A charge nurse is educating a newly licensed nurse regarding the utilization of critical pathways. What should the charge nurse incorporate?

“Critical pathways ensure cost-effective outcomes at a reduced cost.”

“Critical pathways result in better care outcomes.”

“Critical pathways must be followed in the prescribed order to meet optimal outcomes.”

“Critical pathways are utilized to guide health promotion activities.”

“Individual healthcare providers create critical pathways to guide the care they offer to their patients.”

Answer and Explanation

The Correct Answer is B

Choice A Reason:

“Critical pathways ensure cost-effective outcomes at a reduced cost.” While critical pathways can help in managing costs by standardizing care and reducing unnecessary variations, the primary focus is on improving patient outcomes. Cost-effectiveness is a benefit, but it is not the main purpose of critical pathways.

Choice B Reason:

“Critical pathways result in better care outcomes.” This statement accurately reflects the primary goal of critical pathways. These pathways are designed to standardize care processes, reduce variability, and ensure that patients receive evidence-based care. By following critical pathways, healthcare providers can improve the quality of care, enhance patient outcomes, and ensure consistency in treatment.

Choice C Reason:

“Critical pathways must be followed in the prescribed order to meet optimal outcomes.” While it is important to follow critical pathways to achieve the desired outcomes, there should be some flexibility to accommodate individual patient needs. Strict adherence without considering patient-specific factors can lead to suboptimal care. Critical pathways provide a framework, but clinical judgment is essential to tailor care to each patient.

Choice D Reason:

“Critical pathways are utilized to guide health promotion activities.” Critical pathways are primarily used to manage clinical care processes and ensure that patients receive standardized, evidence-based treatment. While they can include elements of health promotion, their main focus is on managing specific clinical conditions and improving patient outcomes.

Choice E Reason:

“Individual healthcare providers create critical pathways to guide the care they offer to their patients.” Critical pathways are typically developed by multidisciplinary teams, including physicians, nurses, and other healthcare professionals. They are based on best practices and evidence-based guidelines. Individual providers may contribute to the development of critical pathways, but they are not created by a single provider.

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Correct Answer is D

Explanation

Choice A Reason:

Making a copy of the incident report for the provider is not necessary. Incident reports are typically used for internal documentation and risk management purposes. They are not part of the patient’s medical record and should not be shared with the provider in this manner. The provider should be notified of the incident through appropriate channels, but a copy of the report is not required.

Choice B Reason:

Documenting in the chart that an incident report has been filed is inappropriate. The patient’s medical record should contain factual, objective information about the patient’s condition and care. Mentioning that an incident report has been filed can be seen as an admission of liability and is not recommended. The focus should be on documenting the patient’s condition and any care provided as a result of the fall.

Choice C Reason:

Placing the incident report in the client’s chart is incorrect. Incident reports are not part of the patient’s medical record and should be kept separate. They are used for internal purposes to improve patient safety and care processes. Including them in the patient’s chart can lead to legal complications and is against best practices.

Choice D Reason:

Submitting the incident report to the risk manager is the appropriate action. The risk manager is responsible for reviewing incident reports to identify potential risks and implement measures to prevent future occurrences. This process is crucial for maintaining patient safety and improving healthcare quality.

A. “The patient must consent because the procedure is necessary for survival.” B. “Consent should not be forced.” C. “If the surgery is life-saving, we can proceed regardless of what the patient says.” D. “Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” E. “The patient has every right to refuse.”

Correct Answer is ["B","E"]

Explanation

Choice A Reason:

“The patient must consent because the procedure is necessary for survival.” This statement is incorrect because it implies that the necessity of the procedure overrides the patient’s autonomy. Informed consent is a fundamental ethical and legal requirement in healthcare. Patients have the right to make their own decisions about their treatment, even if refusing treatment may result in harm or death. Forcing consent undermines patient autonomy and can lead to legal and ethical issues.

Choice B Reason:

“Consent should not be forced.” This statement is correct and aligns with the principles of patient autonomy and informed consent. Forcing a patient to consent to a procedure violates their rights and can lead to ethical and legal complications. Healthcare providers must respect the patient’s decision, provide all necessary information, and support them in making an informed choice.

Choice C Reason:

“If the surgery is life-saving, we can proceed regardless of what the patient says.” This statement is incorrect. Even in life-saving situations, patients have the right to refuse treatment. There are very few exceptions to this rule, such as when a patient is deemed legally incompetent to make decisions. In such cases, a legal guardian or power of attorney may be involved. However, competent patients retain the right to refuse any medical intervention.

Choice D Reason:

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” This statement is inappropriate and unethical. Administering a sedative to obtain consent can be seen as coercive and does not respect the patient’s autonomy. It is important to address the patient’s concerns and anxiety through communication and support, rather than using medication to influence their decision.

Choice E Reason:

“The patient has every right to refuse.” This statement is correct and reflects the ethical principle of respect for patient autonomy. Patients have the right to make their own healthcare decisions, including the right to refuse treatment. Healthcare providers should ensure that patients are fully informed about their options and the potential consequences of their decisions, but ultimately, the decision rests with the patient.

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A charge nurse is educating a newly licensed nurse regarding the utilization of critical pathways. What should the charge nurse incorporate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and completes an incident report, which of the following actions should the nurse take?

Correct Answer is D

Explanation

Correct Answer is ["B","E"]

Explanation

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