A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?

Schedule the meeting to occur in the nursing station.

Arrange seating to sit across from the nurse.

Tell the nurse they need to improve their client care delivery.

Ask the nurse how things have been going since the last meeting.

Answer and Explanation

The Correct Answer is D

A. Schedule the meeting to occur in the nursing station: Conducting the meeting in the nursing station may not provide the privacy and confidentiality needed for a sensitive discussion about performance issues. A private setting is essential to encourage open communication and a constructive dialogue.

B. Arrange seating to sit across from the nurse: Sitting across from the nurse can create a confrontational atmosphere. It is more effective to arrange seating in a way that fosters collaboration and openness, such as sitting beside the nurse, which can help reduce tension during the conversation.

C. Tell the nurse they need to improve their client care delivery: Directly stating that the nurse needs to improve without first exploring their perspective may be perceived as accusatory and could lead to defensiveness. A more supportive approach is necessary to promote constructive feedback and development.

D. Ask the nurse how things have been going since the last meeting: This action is the most appropriate as it opens the conversation in a non-confrontational manner, allowing the nurse to express their thoughts and experiences. It fosters a supportive environment and encourages the nurse to reflect on their performance and any challenges they may be facing, leading to a more productive appraisal.

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Correct Answer is B

Explanation

A. Have adolescents lead peer discussions in schools about safe sexual practices: While this intervention promotes education and awareness, it primarily addresses social and educational factors rather than financial ones. It focuses on behavior change among peers rather than directly impacting financial barriers to healthcare access.

B. Distribute condoms through remote community clinics: This intervention directly addresses financial factors affecting community health by ensuring access to condoms, which may otherwise be a financial burden for some individuals. Providing free condoms helps reduce the economic barriers to safe sex practices and promotes better sexual health in the community.

C. Create commercial advertisements describing the long-term effects of HIV: While advertisements can raise awareness about HIV and its consequences, this intervention focuses on informational and awareness aspects rather than directly addressing financial barriers to health services or prevention resources.

D. Include information about perinatal HIV transmission at prenatal education classes: This intervention enhances education regarding HIV transmission but primarily addresses health education rather than financial factors. While it is crucial for preventing transmission, it does not focus on overcoming financial barriers that may limit access to necessary resources or care.

A. Change IV solution bags every 36 hr. B. Avoid the delegation of hygiene care to assistive personnel (AP). C. Wear sterile gloves when removing urinary retention catheters. D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.

Correct Answer is D

Explanation

A. Change IV solution bags every 36 hr: Changing IV solution bags every 36 hours may not align with evidence-based practices aimed at promoting cost-effective care. Instead, guidelines typically recommend changing them based on clinical need or specific protocols, which can help reduce waste and costs.

B. Avoid the delegation of hygiene care to assistive personnel (AP): Delegating hygiene care to assistive personnel is essential for effective team functioning and cost-effective care. Preventing delegation can lead to increased workloads for nursing staff, which may not be the most efficient use of resources.

C. Wear sterile gloves when removing urinary retention catheters: Wearing sterile gloves when removing urinary retention catheters is not necessary; clean gloves are sufficient for this procedure. Promoting correct practices that align with guidelines can help reduce costs associated with unnecessary supplies.

D. Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions: Educating staff on the correct use of PPE is vital for preventing infection, reducing the spread of illness, and minimizing healthcare costs associated with complications. Proper training ensures that resources are used effectively, promoting both safety and cost-effective care.

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A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the ecologic model for population health to develop interventions to address HIV in a community. Which of the following interventions should the nurse include to address financial factors affecting community health?

Correct Answer is B

Explanation

A nurse manager on an acute care unit is preparing a staff presentation about promoting cost-effective care. Which of the following strategies should the nurse plan to include in the presentation?

Correct Answer is D

Explanation

A nurse in an emergency department is preparing change-of-shift report for an adult client who is transferring to a medical-surgical unit using the SBAR communication tool. Which of the following information should the nurse include in the report? (Select all that apply.)

A hospice nurse is providing teaching to a client who has a new diagnosis of a terminal illness and their family. Which of the following statements should the nurse include in the teaching?

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The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?

A nurse in a clinic is caring for a client who has a urinary tract infection (UTI). Which of the following prescriptions should the nurse verify with a provider?

A nurse manager is teaching a group of employees about standards for Quality and Safety Education for Nurses (QSEN). Which of the following statements by an employee should the nurse manager identify as an example of the QSEN concept of quality improvement?

A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals?