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When a policy violation occurs, what are the necessary steps for the nurse manager? (EXCEPT)
- A. Describing the staff nurse's behavior that violated the policy
- B. Terminating the staff immediately
- C. Confrontation
- D. Determining the employee's awareness of the policy
Correct Answer: B
Rationale: Correct Answer (B): Terminating the staff immediately
Rationale: Terminating the staff immediately is not the necessary step when a policy violation occurs. It is essential to follow due process, investigate the situation, provide the staff with the opportunity to explain themselves, and consider factors like intent, past behavior, and potential training needs. Rushing to terminate without proper investigation or understanding can lead to legal issues and unfair treatment.
Summary:
A: Describing the staff nurse's behavior - Important to clearly communicate the violation for transparency and understanding.
C: Confrontation - Addressing the issue directly and professionally is crucial for resolving conflicts.
D: Determining the employee's awareness - Assessing the employee's understanding of the policy helps identify training needs and prevent future violations.
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A client with limited mobility in their lower extremities is at risk for skin breakdown. Which of the following actions should the nurse take to prevent skin breakdown?
- A. Place the client in high-Fowler's position.
- B. Increase the client's intake of carbohydrates.
- C. Massage areas of skin that are darker than the surrounding skin tissue with unscented lotion.
- D. Have the client use a trapeze bar when changing position
Correct Answer: B
Rationale: The correct answer is B: Increase the client's intake of carbohydrates. Adequate nutrition, including carbohydrates, is essential for skin health and wound healing. Carbohydrates provide energy for the body's healing processes. Skin breakdown can be prevented by ensuring the client has a well-balanced diet.
A: Placing the client in high-Fowler's position is not directly related to preventing skin breakdown in this scenario.
C: Massaging areas of skin that are darker than the surrounding skin tissue with lotion may cause more harm than good, as it can increase the risk of skin breakdown.
D: Having the client use a trapeze bar when changing position is important for mobility but does not directly address the prevention of skin breakdown.
Which of the following is a recommendation for avoiding charges of negligence and false imprisonment for confused clients?
- A. Carefully assess and document client status.
- B. Ensure all patient information is logged out and the nurse has signed out of the computer before leaving the computer station.
- C. Keep careful notes while providing care to ensure accurate documentation later in the day.
- D. Discuss safety needs with clients.
Correct Answer: A
Rationale: The correct answer is A. Carefully assessing and documenting client status is crucial to avoid charges of negligence and false imprisonment. By assessing and documenting client status, healthcare providers can ensure they are meeting the client's needs and providing appropriate care. This helps in demonstrating that the healthcare provider acted responsibly.
Option B is incorrect because ensuring all patient information is logged out and the nurse has signed out of the computer before leaving the computer station relates more to patient privacy and data security, rather than avoiding charges of negligence and false imprisonment. Option C, keeping careful notes while providing care, is important for accurate documentation but does not directly address the risk of negligence or false imprisonment. Option D, discussing safety needs with clients, is important but does not specifically address the legal aspects of negligence and false imprisonment.
The ANA is a registered labor organization, but it does not engage in direct __________.
- A. Empower union affiliation
- B. Reward union affiliation
- C. Encourage union affiliation
- D. Collective bargaining
Correct Answer: D
Rationale: The correct answer is D: Collective bargaining. The American Nurses Association (ANA) is a professional organization representing nurses, not a labor union. Therefore, it does not engage in direct collective bargaining on behalf of its members. Collective bargaining is the process of negotiation between employers and employees, typically labor unions, to determine wages, working conditions, and other terms of employment. The other choices (A, B, C) are incorrect because the ANA focuses on professional development, advocacy, and promoting the interests of nurses rather than traditional labor union activities like empowering, rewarding, or encouraging union affiliation.
Which of the following is an example of a primary prevention strategy?
- A. Administering vaccinations
- B. Performing a surgical procedure
- C. Teaching healthy lifestyle choices
- D. Prescribing medication
Correct Answer: A
Rationale: The correct answer is A, administering vaccinations, because primary prevention aims to prevent the occurrence of a disease or injury before it occurs. Vaccinations protect individuals from getting infected by certain diseases, thus directly preventing the onset of the disease. This strategy targets the root cause of the problem, which aligns with the goal of primary prevention.
B: Performing a surgical procedure is a treatment intervention, not a prevention strategy.
C: Teaching healthy lifestyle choices is a health promotion strategy, not solely focused on preventing diseases.
D: Prescribing medication is a treatment intervention and not aimed at preventing the initial occurrence of a disease.
An RN enters a patient’s room to place an indwelling urinary catheter, as ordered by the health-care professional. The client is alert and oriented and tells the RN he wants to leave the hospital now and not receive further treatment. Which of the following actions by the RN would be considered false imprisonment?
- A. The RN tells the client he is not allowed to leave until the physician has released him.
- B. The RN asks the client why he wishes to leave.
- C. The RN asks the client to explain what he understands about his medical diagnosis.
- D. The RN asks the client to sign an against medical advice discharge form.
Correct Answer: A
Rationale: Step 1: The client is alert and oriented, indicating capacity to make decisions.
Step 2: The client expresses the desire to leave the hospital, exercising autonomy.
Step 3: False imprisonment occurs when a person is unlawfully restrained.
Step 4: Choice A is incorrect as it restricts the client's freedom without legal justification.
Step 5: Choices B, C, and D respect the client's autonomy and do not involve restraining.