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 A

Explanation

A. A client awaiting a screening colonoscopy later that day: This client is appropriate for early discharge. As the procedure is non-invasive and not urgent, the client can be discharged and return for the scheduled screening without compromising their health. This decision allows for the efficient use of hospital resources following a mass casualty event.

B. A client whose discharge was cancelled the prior day because they developed respiratory distress: Recommending discharge for this client is not advisable, as their recent respiratory distress indicates ongoing health issues that require monitoring and care. Early discharge could jeopardize their safety and recovery.

C. A client who is 6 hr postoperative following an open cholecystectomy: This client is not a suitable candidate for early discharge. Postoperative patients typically require observation and care to monitor for complications, such as infection or bleeding, in the hours following surgery. Early discharge could put this client's recovery at risk.

D. A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity: This client should not be recommended for early discharge, as they require ongoing treatment and monitoring for aspirin toxicity. Discharging this client prematurely could lead to serious health complications and does not ensure their safety and well-being.

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care." B. "Once I choose a health care proxy, they will start making my health care decisions." C. "I am required to complete these documents during my hospital stay." D. "The hospital is legally required to provide me information on these documents." E. "When completed, a copy of these documents will be kept in my medical record." F. "These documents provide instructions about my care preferences."

Correct Answer is ["A","D","E","F"]

Explanation

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.

B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.

C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.

D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.

E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.

F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.

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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 manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?

Correct Answer is A

Explanation

A nurse manager is participating in the care of a client. Exhibits Which of the following client statements indicate an understanding of the teaching? Select all that apply.

Correct Answer is ["A","D","E","F"]

Explanation

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