In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

Replicate the organization's philosophy.

Identify the clients that will be served on the unit.

Reflect the culture of the unit and its values.

Be developed by the nursing manager on the unit.

Answer and Explanation

The Correct Answer is C

Choice A reason: While the unit's philosophy should align with the organization's overall philosophy, it should not merely replicate it but rather adapt it to the specific context of the unit.

Choice B reason: Identifying the clients that will be served is important for service planning but is not the sole component of a unit's philosophy.

Choice C reason: The philosophy should encapsulate the unit's culture and values, guiding the approach to care and decision-making within the unit.

Choice D reason: Although the nursing manager plays a crucial role in developing the philosophy, it should be a collaborative process involving input from the entire unit team.

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Correct Answer is B

Explanation

Choice A reason: Telling the nurse she will be fired if her behavior does not change is a final warning and may not be the best initial approach. It can create a hostile work environment and does not facilitate a solution to the underlying issue.

Choice B reason: Confronting the nurse to discuss the issue and initiate problem-solving measures is a proactive approach. It allows the manager to understand the reasons behind the lateness and work with the nurse to find a solution, which could include time management strategies.

Choice C reason: Telling other staff members to cover for the late nurse does not address the problem and may lead to further unrest and resentment among the team.

Choice D reason: Waiting to address the issue at the 3-month probation evaluation delays dealing with the problem and allows the disruptive behavior to continue, potentially affecting patient care and team dynamics.

A. Supersede the need for staff members to file incident reports. B. Discipline staff members who have been involved in previous incident reports. C. Compensate for previous injuries. D. Eliminate these risks before anyone is harmed.

Correct Answer is D

Explanation

Choice A reason: Superseding the need for staff members to file incident reports would not address the underlying issue of fall prevention and could lead to underreporting of incidents.

Choice B reason: Disciplining staff members for previous incidents does not contribute to a proactive approach to fall prevention and may create a punitive environment that discourages reporting.

Choice C reason: While compensating for previous injuries may be necessary, it does not prevent future falls or address the root cause of the problem.

Choice D reason: Eliminating risks before anyone is harmed is the most proactive and effective approach to fall prevention, aligning with the principles of risk management to anticipate and mitigate potential hazards.

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In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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