A nurse is educating a newly licensed nurse on cost-saving methods in client care. Which statement from the newly licensed nurse demonstrates comprehension of the teaching?

I should promote the idea of clients getting an annual flu vaccination.

I need to delay emptying my client’s drainable colostomy until it’s three-fourths full.

I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home.

I ought to assign the task of administering closed irrigation to the assistive personnel (AP).

Answer and Explanation

The Correct Answer is A

Choice A Reason:

I should promote the idea of clients getting an annual flu vaccination. Promoting annual flu vaccinations is a cost-saving measure because it helps prevent the flu, which can lead to serious health complications and hospitalizations. By encouraging clients to get vaccinated, nurses can reduce the incidence of flu-related illnesses, thereby decreasing healthcare costs associated with treating these conditions. This preventive approach aligns with cost-saving strategies in client care.

Choice B Reason:

I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. Delaying the emptying of a drainable colostomy until it is three-fourths full is not a recommended practice. It can lead to leakage, skin irritation, and other complications. Proper and timely management of colostomies is essential for maintaining client comfort and preventing additional healthcare costs related to complications.

Choice C Reason:

I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. While sterile technique is important in certain clinical settings, it is not typically required for routine tracheostomy care at home. Teaching clients proper clean technique is usually sufficient and more practical for home care. This statement does not demonstrate an understanding of cost-saving methods, as it may unnecessarily increase costs and complexity for clients.

Choice D Reason:

I ought to assign the task of administering closed irrigation to the assistive personnel (AP). Administering closed irrigation is a task that requires specific knowledge and skills, and it may not be appropriate to delegate this to assistive personnel. Proper delegation involves ensuring that tasks are assigned to individuals with the appropriate training and competency. This statement does not reflect an understanding of safe and cost-effective delegation practices.

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Correct Answer is A

Explanation

Choice A Reason:

Unfreezing is the first stage in Lewin’s Stages of Change. This stage involves recognizing the need for change and preparing the organization to accept that change is necessary. It includes creating awareness about the current issues and the benefits of the proposed changes. In this scenario, the new manager has identified that the unit is following outdated procedures and is aware of the evidence against this practice. The eagerness to make a rapid change indicates that the manager is in the unfreezing stage, where the focus is on breaking down the existing status quo before building up a new way of operating.

Choice B Reason:

Reheating is not a recognized stage in Lewin’s Stages of Change. Lewin’s model consists of three stages: Unfreezing, Moving (or Changing), and Refreezing. Therefore, this option is not applicable to the scenario described.

Choice C Reason:

Refreezing is the final stage in Lewin’s Stages of Change. This stage involves solidifying the new changes into the organization’s culture and practices. It ensures that the changes are sustained over time. Since the manager is eager to initiate change and has not yet implemented or solidified any new procedures, they are not in the refreezing stage.

Choice D Reason:

Moving (or Changing) is the second stage in Lewin’s Stages of Change. This stage involves implementing the changes and transitioning to new ways of working. It includes developing new behaviors, processes, and attitudes. While the manager is eager to make changes, they have not yet started the implementation process, which means they are not in the moving stage.

A. Practice failure. B. Efficacy. C. Comparative error. D. Effectiveness.

Correct Answer is D

Explanation

Choice A Reason:

Practice failure. Practice failure refers to the inability to implement a procedure or intervention correctly due to practical issues such as lack of training or resources. In this scenario, the difficulty is not due to a failure in practice but rather the suitability of the scale for non-English speaking patients. Therefore, practice failure is not the correct answer.

Choice B Reason:

Efficacy. Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions. While the new pain scale might be effective in a controlled environment, the issue here is its practical application in a diverse patient population. Thus, efficacy is not the primary concern in this context.

Choice C Reason:

Comparative error. Comparative error involves mistakes made when comparing two different methods or interventions. Although comparing the new scale with the old one is part of the study, the main issue highlighted by the staff is the difficulty non-English speaking patients have with the new scale, which is not a comparative error.

Choice D Reason:

Effectiveness. Effectiveness refers to how well an intervention works in real-world conditions. The feedback indicates that the new pain scale is not effective for non-English speaking patients, highlighting a gap between its theoretical efficacy and practical effectiveness. This makes effectiveness the correct answer.

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A nurse is educating a newly licensed nurse on cost-saving methods in client care. Which statement from the newly licensed nurse demonstrates comprehension of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new manager discovers that their unit still follows outdated procedures. You are aware of the evidence against this practice and are eager to make a rapid change on your unit. In terms of Lewin’s Stages of Change, which stage are you in?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

A nurse manager is conducting an in-service session for a group of staff members on the topic of incivility. Which of the following scenarios should the nurse incorporate as an instance of lateral violence?

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