Nokea
A nurse is caring for a client who is scheduled to be transferred to a long-term care facility. The client's family questions the nurse about the reasons for the transfer. Which of the following responses made by the nurse is appropriate?
- A. The transfer of your family member is being done because the provider knows what's best.
- B. Would you like us to discuss the transfer with your family member?
- C. Why are you so concerned about this transfer?
- D. I know how you feel. My parent had to be transferred to a long-term care facility.
Correct Answer: A
Rationale: Step 1: The nurse's response should be professional and informative.
Step 2: Response A provides a clear and professional explanation for the transfer.
Step 3: Mentioning the provider's decision conveys expertise and reassurance to the family.
Step 4: It shows respect for the provider's judgment and helps build trust with the family.
Step 5: Responses B, C, and D do not directly address the family's concerns or provide a suitable explanation for the transfer.
You may also like to solve these questions
A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)
- A. Combining data reports to reduce duplication
- B. Delegating staff evaluations to the staff nurse on the unit with the most experience
- C. Assigning the preliminary draft of the schedule to a subcommittee of staff nurses
- D. Saying no to inappropriate paperwork assignments
Correct Answer: B
Rationale: The correct answer is B because delegating staff evaluations to the staff nurse with the most experience is not an appropriate solution to reduce repetitive paperwork for the manager. Delegating evaluations may not necessarily address the issue of spending too much time on paperwork.
A: Combining data reports can help reduce duplication and streamline the paperwork process.
C: Assigning the preliminary draft of the schedule to a subcommittee can distribute the workload and free up time for the manager.
D: Saying no to inappropriate paperwork assignments is a valid approach to manage workload effectively.
In summary, B is the correct answer as it does not directly address the issue of spending excessive time on paperwork compared to the other options provided.
A nurse manager wants to implement a new policy on the unit. What is the first step in the change process according to Lewin's Change Theory?
- A. Unfreeze the system
- B. Move the system to a new level
- C. Refreeze the system
- D. Evaluate the system
Correct Answer: A
Rationale: The correct answer is A: Unfreeze the system. According to Lewin's Change Theory, the first step in the change process is to unfreeze the current state or system to prepare for change. This involves creating awareness of the need for change, addressing any resistance, and establishing a sense of urgency. Moving the system to a new level (choice B) and refreezing the system (choice C) are subsequent steps in the change process after unfreezing. Evaluating the system (choice D) comes later in the process to assess the effectiveness of the change implemented. Therefore, unfreezing the system is the critical initial step to facilitate successful change implementation.
Which of the following is an essential element of a quality improvement (QI) program?
- A. Blame and punishment
- B. Employee satisfaction
- C. Continual monitoring
- D. Strict adherence to policies
Correct Answer: C
Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.
While caring for a client with tuberculosis, which of the following actions should the nurse take?
- A. Use antimicrobial sanitizer for hand hygiene.
- B. Wear a surgical mask when providing client care.
- C. Limit each visitor to 2-hour increments.
- D. Wear gloves when assisting the client with oral care.
Correct Answer: A
Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.
Which of the following best describes the role of an informatics nurse specialist?
- A. Managing electronic health records
- B. Providing technical support
- C. Educating nursing staff
- D. Improving patient care through technology
Correct Answer: D
Rationale: The correct answer is D: Improving patient care through technology. Informatics nurse specialists focus on utilizing technology to enhance patient outcomes and streamline healthcare processes. They analyze data, implement new technologies, and design systems to improve efficiency and quality of care. This role involves understanding both nursing practice and technology to bridge the gap between the two, ultimately benefiting patients.
A: Managing electronic health records - While informatics nurse specialists may oversee EHR systems, their primary focus is on using technology to enhance patient care, not just managing records.
B: Providing technical support - While they may provide some technical support, their main role is to leverage technology to improve patient outcomes, not solely to troubleshoot technical issues.
C: Educating nursing staff - While education is a part of their role, the primary objective of an informatics nurse specialist is to improve patient care through technology, not just educating staff.