A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include?
Critical pathways-should reduce health care costs.
Nurses should discontinue the critical pathway if variances occur.
Critical pathways have an unlimited timeframe for completion.
Nurses' notes are used to create the critical pathway.
The Correct Answer is A
A. Critical pathways should reduce health care costs. Critical pathways, also known as clinical pathways or care maps, are evidence-based, multidisciplinary plans that outline expected care and outcomes for specific conditions. They aim to improve care efficiency, reduce complications, and lower healthcare costs by standardizing care.
B. Nurses should discontinue the critical pathway if variances occur. Variances—deviations from the expected pathway—are documented and analyzed, not a reason to discontinue the pathway. They help identify areas for improvement or necessary adjustments in patient care.
C. Critical pathways have an unlimited timeframe for completion. Critical pathways are time-bound, with specific goals and milestones to be met within a set timeframe based on typical recovery patterns for the condition being treated.
D. Nurses' notes are used to create the critical pathway. Critical pathways are developed using evidence-based guidelines, expert consensus, and clinical research, not individual nurses’ progress notes. However, nurses do document progress and variances within the pathway.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is []
Explanation
This client has multiple risk factors for pancreatitis, including type 2 diabetes mellitus, hyperlipidemia, and a history of cardiovascular disease. Although the vital signs are relatively stable, the presence of risk factors and a likely clinical presentation (e.g., abdominal symptoms assumed by context) are consistent with pancreatitis. In acute pancreatitis, the pancreas becomes inflamed and digestive enzymes may attack pancreatic tissue.
NPO status is essential to rest the gastrointestinal tract and reduce pancreatic stimulation. Opioids are typically required due to the severity of abdominal pain. Elevated glucose can result from impaired insulin production due to pancreatic inflammation. Jaundice may occur if the bile duct is obstructed due to pancreatic swelling or inflammation.
Correct Answer is B
Explanation
A. Delayed. Delayed grief is characterized by the postponement or suppression of grieving responses, often surfacing long after the loss has occurred. It does not apply here, as the family member is expressing active emotional struggle before the loss.
B. Anticipatory. Anticipatory grief occurs before an actual loss, such as when a loved one is dying from a terminal illness. The family member is beginning to grieve the impending death and the emotional impact of the future loss, which fits this type of grief.
C. Disenfranchised. Disenfranchised grief refers to grief that is not openly acknowledged or socially supported, such as the death of an ex-partner or a pet. In this scenario, the grief is acknowledged and supported, so this does not apply.
D. Exaggerated. Exaggerated grief involves intense symptoms that interfere with daily functioning, such as severe depression, phobias, or suicidal thoughts. The family member is expressing difficulty, but not at a level that indicates dysfunction.
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