A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full."
To reduce cost, I should encourage clients to receive an annual flu immunization."
To save money, I will re-use PPE after patient care as long as it is not visibly soiled."
To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."
The Correct Answer is B
A. Waiting to empty a colostomy bag until it is completely full can lead to complications such as leakage, skin irritation, or infection. This practice does not effectively save resources and could potentially increase overall costs due to additional care needs and complications.
B. Encouraging clients to receive an annual flu immunization is an appropriate and effective method to reduce costs. Vaccinations help prevent the spread of infectious diseases, which can reduce the incidence of illness and the associated costs of treatment and hospitalizations.
C. Re-using personal protective equipment (PPE) is not safe or recommended. PPE is designed for single- use to prevent the spread of infections and ensure the safety of both healthcare workers and patients. Re-using PPE, even if it is not visibly soiled, compromises infection control standards and can lead to increased costs and health risks if infections occur. This approach is neither cost-effective nor safe.
D. Head-to-toe assessments are critical for patient evaluation and require the expertise and judgment of a licensed nurse. Delegating this responsibility to assistive personnel (AP) is inappropriate and could jeopardize patient safety. While delegating tasks to APs can help manage workload, it is important to assign tasks within the scope of their training and responsibilities.
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Related Questions
Correct Answer is B
Explanation
A. This description fits a patient classification system, but it doesn’t specifically define a prototype evaluation system. Patient classification systems, like the Resource Utilization Groups (RUGs) or the Patient Classification System (PCS), categorize patients to predict care needs and allocate resources.
B. This description fits an advanced scheduling or staffing system, which uses algorithms to manage schedules based on certain rules. While it involves evaluation and planning, it’s focused on staffing and scheduling rather than evaluating prototypes specifically. Prototype evaluation systems generally involve assessing and refining models or systems, not just scheduling.
C. A formula-driven approach to calculating nursing productivity involves measuring efficiency and performance based on predefined formulas. While this relates to evaluation, it is not specifically about prototype evaluation
D. This describes a system that rates patient care activities based on workload, which can be part of a classification or workload measurement system. However, it does not directly relate to a prototype evaluation system, which is more focused on assessing and refining prototypes rather than rating individual activities.
Correct Answer is A
Explanation
A. Assessing the parents' preferences regarding the amount and type of information they want is crucial because it helps tailor the communication to their needs and emotional state. This initial step ensures
that the information provided is appropriate for the parents’ level of understanding and readiness. By understanding their preferences, the nurse manager can offer information in a manner that is most supportive and useful for the family.
B. Arranging for a specialist to speak with the family might be necessary. However, it is not the first step in the process. This step would be more relevant after understanding the family’s needs and preferences, as the specialist can then provide more targeted and relevant information based on the family's specific questions or concerns.
C. Directing the family to online resources might be useful, but it is not the first priority. Providing online resources should come after assessing the family's needs and preferences to ensure that the resources are relevant and appropriate.
D. Having patient education brochures available is important but it should come after assessing the family's preferences. The brochures alone might not address the family's immediate concerns or preferences for the amount of information they wish to receive.
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