In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

Replicate the organization's philosophy.

Identify the clients that will be served on the unit.

Reflect the culture of the unit and its values.

Be developed by the nursing manager on the unit.

Answer and Explanation

The Correct Answer is C

Choice A reason: While the unit's philosophy should align with the organization's overall philosophy, it should not merely replicate it but rather adapt it to the specific context of the unit.

Choice B reason: Identifying the clients that will be served is important for service planning but is not the sole component of a unit's philosophy.

Choice C reason: The philosophy should encapsulate the unit's culture and values, guiding the approach to care and decision-making within the unit.

Choice D reason: Although the nursing manager plays a crucial role in developing the philosophy, it should be a collaborative process involving input from the entire unit team.

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Correct Answer is A

Explanation

Choice A reason: A formalized competency program with established standards for practice ensures that all nurses meet a certain level of proficiency and adhere to the same high standards, which is essential for preventing clinical incompetence.

Choice B reason: While a standardized clinical skills checklist can be a useful tool for assessing specific skills, it does not encompass the comprehensive approach of a formalized competency program.

Choice C reason: Personality tests and competency assessments at the point of hire can help in selecting competent staff, but they are not sufficient on their own to prevent clinical incompetence throughout an employee's tenure.

Choice D reason: A flexible protocol for evaluating competency skills may allow for individualized assessment, but without established standards, it may not effectively prevent clinical incompetence.

A. Assist with follow-up documentation and offer access to counseling. B. Offer the nurse immediate education and training in self-defense. C. Encourage the nurse to view the incident as a normal part of care. D. Provide access to a lawyer so a formal complaint can be filed.

Correct Answer is A

Explanation

Choice A reason: This is the appropriate response as it addresses the immediate need for support and ensures that the incident is properly recorded.

Choice B reason: While education and training in self-defense may be beneficial, it is not the immediate concern following such an incident.

Choice C reason: Encouraging the nurse to view physical assault as a normal part of care is inappropriate and can lead to a harmful work environment.

Choice D reason: Providing access to a lawyer may be necessary if the nurse decides to take legal action, but the initial response should focus on support and documentation.

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In opening a new dialysis unit, the nurse manager has to develop a philosophy for the unit. This philosophy needs to:

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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