A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?

Critical pathways must be followed in the prescribed order to meet optimal outcomes.

Critical pathways are utilized to guide health promotion activities.

Critical pathways result in better client outcomes at a reduced cost.

Critical pathways are developed by individual providers to direct the delivery of care for their clients.

Answer and Explanation

The Correct Answer is C

A.   Critical pathways are designed to standardize care and ensure that key interventions and assessments are performed within specific timeframes to achieve optimal outcomes. However, flexibility might be necessary based on individual patient needs, and strict adherence to the exact order may not always be feasible or appropriate.
B.   Critical pathways are primarily used to guide the management of specific clinical conditions or procedures rather than health promotion activities. They focus on improving the efficiency and effectiveness of patient care for specific diagnoses or treatments rather than general health promotion.

C.   Critical pathways aim to standardize care and improve outcomes by following evidence-based practices, which can lead to more efficient use of resources and reduced costs. By streamlining care processes and minimizing variations, critical pathways can help achieve better patient outcomes and cost savings.
D.   Critical pathways are typically developed by multidisciplinary teams, including clinical experts, to create standardized care plans based on best practices for specific conditions or procedures. They are not usually developed by individual providers for individual clients.

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Correct Answer is A

Explanation

A. In a decentralized scheduling system, the responsibility for creating and managing schedules lies primarily with the individual units. Therefore, after developing a draft schedule, the nurse manager or designated scheduler would need to negotiate it with the unit staff to ensure it meets their needs and is feasible.
B. Budgetary approval is typically handled at a higher organizational level and is not typically part of the decentralized scheduling process.
C. This would be the case in a centralized scheduling system, not a decentralized one.
D. Balancing personal schedules with institutional needs is important but it's not a specific step in the decentralized scheduling process after creating a draft schedule. This is an ongoing consideration for all schedulers.

A. accommodation B. avoiding C. compromising D. competing

Correct Answer is A

Explanation

A. Accommodation involves giving in to the needs or desires of others, often at the expense of one’s own needs or preferences. In this scenario, Lee is accommodating Jillian’s schedule by sacrificing his own personal time to ensure she receives the coaching she needs.
B. Avoiding is a conflict management strategy where one party tries to ignore or evade the conflict, often by withdrawing from the situation. In this case, Lee is not avoiding the conflict but is actively working to resolve it by adjusting his schedule.
C. Compromising involves each party giving up something to reach a middle ground. While Lee is adjusting his schedule, he is not negotiating or finding a middle ground where both parties make concessions. Instead, he is accommodating Jillian’s needs by sacrificing his own time, which does not fit the definition of compromising.
D. Competing is a strategy where one party seeks to win the conflict at the expense of others. This involves pursuing one's own goals aggressively, often disregarding the needs or preferences of others. In this scenario, Lee is not trying to win or impose his preferences; rather, he is making a personal sacrifice to meet Jillian’s needs.

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A charge nurse is teaching a newly licensed nurse about the use of critical pathways. Which of the following should the charge nurse include?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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