rate = 130 mL × 60 gtt/mL ÷ 120 min
Simplify: Flow rate = 7800 ÷ 120
Flow rate = 65 gtt/min
Therefore, the flow rate in gtt/min in which the IV fluid is to flow is 65 gtt/min.
Correct Answer is A
Explanation
Socio-cultural dimension encompasses the social and cultural influences that shape an individual's health beliefs, behaviors, and experiences. It includes factors such as:
Social support systems: The mother's act of seeking support from other parents of children with asthma demonstrates her utilization of a social support system. This is a crucial aspect of the socio-cultural dimension, as strong social connections can provide emotional support, practical assistance, and access to information and resources.
Cultural norms and values: Cultural beliefs about health, illness, and coping mechanisms can influence how individuals seek help and manage their health conditions. The mother's decision to seek support from other parents may be influenced by cultural norms that value community and shared experiences.
Health disparities: Socio-cultural factors can contribute to health disparities, which are differences in health outcomes among different social groups. Understanding the socio-cultural dimension is essential for addressing these disparities and promoting health equity.
Choice B: The intellectual and spiritual dimension focuses on an individual's beliefs, values, and meaning-making processes. While these factors can influence how individuals cope with illness, they are not directly related to the mother's act of seeking support from other parents.
Choice C: The physical dimension encompasses an individual's biological makeup and physical health status. While the child's asthma is a physical condition, the mother's act of seeking support is a social behavior that falls within the socio-cultural dimension.
Choice D: The environmental dimension includes factors in the physical environment that can affect health, such as air quality, housing conditions, and access to healthcare. While these factors can play a role in asthma management, they are not directly related to the mother's decision to seek support from other parents.
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