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?
Two nurses had a heated disagreement about a scheduling issue.
A client is refusing care from an assistive personnel of the opposite gender.
Three staff members have called to say they will be absent.
No transport assistance is available to take a client to physical therapy.
The Correct Answer is C
- A: While resolving conflicts is important to maintain a healthy work environment, it may not immediately affect patient care and safety.
- B: Client preferences should be respected, but this situation can usually be resolved by reassigning staff without immediate risk to patient safety.
- C: Staff absences can critically impact patient care due to inadequate staffing, which can lead to increased workload for present staff and compromise patient care.
- D: Transport issues, although they need to be addressed, do not usually pose an immediate threat to patient safety compared to inadequate staffing. Physical therapy can often be rescheduled without significant harm to the patient.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Asking the client's son to go to the waiting area allows the nurse to have a private conversation with the client, which is crucial in suspected cases of elder abuse to gather information without potential interference or intimidation.
B. Asking about injuries with the son present might hinder the client from disclosing information due to fear or pressure.
C. Treating and discharging the client without addressing the suspected elder abuse could potentially put the client in further danger.
D. Filing an incident report might be necessary but should follow an assessment and investigation of the situation.
Correct Answer is D
Explanation
A. Root cause analysis involves investigating errors to determine underlying causes and preventive measures.
B. Risk benefit analysis weighs the potential risks and benefits of a particular action or decision.
C. Structure audit evaluates the infrastructure and resources in place but doesn't involve comparison between different units.
D. Benchmarking involves comparing performance metrics to those of other organizations or units to identify best practices and areas for improvement, as in comparing medication error rates between units in different hospitals.
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