A nurse is serving on a committee whose task is to plan cost-effective care at the facility. Which of the following client care tasks should the nurse recommend?

Choice A Reason:
Obtaining client intake and output instead of delegating the task to an assistive personnel, may or may not indicate effective time management. It depends on the specific circumstances and urgency of other tasks. Delegating appropriate tasks to assistive personnel can be a component of effective time management when done judiciously.
Choice B Reason:
Documenting medications administered throughout the shift at the end of the day, is not indicative of effective time management. Delaying documentation until the end of the day can lead to inaccuracies, omissions, and potential safety concerns. Timely documentation is essential for maintaining accurate and up-to-date records.
Choice C Reason:
Reviewing a client's medical record before performing a prescribed dressing change is correct. Effective time management involves prioritizing tasks, organizing workflow efficiently, and completing tasks in a timely manner while maintaining quality of care. Option C demonstrates effective time management because reviewing a client's medical record before performing a prescribed dressing change ensures that the nurse is prepared and has all necessary information to perform the task accurately and safely. This action indicates proactive planning and organization, which are key aspects of effective time management.
Choice D Reason:
Skipping lunch to catch up on client documentation, is not indicative of effective time management. Skipping meals can negatively impact the nurse's well-being and ability to provide safe and effective care. Effective time management involves finding a balance between completing tasks efficiently and taking breaks to maintain personal health and well-being.

Choice A Reason:
Ensuring goals of the facility are being met is correct. Nurse managers are responsible for ensuring that the unit's activities align with the overall goals and objectives of the healthcare facility.
Choice B Reason:
Making decisions on the unit is not necessarily exclusive to the nurse manager role. While nurse managers do have authority to make decisions on the unit, decision-making may also involve collaboration with other members of the healthcare team and may not be solely the responsibility of the nurse manager. Therefore, it's not a specific responsibility that should be included in this context.
Choice C Reason:
Delegating tasks to assistive personnel is correct. Nurse managers delegate tasks to assistive personnel based on their scope of practice and the needs of the unit, ensuring efficient and effective care delivery.
Choice D Reason:
Rewarding and discipline staff as necessary is correct. Nurse managers are responsible for recognizing and rewarding staff for their contributions, as well as addressing performance issues through appropriate disciplinary measures when necessary to maintain a productive work environment.
Choice E Reason:
Monitoring overall functions of the unit is correct. Nurse managers oversee the day-to-day operations of the unit, including staffing, patient care delivery, adherence to policies and procedures, and quality improvement initiatives. They are responsible for ensuring that the unit functions smoothly and efficiently to provide safe and high-quality care to patients.