During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first?

Train LPNs to reinforce teaching with clients using a standardized teaching plan.

Include documentation of client education as part of unit nurses' annual performance evaluation.

Determine factors that interfere with the documentation of client education.

Offer incentives for the staff once the unit's results are back in adherence with the benchmark.

Answer and Explanation

The Correct Answer is C

Choice A reason: This is not the correct choice because training LPNs to reinforce teaching with clients using a standardized teaching plan is a possible solution, but not the first step. The nurse manager should first identify the root cause of the problem before implementing any interventions.

Choice B reason: This is not the correct choice because including documentation of client education as part of unit nurses' annual performance evaluation is a way to monitor and evaluate the staff's performance, but not a way to improve it. The nurse manager should first address the barriers and challenges that prevent the staff from documenting client education effectively.

Choice C reason: This is the correct choice because determining factors that interfere with the documentation of client education is the first step in the quality improvement process. The nurse manager should use data analysis, staff feedback, and observation to find out the reasons for the low documentation results, such as lack of time, knowledge, skills, or resources.

Choice D reason: This is not the correct choice because offering incentives for the staff once the unit's results are back in adherence with the benchmark is a way to motivate and reward the staff, but not a way to solve the problem. The nurse manager should first implement evidence-based strategies to improve the documentation of client education, such as providing education, feedback, and tools.

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Correct Answer is B

Explanation

Choice A reason: The client's electrical cord is taped to the floor is not a safety hazard, but rather a safety measure to prevent tripping or pulling the cord.

Choice B reason: The client's bedside lamp is plugged in using an extension cord with two prongs is a safety hazard because it poses a risk of fire or electric shock. Extension cords should have three prongs and should not be used for permanent wiring.

Choice C reason: The client has used tacks to secure the carpet on the stairs is not a safety hazard, but rather a safety measure to prevent slipping or falling on the stairs.

Choice D reason: The client stores cleaning supplies in a locked cabinet above his head is not a safety hazard, but rather a safety measure to prevent accidental ingestion or exposure to toxic substances.

A. The time the client received his last dose of pain medication B. The steps to follow when providing wound care C. The client's preferred time for bathing D. The belief that the client has a difficult relationship with his son

Correct Answer is B

Explanation

Choice A reason: This is not the information that the nurse should include in the change-of-shift report. The time the client received his last dose of pain medication is not relevant to the transfer to the rehabilitation facility. The nurse should document the pain medication administration in the medication record and communicate it to the receiving nurse.

Choice B reason: This is the information that the nurse should include in the change-of-shift report. The steps to follow when providing wound care are important to ensure the continuity and quality of care for the client. The nurse should explain the type, location, and condition of the wound, the dressing materials and frequency, and any signs of infection or complications.

Choice C reason: This is not the information that the nurse should include in the change-of-shift report. The client's preferred time for bathing is not essential to the transfer to the rehabilitation facility. The nurse should respect the client's preferences and routines, but they are not a priority for the report.

Choice D reason: This is not the information that the nurse should include in the change-of-shift report. The belief that the client has a difficult relationship with his son is not based on facts and may be biased or inaccurate. The nurse should avoid making assumptions or judgments about the client's family dynamics and focus on the objective data and the client's needs.

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During a staff meeting, a unit manager reviews the results for documenting client education and finds that they are below the benchmark. Which of the following strategies should the nurse manager implement first?

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