In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?

Choice A Reason

Feeling in control of her behavior is an important goal for clients with anorexia nervosa, as it addresses the psychological aspect of the disorder. Anorexia nervosa often involves a significant loss of control over eating behaviors and body image. However, while regaining a sense of control is crucial, it is not the immediate priority when the client is severely underweight and at risk for serious health complications. The primary focus should be on stabilizing the client’s physical health.

Choice B Reason

Making positive statements about improvements in body image is also an important goal, as it can help improve the client’s self-esteem and body perception. However, this goal is more long-term and secondary to addressing the immediate physical health risks associated with severe weight loss. Positive body image can be worked on concurrently with nutritional rehabilitation but should not overshadow the urgent need for weight gain.

Choice C Reason

Identifying changes within the family unit that promote the client’s autonomy is beneficial for long-term recovery. Family dynamics often play a significant role in the development and maintenance of eating disorders. Promoting autonomy and healthy family interactions can support the client’s recovery process. However, similar to the previous goals, this is a secondary priority compared to the immediate need to address the client’s critical nutritional status.

Choice D Reason

Gaining 2 pounds of weight per week is the most immediate and critical goal for a client with anorexia nervosa who is severely underweight. This goal directly addresses the life-threatening physical health risks associated with the disorder, such as malnutrition, electrolyte imbalances, and organ failure. Achieving a safe and steady weight gain is essential for stabilizing the client’s health and providing a foundation for addressing the psychological aspects of the disorder.

Choice A Reason:

Focusing the assessment on the unit and ignoring the needs of the hospital as a whole is not a viable approach. While it is important to address the specific needs of the unit, it is equally crucial to consider the broader context of the hospital. Ignoring the hospital’s overall needs can lead to fragmented care and inefficiencies. A holistic approach ensures that changes in the unit align with the hospital’s goals and resources.

Choice B Reason:

Hiring an outside consultant to oversee and manage the project can provide specialized expertise and an external perspective. However, this approach may not fully leverage the insights and experiences of the staff who are directly involved in patient care. Consultants can be valuable, but their role should complement, not replace, the active involvement of the unit’s staff.

Choice C Reason:

Engaging involved staff at all levels in the decision-making process is the best approach. This strategy aligns with complexity principles, which emphasize the importance of collaboration, shared decision-making, and leveraging the collective expertise of the team. Involving staff fosters a sense of ownership and commitment to the changes, leading to more effective and sustainable implementation. It also ensures that the adaptations are practical and directly address the needs of both patients and staff.

Choice D Reason:

Seeking a resolution from upper management may be necessary for securing resources and support, but it should not be the primary approach. Top-down directives can overlook the nuanced understanding and practical insights of frontline staff. Effective change management requires a bottom-up approach that engages those who are most familiar with the day-to-day operations and challenges of the unit.