A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)

Ensure two fingers can fit between the device and the client.

Perform a neurovascular check every 2 hours.

Secure the restraint to the bedrail.

Obtain a prescription renewal every 72 hours.

Implement passive range-of-motion exercises.

Answer and Explanation

Correct Answer : A,B,D,E

A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.

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Correct Answer is A

Explanation

A. Waiting until the end of the week to document incidents can lead to inaccuracies and missed details, making it ineffective for timely documentation.
B. Keeping a log or summary sheet of errors and incidents is an effective way to track personnel problems and provide accurate records.
C. Advising the recipient to keep personal notes can support documentation but should not replace the manager's responsibility to document the incident.
D. Including a date, time, and brief description in documentation is crucial for maintaining clarity and accuracy in records.

A. "How effective are you in working in a group? In dealing with conflict?" B. "What is your preferred style of conflict resolution?" C. "Tell me about a time you were involved in a conflict related to a project. What was your role in the conflict? In the resolution of the conflict?" D. "If you were to employ one strategy for managing conflict, what would it be?"

Correct Answer is C

Explanation

A. This question is more about self-assessment and does not require the candidate to provide a specific example of past behavior.
B. While this question addresses conflict resolution, it does not delve into a specific past experience or behavior.
C. This question specifically asks the candidate to describe a past situation, their actions, and the outcomes, making it a classic behavioral question that provides insights into their experiences and conflict management skills.
D. This question is hypothetical and does not focus on the candidate's actual past behavior or experiences.

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A nurse is planning care for a hospitalized client who is immobile and in a continuous mitten restraint. Which of the following interventions should be included in the client's care plan? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse manager understands that the second step in handling an employee with a disciplinary problem is to document the incident. Which of the following features IS NOT descriptive of effective documentation of personnel problems?

Correct Answer is A

Explanation

As a manager, you are interested in developing behavioral questions for an interview. Knowing that there is team conflict at times on your unit, which of the following questions would satisfy your interest in behavioral questions?

Correct Answer is C

Explanation

A nurse manager understands that the typical first step in handling an employee with a disciplinary problem is at

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