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.
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 B
Explanation
Choice A reason: Posting comparisons of client satisfaction scores can be motivating for the staff, but it may also create unnecessary competition and stress, which could negatively impact client care and satisfaction.
Choice B reason: Involving staff in resolving client issues quickly and effectively can directly improve client satisfaction. It demonstrates a commitment to addressing concerns and improving the client experience.
Choice C reason: Asking clients to put complaints in writing can be part of a formal grievance process, but it may not strengthen client satisfaction as it could be perceived as bureaucratic and unresponsive.
Choice D reason: Ensuring that staff apologize only when it is their fault does not foster a culture of accountability and service recovery, which are important for client satisfaction. Apologies can be powerful in healing and restoring client trust, even if the staff is not at fault.
Correct Answer is D
Explanation
Choice A: State nurse practice act
The State Nurse Practice Act is a set of laws that governs how nurses should practice nursing in each state. It provides a broad framework for the practice of nursing, but it does not provide specific details about procedures such as inserting an IV catheter.
Choice B: More experienced nurse
While a more experienced nurse can be a valuable resource for a newly licensed nurse, they may not always be available. Additionally, their methods may vary and may not always align with the current best practices or institutional policies.
Choice C: Website
While there are many educational resources available online, the information on websites can vary in quality and may not be up-to-date or in line with the specific policies and procedures of the nurse's institution.
Choice D: Institutional policy and procedures manual
The institutional policy and procedures manual is the most reliable source for a newly licensed nurse to review the procedure and the standard at which it should be performed. This manual provides detailed, step-by-step instructions for various procedures and is tailored to the specific practices and standards of the institution. Therefore, it is the best choice in this scenario.
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