A manager nurse for a medical-surgical unit is preparing the agenda for a unit meeting.
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.
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Inform the state medical board for an immediate investigation is not the initial step; concerns should first be reported to appropriate facility personnel.
B. Counsel the provider to determine the cause of the substance abuse is not the nurse’s role; this is a serious issue that requires reporting rather than counseling.
C. Notify the nursing supervisor of the concerns is the appropriate initial step to address the issue according to facility protocol.
D. Encourage clients to change to a different provider is not within the nurse’s scope of practice for handling the provider's behavior and does not address the root issue.
Correct Answer is B
Explanation
Rationale:
A. A client who has Guillain-Barre syndrome requires close monitoring and specialized care due to progressive weakness and potential respiratory issues. This client's care may involve more complex needs that are beyond the AP's scope.
B. A client who has a lumbosacral spinal tumor is likely to have fewer immediate needs related to eating assistance, making this task appropriate to delegate to the AP. The client’s primary concern may be mobility or pain management, but meal assistance is a routine task.
C. A client who has systemic sclerosis may have issues with gastrointestinal motility and swallowing, requiring more careful feeding assistance and monitoring, which should be performed by the nurse.
D. A client who has amyotrophic lateral sclerosis (ALS) requires specialized care for swallowing difficulties and respiratory issues, making it inappropriate to delegate meal assistance to the AP.
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