A nurse manager is considering changing the policy for administering medications to clients on a unit. Which of the following actions should the nurse manager take first?

Recognize individual efforts during the change process.

Develop strategies to enhance acceptance of changes.

Create a task force to implement needed changes.

Determine the unit staff's perception of the need for change.

Answer and Explanation

The Correct Answer is D

Rationale:

A. This option is incorrect because recognizing individual efforts is part of reinforcing and sustaining change, which occurs after staff have been engaged and the change process has begun.

B. This option is incorrect because developing strategies to enhance acceptance is a later step that depends on understanding staff perceptions and potential barriers. Implementing strategies without assessing perceptions may lead to resistance.

C. This option is incorrect because creating a task force is an implementation step. Without first understanding the staff’s perception of the need for change, the task force may not effectively address concerns or gain staff support.

D. This option is correct because the first step in managing change is to assess and determine the staff’s perception of the need for change. Understanding staff attitudes, concerns, and readiness helps the nurse manager plan effectively, anticipate resistance, and develop strategies to engage the team in the policy change.

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Correct Answer is A

Explanation

Rationale:

A. This option is correct because discussing a client’s condition with other healthcare team members who are directly involved in the client’s care is allowed under HIPAA and professional nursing standards. Sharing information with the care team ensures continuity and safety of care while maintaining confidentiality within the context of treatment.

B. This option is incorrect because sharing a client’s condition with their partner or any family member is only permitted if the client has provided consent or if the family member is designated as a healthcare proxy. Without consent, disclosure violates the client’s right to privacy.

C. This option is incorrect because posting a client’s medical information, such as allergies, on a visible message board can expose private health information to unauthorized individuals. This is a breach of confidentiality and HIPAA regulations.

D. This option is incorrect because speaking about a client’s care outside their room, even with a family member present, risks the information being overheard by unauthorized individuals. Confidential discussions should occur in private areas and only with those authorized to receive the information.

A. A client admitted 48 hr ago who has anorexia and a BMI of 23 B. A client who has COPD and an oxygen saturation of 92% C. A client who is 1 week postoperative following a hip fracture D. A client who has decreased mobility and reports constipation

Correct Answer is C

Explanation

Rationale:

A. This option is incorrect because a client with anorexia and a BMI of 23 is at risk for nutritional concerns, but their condition is not immediately urgent. While important, it does not require the highest priority for an interdisciplinary care conference.

B. This option is incorrect because a client with COPD and an oxygen saturation of 92% is stable. Although ongoing monitoring and management are needed, this does not necessitate immediate interdisciplinary discussion compared with more complex or higher-risk situations.

C. This option is correct because a client who is 1 week postoperative following a hip fracture is at increased risk for complications such as infection, delayed healing, deep vein thrombosis, and impaired mobility. An interdisciplinary care conference involving nurses, physical and occupational therapists, social workers, and physicians can help coordinate care, address rehabilitation needs, and prevent complications, making this client the highest priority for collaborative planning.

D. This option is incorrect because decreased mobility and constipation are common concerns in long-term care and can be managed with routine interventions. While important, they do not require the immediate coordination and problem-solving that a postoperative hip fracture client does.

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A nurse manager is considering changing the policy for administering medications to clients on a unit. Which of the following actions should the nurse manager take first?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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