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 D

Explanation

Choice A Reason:

Nonmaleficence refers to the ethical principle of “do no harm.” It is primarily concerned with avoiding actions that could cause harm to others. While avoiding favoritism can prevent harm, the principle of nonmaleficence is more directly related to clinical and medical decisions rather than performance evaluations. In this context, the focus is on fairness and impartiality, which aligns more closely with the principle of justice.

Choice B Reason:

Confidentiality involves protecting private information and ensuring that it is not disclosed without consent. While confidentiality is important in performance evaluations to protect the privacy of employees, it is not the primary ethical principle demonstrated by avoiding favoritism. The main concern in this scenario is ensuring fairness and impartiality, which is better captured by the principle of justice.

Choice C Reason:

Autonomy refers to respecting individuals’ rights to make their own decisions and control their own lives. In the context of performance evaluations, autonomy might involve allowing employees to participate in the evaluation process or provide input. However, the primary ethical concern in avoiding favoritism is ensuring that evaluations are fair and unbiased, which is more directly related to the principle of justice.

Choice D Reason:

Justice is the ethical principle that emphasizes fairness, equality, and impartiality. In the context of performance evaluations, justice involves ensuring that all employees are evaluated based on their performance and contributions, without favoritism or bias. By being mindful to avoid favoritism, the manager is upholding the principle of justice, ensuring that the evaluation process is fair and equitable for all employees.

A. Human beings tend to be untruthful by default and may not cooperate effectively unless they are held accountable. B. In the absence of agreements, there is an unspoken approval for individuals to conduct themselves however they please. C. Agreements help differentiate between team members who cooperate effectively and those who are less productive. D. Agreements emphasize that despite disagreements and gossip that may arise during meetings, these conflicts are never aimed at individuals personally.

Correct Answer is D

Explanation

Choice A Reason:

Human beings tend to be untruthful by default and may not cooperate effectively unless they are held accountable. While accountability is important in any team setting, the statement that human beings tend to be untruthful by default is a broad generalization and not the primary reason for creating group agreements. Group agreements are more about fostering a positive and collaborative environment rather than assuming negative behavior from the outset.

Choice B Reason:

In the absence of agreements, there is an unspoken approval for individuals to conduct themselves however they please. This choice highlights the importance of having clear guidelines to prevent chaos and ensure everyone understands the expected behavior. However, it does not fully capture the essence of why agreements are crucial for team collaboration and conflict resolution.

Choice C Reason:

Agreements help differentiate between team members who cooperate effectively and those who are less productive. While agreements can help identify productive behaviors, their primary purpose is not to single out individuals but to create a cohesive and supportive team environment. The focus is on collective success rather than individual performance.

Choice D Reason:

Agreements emphasize that despite disagreements and gossip that may arise during meetings, these conflicts are never aimed at individuals personally. This choice best captures the essence of why group agreements are essential. They provide a framework for respectful communication and conflict resolution, ensuring that disagreements are handled professionally and do not become personal attacks. This helps maintain a positive team dynamic and fosters trust among team members.

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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

During an annual performance evaluation, a manager is mindful to avoid favoritism, which could result in a biased and unfair performance review. Which ethical principle is best demonstrated in this scenario?

Correct Answer is D

Explanation

A legal consultant recommends that the nurse manager and staff members create a group agreement before addressing conflicts. According to Yoder Wise and Sportsman, agreements about how team members will collaborate are essential because:

Correct Answer is D

Explanation

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