A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?
To save resources, I should wait to empty my client's drainable colostomy bag until it is completely full."
To reduce cost, I should encourage clients to receive an annual flu immunization."
To save money, I will re-use PPE after patient care as long as it is not visibly soiled."
To reduce time wasted, I should delegate my assistive personnel (AP) to perform my head-to- toe assessments."
The Correct Answer is B
A. Waiting to empty a colostomy bag until it is completely full can lead to complications such as leakage, skin irritation, or infection. This practice does not effectively save resources and could potentially increase overall costs due to additional care needs and complications.
B. Encouraging clients to receive an annual flu immunization is an appropriate and effective method to reduce costs. Vaccinations help prevent the spread of infectious diseases, which can reduce the incidence of illness and the associated costs of treatment and hospitalizations.
C. Re-using personal protective equipment (PPE) is not safe or recommended. PPE is designed for single- use to prevent the spread of infections and ensure the safety of both healthcare workers and patients. Re-using PPE, even if it is not visibly soiled, compromises infection control standards and can lead to increased costs and health risks if infections occur. This approach is neither cost-effective nor safe.
D. Head-to-toe assessments are critical for patient evaluation and require the expertise and judgment of a licensed nurse. Delegating this responsibility to assistive personnel (AP) is inappropriate and could jeopardize patient safety. While delegating tasks to APs can help manage workload, it is important to assign tasks within the scope of their training and responsibilities.
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Related Questions
Correct Answer is C
Explanation
A. While it's possible that a worsening health state could contribute to non-adherence, it's unlikely to be the sole factor, especially given that the patient has been explained the medication regimen multiple times.
B. While motivation is important for adherence, it's also unlikely to be the sole factor. Many patients with chronic conditions experience challenges with motivation, but effective education and support can help address this.
C. This is the most likely explanation for the patient's repeated non-adherence to the medication regimen. Health literacy refers to an individual's ability to understand and use health information to make informed decisions.
D. This is a possibility, but it's important to rule out other factors first. Cognitive impairment would likely manifest in other areas of the patient's life as well, and it's important to conduct a thorough assessment to determine if this is the case.
Correct Answer is B
Explanation
A. This description fits a patient classification system, but it doesn’t specifically define a prototype evaluation system. Patient classification systems, like the Resource Utilization Groups (RUGs) or the Patient Classification System (PCS), categorize patients to predict care needs and allocate resources.
B. This description fits an advanced scheduling or staffing system, which uses algorithms to manage schedules based on certain rules. While it involves evaluation and planning, it’s focused on staffing and scheduling rather than evaluating prototypes specifically. Prototype evaluation systems generally involve assessing and refining models or systems, not just scheduling.
C. A formula-driven approach to calculating nursing productivity involves measuring efficiency and performance based on predefined formulas. While this relates to evaluation, it is not specifically about prototype evaluation
D. This describes a system that rates patient care activities based on workload, which can be part of a classification or workload measurement system. However, it does not directly relate to a prototype evaluation system, which is more focused on assessing and refining prototypes rather than rating individual activities.
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