1. A nurse manager is preparing to institute a new system for scheduling staff. Severalnurses

have verbalized their concern over the possible changes that will occur. Which of the

following is an appropriate method to facilitate the adoption of the new schedulingsystem?

A. Identify nurses who accept the change to help influence other staffnurses

B. Provide a brief overview of the new scheduling system immediately beforeit

implementation

C. Introduce the new scheduling system by describing how it will save the institutionmoney

D. Offer to reassign staff who do not support the change to anotherunit

2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In accordance

with the care pathway, antibiotic therapy is prescribed. Which of the following situations

requires the nurse to complete a variance report with regard to the carepathway?

A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway

B. A blood culture was obtained after antibiotic therapy has beeninitiated

C. The route of antibiotic therapy on the care pathway was changed from IV toPO

D. An allergy to penicillin required an alternative antibiotic to beprescribed.

3. A nurse should recognize that an incident report is requiredwhen

A. A client refuses to attend physicaltherapy

B. A visitor pinches his finger in the client‟s bedframe

C. A client throws a box of tissues at anurse

D. A nurse gives a med 30 min late