How did change impact this nurse?

A nurse who works in a community clinic has a busy day ahead of her. The first half of the day is focused on seeing four patients as follow-up to their appointments last week for high blood pressure (hypertension). The nurse checks each patient’s blood pressure, asks about symptoms, weighs each patient, and asks if the patient has any questions. If there are negative changes, the patient sees the physician. The nurse also assists the physician with physical examinations as needed. Two new patients require patient education about their diets. A dietician appointment is scheduled for one patient who needs more intensive assistance. In the afternoon, the nurse leads a group for diabetic patients.