A nurse is assisting a provider with obtaining informed consent from a client who is scheduled for surgery. Which of the following actions should the nurse take?

Witness the client's signature on the form

Teach the client about the risks involved with the procedure.

Explain the procedure to be performed

Provide the client with alternative procedure options.

Answer and Explanation

The Correct Answer is A

A.   The nurse's role in the informed consent process typically includes witnessing the client's signature on the consent form. This action confirms that the client has signed the document voluntarily and understands the consent form's content. The nurse does not provide the consent but ensures that the
client’s signature is properly recorded.
B.   Teaching the client about the risks involved with the procedure is not typically within the nurse's role. This task is usually the responsibility of the provider or surgeon who performs the procedure. The provider is responsible for explaining the risks, benefits, and alternatives to the client.
C.   Explaining the procedure to be performed is also not typically within the nurse’s role. This explanation should be done by the provider or surgeon who will perform the procedure. The provider has the detailed knowledge necessary to describe the procedure, including its steps, risks, and expected outcomes.
D.   Providing information about alternative procedure options is part of the informed consent process but is generally done by the provider. The provider is responsible for presenting all possible alternatives to the client, along with their potential risks and benefits.

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Correct Answer is B

Explanation

A. While senior management plays a critical role in overall budgetary planning, involving staff in budgetary decisions can be important for identifying cost-saving opportunities and improving financial management at all levels.
B. Encouraging staff to participate in quality improvement projects is an effective way to reduce costs. Quality improvement initiatives often focus on enhancing efficiency, reducing waste, and improving patient outcomes. By involving staff in these projects, the organization can identify areas where cost savings can be achieved without compromising care quality.
C. While additional assistive personnel might improve patient care and staff workload, it does not directly address cost reduction. Staffing an extra person each shift can increase costs rather than reduce them. Cost reduction strategies should focus on improving efficiency and reducing waste rather than simply adding resources.
D. Planning budget needs based on an average client stay over 6 months might not be the most effective approach. Budget planning should consider more dynamic factors, such as current patient volume, acuity, and shorter-term trends. Relying on average stay data might not accurately reflect current needs and could lead to either overestimating or underestimating the budget requirements.

A. Serve on a quality improvement committee. B. Conduct a root cause analysis. C. Develop preventative measures. D. Review current evidence-based practice.

Correct Answer is B

Explanation

A. While serving on a quality improvement committee is beneficial for long-term strategies and systemic changes, it is not the immediate action needed to address the specific increase in medication errors. The committee may work on broader issues and improvements over time, but addressing the current problem starts with understanding its root causes.
B. Conducting a root cause analysis (RCA) should be the first action. RCA is a systematic process for identifying the underlying causes of problems or events. By conducting an RCA, the nurse manager can determine the specific factors contributing to the increase in medication errors, whether they are related to processes, training, equipment, or other issues.
C. Developing preventative measures is essential for reducing future medication errors, but it should follow the root cause analysis. Without a clear understanding of the underlying causes, any preventative measures may not address the real issues or may be misdirected.
D. Reviewing current evidence-based practices is important for ensuring that care protocols align with the latest standards and guidelines. However, this should come after identifying the specific problems causing the medication errors.

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A nurse is assisting a provider with obtaining informed consent from a client who is scheduled for surgery. Which of the following actions should the nurse take?

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