A nurse is contributing to a quality improvement plan to improve the shift reporting process on the unit. Which of the following actions is the first step the nurse should suggest to promote a change in the reporting process?

Review evidence-based literature to determine best practices in the shift reporting process.

Organize a task force to review interventions to change the shift reporting process.

Create a new shift reporting process to present at the next staff meeting.

Develop a strategy to alert other nurses about the need for changes in the shift reporting process.

Answer and Explanation

The Correct Answer is A

A. Reviewing evidence-based literature is essential to understand best practices in shift reporting and can inform the development of effective interventions. This foundational step helps ensure that any proposed changes are supported by research and proven methods.
B. While organizing a task force can be beneficial, it should occur after understanding the current best practices, as the task force's efforts would be better guided with existing evidence.
C. Creating a new reporting process without first gathering information or reviewing best practices may result in ineffective or unnecessary changes.
D. Developing a strategy to alert nurses is important, but it should be based on informed decisions derived from literature and data analysis, which should come first.

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Correct Answer is B

Explanation

A. Replace nonperishable food items annually: While rotating nonperishable food supplies is important, many nonperishable items have longer shelf lives, and replacement frequency depends on expiration dates. This is not the most essential point to include.

B. Have a backup supply of nonprescription medications: This is crucial for older adults who often rely on medications such as pain relievers, antacids, or allergy medications. In a disaster, access to pharmacies may be limited, making backup supplies essential for maintaining health.

C. Stock 2 liters of water per person per day: The recommended amount is generally at least 3.8 liters (1 gallon) of water per person per day for drinking and sanitation, not 2 liters.

D. Gather enough supplies to last for 2 weeks: While two weeks is ideal in some emergency plans, the standard recommendation by organizations such as FEMA is at least 3 days of supplies. Therefore, this advice may not be the most practical or commonly endorsed in a general teaching session.

A. Place the client in a seclusion room. B. Engage the client in a repetitive activity as a distraction. C. Administer PRN haloperidol IM to the client. D. Apply wrist restraints to the client.

Correct Answer is B

Explanation

A. Seclusion is a highly restrictive intervention and is not the first action for managing agitation in dementia clients.
B. Engaging the client in a repetitive activity as a distraction is the least restrictive intervention and can help calm the client by redirecting their attention. Non-pharmacological and less restrictive approaches are preferred as initial responses to manage agitation in dementia clients.
C. Administering PRN haloperidol IM is a pharmacological intervention and should be reserved for situations where less restrictive measures have failed.
D. Applying wrist restraints is a restrictive intervention that can increase agitation and is not appropriate as a first-line approach.

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A nurse is contributing to a quality improvement plan to improve the shift reporting process on the unit. Which of the following actions is the first step the nurse should suggest to promote a change in the reporting process?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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