During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first?

Train LPNs to reinforce teaching with clients using a standardized teaching plan.

Include documentation of client education as part of unit nurses' annual performance evaluation.

Determine factors that interfere with the documentation of client education.

Offer incentives for the staff once the unit's results are back in adherence with the benchmark.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is not the correct choice because training LPNs to reinforce teaching with clients using a standardized teaching plan is a possible solution, but not the first step. The nurse manager should first identify the root cause of the problem before implementing any interventions.

Choice B reason: This is not the correct choice because including documentation of client education as part of unit nurses' annual performance evaluation is a way to monitor and evaluate the staff's performance, but not a way to improve it. The nurse manager should first address the barriers and challenges that prevent the staff from documenting client education effectively.

Choice C reason: This is the correct choice because determining factors that interfere with the documentation of client education is the first step in the quality improvement process. The nurse manager should use data analysis, staff feedback, and observation to find out the reasons for the low documentation results, such as lack of time, knowledge, skills, or resources.

Choice D reason: This is not the correct choice because offering incentives for the staff once the unit's results are back in adherence with the benchmark is a way to motivate and reward the staff, but not a way to solve the problem. The nurse manager should first implement evidence-based strategies to improve the documentation of client education, such as providing education, feedback, and tools.

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Correct Answer is B

Explanation

Choice A reason: Decreased cost-effectiveness is not an outcome of critical pathway use, but rather an outcome of poor quality care. Critical pathways are designed to improve the quality and efficiency of care by reducing unnecessary costs and resources.

Choice B reason: Decreased care delays is an outcome of critical pathway use, as it reflects the timely and coordinated delivery of care. Critical pathways are evidence-based plans that outline the expected course of care and outcomes for a specific client population.

Choice C reason: Increased length of stay is not an outcome of critical pathway use, but rather an outcome of ineffective or inappropriate care. Critical pathways are intended to shorten the length of stay by optimizing the care process and preventing complications.

Choice D reason: Increased variation in clinical interventions is not an outcome of critical pathway use, but rather an outcome of inconsistent or individualized care. Critical pathways are meant to standardize the clinical interventions based on the best available evidence and practice guidelines.

A. Contact the client's next of kin to obtain consent for treatment. B. Proceed with treatment without obtaining written consent. C. Have the client sign a consent for treatment. D. Notify risk management before initiating treatment.

Correct Answer is B

Explanation

Choice A reason: Contacting the client's next of kin to obtain consent for treatment is not a correct action, as it may delay the necessary and urgent care for the client. The nurse should assume that the client would consent to life-saving treatment and act in the client's best interest.

Choice B reason: Proceeding with treatment without obtaining written consent is the correct action, as it is justified by the emergency doctrine. The nurse should provide immediate and appropriate care for the client who is unable to give consent due to their condition.

Choice C reason: Having the client sign a consent for treatment is not a correct action, as the client is disoriented and cannot give informed consent. The nurse should not ask the client to sign any documents that they may not understand or remember.

Choice D reason: Notifying risk management before initiating treatment is not a correct action, as it is not a priority in an emergency situation. The nurse should focus on the client's needs and safety and document the care provided and the rationale for the actions taken.

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During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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