A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

A client is refusing care from assistive personnel of the opposite gender

No transport assistance is available to take a client to physical therapy

Two nurses had a heated disagreement about a scheduling issue

Three staff members have called to say they will be absent

Answer and Explanation

The Correct Answer is D

A. A client refusing care from assistive personnel of the opposite gender is important and must be handled to respect the client's preferences, but it does not immediately impact the overall functioning of the unit or client safety. This situation can be addressed after the staffing issue.

B. No transport assistance being available for a client to go to physical therapy is a logistical issue that can be resolved with alternative arrangements, such as rescheduling the therapy or finding different personnel for transport. It is not a critical priority compared to staffing shortages.

C. A heated disagreement between two nurses over a scheduling issue is a team dynamic problem that requires attention, but it is not urgent enough to affect patient safety or unit operations in the immediate term. Resolving staffing shortages takes precedence.

D. Addressing the absence of three staff members is critical as it directly affects patient care and safety. A shortage in staff can lead to unsafe working conditions, delays in client care, and an increased risk of errors. Ensuring adequate staffing is the highest priority in this situation

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Correct Answer is B

Explanation

a. A system for tracking client information: While important for managing patients during a disaster, it may not be the highest priority resource in response to a bioterrorism event where protection against exposure to hazardous materials is paramount.
b. A sufficient supply of personal protective equipment: In a bioterrorism event, such as exposure to biological agents, personal protective equipment (PPE) is critical to prevent the spread of pathogens and protect healthcare workers and patients from contamination.
c. A mental health specialist on the response team: Mental health support is important for both staff and patients during and after a disaster, but it may not be the highest priority resource in the immediate response to a bioterrorism event.
d. A network for communication between staff members and families: Communication is essential during any disaster response, but ensuring an adequate supply of personal protective equipment takes precedence in the face of potential exposure to biological agents.

A. The time the client received his last dose of pain medication B. The belief that the client has a difficult relationship with his son C. The steps to follow when providing wound care D. The client's preferred time for bathing

Correct Answer is A

Explanation

- A) Knowing the time the client received his last dose of pain medication is crucial for continuity of care, ensuring that the client receives their next dose on time and pain management is consistent.
- B) Personal beliefs about the client's relationships are not relevant to the medical care and should remain confidential unless it directly impacts the care plan.
- C) While important, the detailed steps for wound care will be included in the client's care plan and are not typically communicated during a change-of-shift report unless there is a change or an issue.
- D) The client's preferred time for bathing is a part of personal care preferences and, while important for client comfort, is not critical information for a change-of-shift report unless it affects immediate care needs.

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A nurse manager is receiving report and is faced with the following situations that require intervention. Which of the following should the nurse manager address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

42) A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

Correct Answer is B

Explanation

A nurse on a surgical unit is preparing to transfer a client to a rehabilitation facility. Which of the following information should the nurse include in the change-of-shift report?

Correct Answer is A

Explanation

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A nurse on an inpatient care unit is working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

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