The manager of a surgical area has a vision for the future that ...

[acc299]

The manager of a surgical area has a vision for the future that requires the addition of RN assistants or unlicensed persons to feed, bathe, and walk patients.
 
  The RNs on the staff have al-ways practiced in a primary nursingdelivery system and are very resistant to this idea. The best initial strategy in this situation would include: a. Exploring the values and feelings of the RN group in relationship to this change.
  b. Leaving the RNs alone for a time so they can think about the change before it is im-plemented.
  c. Dropping the idea and trying for the change in a year or so when some of the present RNs have retired.
  d. Hiring the assistants and allowing the RNs to see what good additions they are.

Question 2

The difference in health-promotion competencies between a nurse educated at the associate degree level and a baccalaureate prepared nurse (BSN) is that the BSN prepared nurse:
 
  a. develops teaching plans concerning health promotion, maintenance, and restoration of health.
  b. implements nursing care to promote health and manage acute and chronic health problems.
  c. manages nursing care for a limited number of patients.
  d. performs comprehensive assessments of patients relative to those factors impacting each patient's health status.

[sultana.d]

Answer to Question 1

A
Influencing others requires emotional intelligence in domains such as empathy, handling rela-tionships, deepening self-awareness in self and others, motivating others, and managing emotions. Motivating others recognizes that values are powerful forces that influence acceptance of change. Leaving the RNs alone for a period of time before implementation does not provide opportunity to explore different perspectives and values. Avoiding discussion until the team changes may not promote adoption of the change until there is opportunity to explore perspectives and values related to the change. Hiring of the assistants demonstrates lack of empathy for the perspectives of the RN staff.

Answer to Question 2

D