In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:
Data systems offer supplementary documentation for adverse events that staff may not be able to provide.
Physiologic monitoring systems allow for the identification of early changes prior to the occurrence of an adverse event.
Frequently, patient data documentation is difficult to read, leading to misinterpretation.
Mistakes made by humans play a significant role in causing adverse events.
The Correct Answer is B
Choice A Reason:
Data systems offer supplementary documentation for adverse events that staff may not be able to provide. While data systems can enhance documentation and provide valuable information, the primary objective of deploying suitable technology in this context is to prevent adverse events. Supplementary documentation alone does not directly prevent adverse events but rather helps in understanding and analyzing them after they occur.
Choice B Reason:
Physiologic monitoring systems allow for the identification of early changes prior to the occurrence of an adverse event. This is the most accurate description of the objective. These systems continuously monitor patients’ vital signs and other physiological parameters, providing real-time data that can alert healthcare providers to early signs of deterioration. By identifying these changes early, interventions can be made promptly to prevent adverse events, thereby improving patient safety and outcomes.
Choice C Reason:
Frequently, patient data documentation is difficult to read, leading to misinterpretation. While this is a valid concern, it is not the primary focus of deploying patient surveillance systems. The objective is to prevent adverse events, and while improving documentation readability can contribute to better care, it does not directly address the prevention of adverse events through early detection and intervention.
Choice D Reason:
Mistakes made by humans play a significant role in causing adverse events. This statement is true, as human error is a common factor in adverse events. However, the deployment of suitable technology, such as physiologic monitoring systems, aims to mitigate these errors by providing continuous monitoring and early warning signs. The focus is on preventing adverse events through technology that supports human decision-making and reduces the likelihood of errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
Documenting the admission assessment in the chart is not typically within the scope of practice for an LPN. Admission assessments are comprehensive evaluations that require the clinical judgment and expertise of an RN. LPNs can assist with data collection, but the final assessment and documentation should be completed by an RN.
Choice B Reason:
Verifying with the client which medications they are taking is an appropriate task to delegate to an LPN. This task involves gathering information from the client, which is within the LPN’s scope of practice. The LPN can then report this information back to the RN, who will use it to make clinical decisions and update the care plan.
Choice C Reason:
Using client assessment findings to draw a conclusion and develop a plan is beyond the scope of practice for an LPN. This task requires critical thinking and clinical judgment, which are responsibilities of the RN. The LPN can assist in collecting assessment data, but the interpretation and planning should be done by the RN.
Choice D Reason:
Performing a complete assessment of the client is not typically within the LPN’s scope of practice. While LPNs can perform focused assessments and collect data, comprehensive assessments require the clinical expertise of an RN. The RN is responsible for the overall evaluation and care planning for the client.
Correct Answer is D
Explanation
Choice A Reason:
Nonmaleficence refers to the ethical principle of “do no harm.” It is primarily concerned with avoiding actions that could cause harm to others. While avoiding favoritism can prevent harm, the principle of nonmaleficence is more directly related to clinical and medical decisions rather than performance evaluations. In this context, the focus is on fairness and impartiality, which aligns more closely with the principle of justice.
Choice B Reason:
Confidentiality involves protecting private information and ensuring that it is not disclosed without consent. While confidentiality is important in performance evaluations to protect the privacy of employees, it is not the primary ethical principle demonstrated by avoiding favoritism. The main concern in this scenario is ensuring fairness and impartiality, which is better captured by the principle of justice.
Choice C Reason:
Autonomy refers to respecting individuals’ rights to make their own decisions and control their own lives. In the context of performance evaluations, autonomy might involve allowing employees to participate in the evaluation process or provide input. However, the primary ethical concern in avoiding favoritism is ensuring that evaluations are fair and unbiased, which is more directly related to the principle of justice.
Choice D Reason:
Justice is the ethical principle that emphasizes fairness, equality, and impartiality. In the context of performance evaluations, justice involves ensuring that all employees are evaluated based on their performance and contributions, without favoritism or bias. By being mindful to avoid favoritism, the manager is upholding the principle of justice, ensuring that the evaluation process is fair and equitable for all employees.
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