A clinical instructor is evaluating a student nurse’s capability to promote patient engagement. Which of the student’s actions indicates a need for further teaching?

The student assesses the patient’s level of understanding for each treatment option.

The student advises the patient on which treatment options they should select.

The student schedules a doctor’s visit for the patient and their family to aid them in making treatment decisions.

The student explains the rationale for their interventions.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Assessing the patient’s level of understanding for each treatment option is a crucial aspect of patient engagement. It ensures that patients are well-informed about their choices and can make decisions based on a clear understanding of the potential benefits and risks. This action promotes patient autonomy and supports shared decision-making, which are key components of patient-centered care.

Choice B Reason:

Advising the patient on which treatment options they should select indicates a need for further teaching. This approach undermines patient autonomy and does not align with the principles of patient-centered care. Instead of making decisions for the patient, the nurse should facilitate informed decision-making by providing comprehensive information and supporting the patient in evaluating their options. This empowers patients to take an active role in their healthcare decisions.

Choice C Reason:

Scheduling a doctor’s visit for the patient and their family to aid them in making treatment decisions is a supportive action that promotes patient engagement. It ensures that patients have access to professional guidance and can involve their family in the decision-making process. This collaborative approach can enhance the quality of care and ensure that decisions are made with a thorough understanding of the patient’s preferences and values.

Choice D Reason:

Explaining the rationale for their interventions is an essential practice for promoting patient engagement. It helps patients understand the reasons behind the recommended actions and interventions, which can increase their trust in the healthcare provider and their willingness to participate in their care. This transparency is vital for building a strong patient-provider relationship and ensuring that patients feel informed and involved in their treatment plans.

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Correct Answer is D

Explanation

Choice A Reason:

A decline in the expenditure on medical supplies is generally considered a positive variance, as it indicates that the actual costs were lower than the budgeted costs. This reduction in spending can be beneficial for the budget, assuming it does not negatively impact patient care. Therefore, it does not exemplify a negative variance.

Choice B Reason:

An excess of nurses accessible on a specific day might indicate overstaffing, which can lead to higher labor costs than budgeted. However, this scenario does not directly indicate a negative variance unless it results in a budget shortfall due to increased expenses. The context of the question focuses on a shortfall, making this choice less relevant.

Choice C Reason:

A rise in patient satisfaction ratings is a positive outcome and does not relate to budget variances. While important for overall quality of care, patient satisfaction ratings do not directly impact the financial aspects of the budget. This choice does not exemplify a negative variance.

Choice D Reason:

Fewer nurses working than originally planned exemplifies a negative variance because it indicates understaffing, which can lead to compromised patient care and increased workload for the remaining staff. This situation often arises from budget constraints or mismanagement, leading to a shortfall in the budget. It directly reflects the negative impact on staffing and budget planning.

A. Evaluate the results. B. Identify the problem. C. Implement a resolution. D. Brainstorm solutions.

Correct Answer is B

Explanation

Choice A Reason

Evaluating the results is an important step in the conflict resolution process, but it should come after the conflict has been addressed and a resolution has been implemented. This step involves assessing the effectiveness of the resolution and determining if the conflict has been successfully resolved. However, it is not the first action to take when mediating a conflict.

Choice B Reason

Identifying the problem is the first and most crucial step in resolving a conflict. Before any solutions can be proposed or implemented, it is essential to understand the root cause of the disagreement. This involves listening to both parties, gathering information, and clarifying the issues at hand. By accurately identifying the problem, the nurse manager can ensure that the subsequent steps are targeted and effective in addressing the underlying issues.

Choice C Reason

Implementing a resolution is a critical step in the conflict resolution process, but it should not be the first action taken. Before a resolution can be implemented, the problem must be clearly identified, and potential solutions must be considered. Jumping straight to implementation without understanding the problem can lead to ineffective or inappropriate solutions.

Choice D Reason

Brainstorming solutions is an important step that involves generating a range of possible ways to address the conflict. This collaborative process allows both parties to contribute ideas and work towards a mutually acceptable resolution. However, brainstorming should occur after the problem has been identified. Without a clear understanding of the problem, brainstorming may not yield effective solutions.

Conclusion

In summary, the first action a nurse manager should take when mediating a conflict between staff members is to identify the problem. This step is essential for understanding the root cause of the disagreement and laying the groundwork for effective conflict resolution. Subsequent steps, such as brainstorming solutions, implementing a resolution, and evaluating the results, should follow in a logical sequence.

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A clinical instructor is evaluating a student nurse’s capability to promote patient engagement. Which of the student’s actions indicates a need for further teaching?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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