Nokea
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.
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A nurse manager who tells the staff to 'come to me with any problem' but then keeps the office door closed is using what type of communication?
- A. Intrasender conflict
- B. Diagonal communication
- C. Metacommunication
- D. Upward communication
Correct Answer: A
Rationale: The correct answer is A: Intrasender conflict. This is when the message sent conflicts with the nonverbal cues. In this scenario, the nurse manager's verbal message of being approachable conflicts with the nonverbal cue of keeping the office door closed. This creates confusion for the staff, leading to intrasender conflict.
B: Diagonal communication refers to communication between individuals at different levels or departments.
C: Metacommunication involves the underlying message or context of the communication.
D: Upward communication is when employees communicate with their superiors.
In this case, the closed door contradicts the verbal message, indicating intrasender conflict.
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.
A group of physicians comes into conflict with the nursing staff of a unit over when AM vital signs are recorded. What type of technique might be used that respects the professionalism of both parties?
- A. Accommodating
- B. Collaboration
- C. Avoiding
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Collaboration. Collaboration involves both parties working together to find a mutually beneficial solution. In this scenario, collaborating with the physicians and nursing staff allows for open communication, respect for each other's expertise, and finding a compromise on when to record vital signs. Accommodating (A) involves giving in to one party's preferences, while avoiding (C) involves ignoring the conflict altogether. Competing (D) focuses on one party winning at the expense of the other, which does not respect the professionalism of both parties. Collaboration is the most effective technique as it values input from all parties and fosters a positive working relationship.
A nurse is evaluating teaching for a client who has heart failure. Which of the following statements by the client indicates an understanding of the teaching?
- A. I am limiting my sodium intake to 2 grams daily.
- B. I have been weighing myself every other morning.
- C. I am trying to decrease my intake of foods with potassium.
- D. I am eating fewer potato chips and more fruit for snacks.
Correct Answer: A
Rationale: The correct answer is A because limiting sodium intake to 2 grams daily is crucial for managing heart failure by reducing fluid retention and strain on the heart. This statement shows understanding of dietary restrictions to manage the condition effectively.
Choice B is incorrect because while monitoring weight is important for heart failure, it does not specifically demonstrate understanding of the teaching provided.
Choice C is incorrect because decreasing potassium intake is not recommended for heart failure management unless specifically advised by a healthcare provider.
Choice D is incorrect as it mentions a positive dietary change, but does not address the key issue of sodium intake, which is essential for managing heart failure.
The decades between the 1960s and 1980s brought about many changes in nursing. Which of the following contributed to advances in nursing?
- A. Decreased demand for health care
- B. Development of specialty care disciplines
- C. Gender discrimination
- D. Advances in technology leading to more generalized care
Correct Answer: B
Rationale: The correct answer is B: Development of specialty care disciplines. During the 1960s-1980s, nursing saw significant advancements as specialty care disciplines emerged, leading to improved patient care and enhanced skills among nurses. Specialty care disciplines expanded nursing knowledge and expertise, allowing for tailored and specialized care for specific patient populations. This shift towards specialization elevated the status of nursing and promoted better outcomes for patients.
Summary:
- A: Decreased demand for health care is incorrect as the period actually saw an increased demand due to population growth and advancements in medical treatments.
- C: Gender discrimination, while a significant issue in nursing history, did not directly contribute to advances in nursing during this specific time period.
- D: Advances in technology did impact nursing care, but it did not lead to more generalized care; instead, it often facilitated the development of specialized care disciplines.