The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

Analyze the cause of the problem.

Define the problem.

Measure the problem.

Solve the root cause.

Answer and Explanation

The Correct Answer is B

Choice A reason: While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.

Choice B reason: Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.

Choice C reason: Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.

Choice D reason: Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.

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Correct Answer is D

Explanation

Choice A reason: Stealing and selling narcotics is a criminal act and a clear violation of trust and legal obligations, warranting immediate dismissal.

Choice B reason: Unsupervised and punitive restraint of a patient is unethical, potentially illegal, and against medical standards, justifying immediate dismissal.

Choice C reason: Physical assault or threats against any staff member, including the unit manager, are serious offenses that compromise safety and warrant immediate dismissal.

Choice D reason: While failing to pursue further medical help is a serious concern, it may not always result in immediate dismissal. It requires investigation to understand the context and whether it was a case of negligence or a different issue.

A. "Ms. S needs help to get into and out of her bathtub. Her bath will need to be completed by soon. When you are helping her to dry, please check between her toes and toenails, and phone me by 10:30 if you notice any discoloration or redness." B. "I am not sure that you know how to do this, but I am giving you Ms. S. She is quite obese and needs skin care." C. "You all need to help Mrs. S get into and out of her shoes. Ensure that you check the condition of her feet, and let me know if you have any concerns when you check in." D. "You will be taking care of Ms. S, who needs assistance with her bath."

Correct Answer is A

Explanation

Choice A reason: This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.

Choice B reason: This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.

Choice C reason: While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.

Choice D reason: This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.

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The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

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Naxlex Comprehensive Predictor Exams

The following are grounds for immediate dismissal except:

Correct Answer is D

Explanation

In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

Correct Answer is A

Explanation

A nurse manager is aware that which of the following is an internal factor that impacts staffing?

The state of being emotionally impelled, demonstrated by a passion and dedication to a project or event, describes:

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:

A nurse enters a room and finds the client lying on the floor. Which of the following actions should the nurse take first?

As a nurse manager, you want to institute point-of-care devices on your unit. The rationale that you provide to support the point-of-care devices includes (select all that apply):

A nurse discovers that a client has a severe weather code activated. What is the appropriate sequence of steps that the nurse should take using the following actions? (Put the actions in the correct order.)

You are the charge nurse. Two hours into the shift, you discover that two nurses (Nurse A and Nurse B) have switched patients because Nurse A does not like to take care of patients with prostate cancer. Which action should you take first?

Resistance is most likely to occur when change: