A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Encouraging the patient to attend group therapy.

Monitoring for thoughts of self-harm.

Preventing fluid and electrolyte imbalance.

Fostering feelings of self-respect.

Answer and Explanation

The Correct Answer is C

A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.

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Correct Answer is A

Explanation

A. "I need to speak with you about unit expectations regarding delegating and completing tasks.": This statement is direct, focuses on the issue at hand, and sets the stage for a constructive conversation about expectations and responsibilities.
B. "You have been very inconsiderate of others by not completing your share of the work.": This statement is accusatory and may lead to defensiveness rather than resolving the conflict.
C. "If you don't do your share of the work, I will have to inform the nurse manager.": This statement is threatening and does not foster a collaborative approach to problem-solving.
D. "Several staff members have commented that you don't do your fair share of the work.": This statement may lead to feelings of isolation and defensiveness, rather than addressing the behavior constructively.

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly. B. Remind employees who sustain back injuries that they are solely responsible for their actions. C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts. D. File a grievance about inadequate funding and an unsafe work environment.

Correct Answer is A

Explanation

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly: Reviewing and reinforcing proper use of equipment is a direct and practical approach to improving safety and reducing injuries.
B. Remind employees who sustain back injuries that they are solely responsible for their actions: Placing sole responsibility on employees ignores potential systemic issues and does not address the root cause of the problem.
C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts: Using Wikipedia as a source for developing procedures is inappropriate; reliable, evidence-based sources should be used for developing safety procedures.
D. File a grievance about inadequate funding and an unsafe work environment: While addressing funding and safety concerns is important, the immediate step should be to address procedural and equipment issues directly related to the injuries.

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A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

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Naxlex Comprehensive Predictor Exams

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer is A

Explanation

During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

Correct Answer is A

Explanation

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

To help nurse managers better manage their time, the chief nursing officer suggests that they:

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As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?

A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?