A manager nurse for a medical-surgical unit is preparing the agenda for a unit meeting.

Exhibits

Which items should the nurse manager include in unit meeting? For each identified item, indicate if the nurse manager should include during unit meeting or if the content should be addressed with a specific individual team member.

Review the incident of disruptive behavior and discuss the principles of civility and respect.

Review mandatory nursing skills and competencies for nursing.

Meet to talk about mislabeling of laboratory specimen and discuss the policy and procedure for how to do it correctly.

Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.

Review central line infections rates and causes. Include review of proper care of central lines.

Answer and Explanation

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Review the incident of disruptive behavior and discuss the principles of civility and respect.

Unit meeting

Rationale: The incident of disruptive behavior between nurses should be addressed in a unit meeting to foster a culture of respect and teamwork. Discussing this issue with the entire team will help reinforce appropriate behavior and conflict resolution.

Review mandatory nursing skills and competencies for nursing.

Unit meeting

Rationale: Mandatory nursing skills competencies are essential for ensuring that all staff meet the required standards. This should be reviewed during the unit meeting to ensure that all nurses are up to date and compliant with required competencies.

Meet to talk about mislabeling of laboratory specimens and discuss the policy and procedure for how to do it correctly.

Individual Team Member

Rationale: The issue of mislabeling specimens should be addressed directly with the specific individual (TJ, the AP) involved. It’s important to provide corrective feedback and retraining for the individual responsible for the issue.

Review near miss fall and fall precautions, bed position, rounding, and appropriate use of bed or chair alarms.

Unit meeting

Rationale: The near-miss fall incident involves issues that are relevant to the entire unit, such as bed position, use of bed alarms, and rounding practices. Discussing this in a unit meeting can help prevent future incidents by educating all staff on proper procedures.

Review central line infections rates and causes. Include review of proper care of central lines.

Unit meeting

Rationale: Reviewing central line infection rates and proper care is important for the entire team to ensure adherence to best practices and reduce infection rates. This is best addressed in a unit meeting to promote awareness and compliance among all staff.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Rationale:

A. "It is time to sign the consent so your treatment can begin." dismisses the client's valid question about alternative options and does not address their concern.

B. "Have you discussed other treatments with your provider?" is an appropriate response as it encourages the client to seek information about alternatives from their healthcare provider, who can offer comprehensive options and explanations.

C. "I can inform the surgeon you do not want the surgery." does not address the client's question about alternatives and assumes the client’s decision without further discussion.

D. "I would not have this type of surgery if I were you." is a personal opinion and is not appropriate for a nurse to provide, as it is not based on the client’s individual medical needs or informed consent principles.

A. "Delegation provides appropriate resources for the client." B. "Delegation promotes discharge teaching activities for clients." C. "Delegation permits a designated individual to meet a goal on your behalf." D. "Delegation decreases health care costs."

Correct Answer is C

Explanation

Rationale:

A. Providing appropriate resources is an outcome of effective delegation but not its primary purpose.

B. Promoting discharge teaching is not the primary purpose of delegation; it’s more about ensuring tasks are appropriately assigned.

C. Delegation permits a designated individual to meet a goal on your behalf, accurately reflecting the purpose of delegating tasks to others to achieve client care goals efficiently.

D. Decreasing health care costs may be an indirect benefit, but it is not the primary purpose of delegation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to witness informed consent for a client who is preoperative. The client asks the nurse, "Are there other options besides surgery?" Which of the following responses should the nurse make?

Correct Answer is B

Explanation

A nurse is assisting a newly licensed nurse with delegating tasks to an assistive personnel on the unit. Which of the following statements by the nurse explains the purpose of delegation?

Correct Answer is C

Explanation

A nurse has received change-of-shift report and is delegating tasks to the assistive personnel (AP). The nurse should tell the AP to complete which of the following tasks first?

A nurse is caring for a client who has advanced lung cancer. The client's provider has recommended hospice services for the client. Which of the following statements by the client indicates a correct understanding of hospice care?

A charge nurse delegates to a licensed practical nurse (LPN) the task of changing a client's dressing. Several hours later the client reports the dressing has not been changed. Which of the following actions should the charge nurse take?

At the beginning of the shift, an RN is preparing assignments for a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the nurse assign to the LPN?

A nurse who is leading a team of nurse managers is planning to make a major announcement. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the announcement?

A nurse manager observes an unknown man in a laboratory coat making copies of a client's medical record. Which of the following actions should the nurse plan to take first?

A nurse is caring for a client who is scheduled to have surgery. In preparing the client for surgery, which of the following actions is considered outside the nurse's responsibilities?