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You are a nursing student. You are also HIV positive as a result of some high-risk behaviors you engaged in a decade ago. (It seems like a lifetime ago.) You are now in a committed, monogamous relationship and your partner is aware of your HIV status. You have experienced relatively few side effects from the antiretroviral drugs you take and you appear to be healthy. You have not shared your sexual preferences, past history, or HIV status with any of your classmates, primarily because you do not feel that it is their business and because you fear being ostracized in the local community, which is fairly conservative. Today, in the clinical setting, one of the students accidentally stuck herself with a needle right before she injected it into a patient. Laboratory follow-up was ordered to ensure that the patient was not exposed to any blood-borne disease from the student. Tonight, for the first time, you recognize that no matter how careful you are, there is at least a small risk that you could inadvertently expose patients to your bodily fluids and thus to some risk. ASSIGNMENT: Decide what you will do. Is there a need to share your HIV status with the school? With future employers? With patients? What determines whether there is “a need to tell” and a “need to know”? What objective weighted most heavily in your decision?

 

 
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In the following scenarios, determine whether an autocratic, democratic, or laissez-faire decision-making style would be most appropriate. Provide rationale for your choice that includes a discussion of the individuals involved, the environment, and the task to be completed. 1. You are the evening shift charge nurse of the intensive care unit. Your supervisor is sending two nurses from each shift to an upcoming critical care conference in a nearby city. The supervisor wants each charge nurse to submit names of the selected nurses in 2 weeks. All of the 12 fulltime evening shift nurses would like to go. From a staffing standpoint, there is no reason why any of them could not go. All are active in the local critical care organization. Financial resources, however, limit your choice to two. How do you resolve this situation? Select the most appropriate decision style. 2. You are the day shift charge nurse on a surgical unit. Because of your related expertise, your supervisor has asked you to select a new type of blood-warming unit. You want to be sure that you select the right one. Several companies have provided your staff with trial units. You have not received much feedback from the staff regarding their preferences, however, and you must submit your equipment request by 4 pm tomorrow. Select the most appropriate decision style. 3. You are the manager of a 30-bed medical unit. After consultation, you recently implemented a system for incorporating nursing diagnoses on the patient care plans. Although the system was expected to reduce report time between shifts and improve the quality of patient care, to everyone’s surprise, including your own, you find that the system is not working. You do not think that there is anything wrong with your idea. Many other hospitals in the areas are using nursing diagnoses with success. You had a consultant come from another hospital and give an update to your nurses on use of the system. The consultant reported that your staff seemed knowledgeable and appeared to understand their responsibilities in implementing the system. You suspect that a few nurses might be sabotaging your efforts for planned change, but your charge nurses do not agree. They believe that the failure may be lack of proper incentives or poor staff morale. Your nursing administrator is anxious to implement the system in other patient care units but wants it to be working well in your unit first. You have just come from a manager’s meeting where your administrator told you to solve the problem and report back to her within 1 week regarding the steps you had taken to solve your problem. You share your administrator’s concern, but how should you solve this problem? Select the most appropriate decision style.

 

 
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In a recent study, Garber, Madigan, Click, and Fitzpatrick (2009) found that registered nurses had both a higher level of collaboration and servant leadership than did physicians and medical residents. There was a weak positive correlation between collaboration and servant leadership in the registered nurse group and no significant correlation between the two variables in the physician/resident group. ASSIGNMENT: What factors might account for these differences? Write a one-page essay that addresses the following: 1. Both nursing and medicine are helping, service-oriented professions. Do you believe there are inherent differences in service inclination between individuals who choose nursing for a profession rather than medicine? 2. Do you believe that nursing education fosters a greater service inclination than medical education? 3. Do you believe the female majority (gender) of the nursing profession influences these findings?

 

 
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Social Media Evaluation and SecurityWhat types of social media does your organization participate in? Based on your observations, are there any potential security vulnerabilities that your organization is exposed to based on the nature of their business or activities of their employees (you can include social media for consideration)? Are there any recommendations based on what you’ve read that could help your organization do better in terms of social media use and security?At this point in your life, you have likely had the opportunity to use different types of application software. Please discuss your experience with two different types of application software. Make sure you explain how they helped you. Why you would recommend them to others? How has each software helped prepared you for future opportunities?)
 
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