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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Administering a sedative should not be the first response, as it may not address the underlying cause of the behavior and may increase the risk of adverse effects.
b. Contacting a family member to provide support and comfort to the client can help alleviate agitation and may help redirect the client's behavior.
c. Placing the client in a wheelchair with a lap tray does not address the underlying cause of the behavior and may not be effective in managing agitation.
d. Keeping the client in her room with the door closed may isolate the client but does not address the underlying cause of the behavior or provide appropriate support.
Correct Answer is B
Explanation
a. Root cause analysis: Root cause analysis is used to investigate the underlying causes of errors or adverse events, rather than comparing performance metrics between different units or organizations.
b. Benchmarking: Benchmarking involves comparing performance metrics, such as medication error rates, against those of other similar units or organizations to identify areas for improvement and best practices.
c. Risk benefit analysis: Risk benefit analysis involves weighing the potential risks and benefits of a particular course of action, such as a medical intervention, to make informed decisions. It is not directly related to comparing performance metrics.
d. Structure audit: Structure audit involves assessing the physical or organizational aspects of healthcare delivery, such as the availability of resources or adherence to protocols, which is not specifically addressed in the scenario.
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