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

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

This situation involves the client's right to refuse care based on personal preferences or cultural beliefs. While it requires attention and respect for the client's wishes, it may not pose an immediate risk to patient care or staff safety.

b. No transport assistance is available to take a client to physical therapy:

This can be resolved by contacting the transportation department or finding an alternative solution, but it is not a critical issue that requires immediate attention.

c. Two nurses had a heated disagreement about a scheduling issue:

While workplace conflicts should be addressed to promote a positive work environment, a heated disagreement about a scheduling issue may not pose an immediate threat to patient care. However, if the disagreement escalates or affects staff morale, it could impact unit functioning and require intervention.

d. Three staff members have called to say they will be absent:

This situation has the most immediate impact on the overall functioning of the unit. Staffing shortages can affect patient care and safety, so it is crucial to address this issue promptly to ensure adequate coverage and maintain the quality of care.

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Correct Answer is A

Explanation

a. Contact the case manager to discuss discharge options: This is an appropriate action. The case manager can assist in assessing the client's needs and coordinating appropriate discharge arrangements, such as arranging for home health services or exploring alternative care options.

b. Request another family member assist the client’s partner with care: This may be a helpful action if there is another family member who can provide support. However, it's important to consider the availability and willingness of other family members to take on caregiving responsibilities.

c. Recommend the partner place the client in a long-term care facility: This option may be considered if the partner is unable to continue providing care and there are no other feasible options available. However, it should be discussed with the client and their partner and explored as one of several potential solutions.

d. Ask the provider to delay the client’s discharge home for a few more days: This may be appropriate if there are concerns about the client's safety or if additional time is needed to arrange for alternative care options. However, it's important to address the underlying issues contributing to the partner's inability to provide care and to explore long-term solutions.

A. Establishing communication between provider’s B. Developing client treatment protocols C. Assessing client needs D. Providing medication reconciliation

Correct Answer is C

Explanation

a. Establishing communication between providers:

Telehealth can facilitate communication between healthcare providers, allowing them to consult, collaborate, and share information about patient care remotely. This includes discussing patient cases, sharing test results, and coordinating treatment plans.

b. Developing client treatment protocols:

While telehealth may involve the use of protocols and guidelines to guide care delivery, its primary objective is to provide healthcare services remotely rather than developing treatment protocols specifically.Treatment protocols are typically established during a comprehensive assessment, which telehealth can be a part of, but it's not the sole purpose of a client call

c. Assessing client needs:

This is a core objective of telehealth. It allows healthcare professionals to evaluate the client's current health status, gather relevant information, and determine the necessary next steps in their care remotely.

d. Providing medication reconciliation:

Telehealth can facilitate medication reconciliation by allowing healthcare providers to review a patient's medication list remotely, update medication records, and reconcile any discrepancies during virtual appointments.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to discharge a client who has end-stage heart failure. The client’s partner tells the nurse she can no longer handle the client. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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