In Don Miguel’s “The Four Agreements,” a collection of agreements is outlined to foster personal development and consciousness. Which of the following is NOT among the four agreements?
Be impeccable with your word.
Do not make assumptions.
Take all work matters personally.
Always do your best.
The Correct Answer is C
Choice A Reason
“Be impeccable with your word” is one of the four agreements outlined by Don Miguel Ruiz. This agreement emphasizes the importance of speaking with integrity and saying only what you mean. It encourages individuals to avoid using words to speak against themselves or gossip about others. This principle is foundational for fostering trust and respect in personal and professional relationships.
Choice B Reason
“Do not make assumptions” is another key agreement in the book. This agreement advises against making assumptions about others’ thoughts, feelings, or actions. Instead, it encourages clear communication to avoid misunderstandings and conflicts. By seeking clarity and asking questions, individuals can prevent unnecessary stress and improve their interactions with others.
Choice C Reason
“Take all work matters personally” is NOT one of the four agreements. In fact, one of the actual agreements is “Don’t take anything personally.” This agreement teaches that nothing others do is because of you; it is a reflection of their own reality. By not taking things personally, individuals can avoid unnecessary suffering and maintain their emotional well-being.
Choice D Reason
“Always do your best” is the fourth agreement in the book. This agreement encourages individuals to always strive to do their best, regardless of the circumstances. It acknowledges that one’s best can vary from moment to moment, but consistently putting in effort leads to personal growth and fulfillment. This principle helps individuals to avoid self-judgment and regret.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Making a copy of the incident report for the provider is not necessary. Incident reports are typically used for internal documentation and risk management purposes. They are not part of the patient’s medical record and should not be shared with the provider in this manner. The provider should be notified of the incident through appropriate channels, but a copy of the report is not required.
Choice B Reason:
Documenting in the chart that an incident report has been filed is inappropriate. The patient’s medical record should contain factual, objective information about the patient’s condition and care. Mentioning that an incident report has been filed can be seen as an admission of liability and is not recommended. The focus should be on documenting the patient’s condition and any care provided as a result of the fall.
Choice C Reason:
Placing the incident report in the client’s chart is incorrect. Incident reports are not part of the patient’s medical record and should be kept separate. They are used for internal purposes to improve patient safety and care processes. Including them in the patient’s chart can lead to legal complications and is against best practices.
Choice D Reason:
Submitting the incident report to the risk manager is the appropriate action. The risk manager is responsible for reviewing incident reports to identify potential risks and implement measures to prevent future occurrences. This process is crucial for maintaining patient safety and improving healthcare quality.
Correct Answer is B
Explanation
Choice A Reason:
Introducing substitute staff with fresh perspectives can harm the unit’s culture. While introducing substitute staff can bring fresh perspectives, it can also disrupt the established team dynamics and culture. Frequent changes in staff can lead to inconsistencies in patient care and communication issues among team members. However, this is not the primary consequence of absenteeism.
Choice B Reason:
Unacceptable patient care may result. The most significant consequence of absenteeism in a nursing unit is the potential for unacceptable patient care. When nurses are absent, the remaining staff may be overworked, leading to fatigue and burnout. This can result in errors, missed care, and overall lower quality of patient care. Ensuring adequate staffing levels is crucial to maintaining high standards of care and patient safety.
Choice C Reason:
Lower personnel numbers lead to reduced salary expenses, creating a positive variance. While it is true that fewer staff members can reduce salary expenses, this is not a positive outcome in the context of healthcare. Reduced staffing can compromise patient care quality and increase the workload for the remaining staff, leading to burnout and higher turnover rates. Therefore, this is not a desirable consequence of absenteeism.
Choice D Reason:
It may encourage other team members to engage in absenteeism. Absenteeism can indeed create a negative work environment where other team members may feel justified in also being absent. This can lead to a cycle of absenteeism, further exacerbating staffing issues and negatively impacting patient care. However, this is a secondary consequence compared to the direct impact on patient care quality.
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