The chief executive officer asks the nurse manager of an intermediate care unit to justify the disproportionately high number of registered nurses on the unit. The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio?
Promotes teamwork among healthcare providers
Increases adverse events
Contributes to duplication of services
Improves client outcomes
The Correct Answer is D
Choice A reason: While promoting teamwork among healthcare providers is important, it is not the primary reason for maintaining a low nurse-to-patient ratio. Teamwork is a byproduct of adequate staffing, which allows nurses to collaborate effectively.
Choice B reason: Increasing adverse events is the opposite of what a low nurse-to-patient ratio aims to achieve. Research shows that higher nurse-to-patient ratios are associated with increased adverse events.
Choice C reason: A low nurse-to-patient ratio does not contribute to the duplication of services. Instead, it ensures that nurses can provide adequate attention and care to each patient, which can reduce the need for redundant services.
Choice D reason: Nursing research has validated that a low nurse-to-patient ratio improves client outcomes. Studies have shown that lower ratios are associated with reduced mortality, medication errors, ulcers, restraint use, infections, pneumonia, and improved intervention times.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: This choice is incorrect because effective followership involves questioning and providing feedback to leaders, which can lead to improved decision-making and innovation.
Choice B reason: This is the correct choice. In the context of nursing, leaders often take on the role of followers as well. They collaborate with other leaders and sometimes follow directives from higher management or adhere to policies, showing that leadership is not a one-way process but a dynamic interchange.
Choice C reason: This choice is incorrect. While followers do need structure, it does not necessarily have to be linear. Effective followership encourages independent critical thinking and active engagement, which can lead to job satisfaction and better patient outcomes.
Choice D reason: This choice is partially correct. While leaders should provide guidance to new staff, it is also important for leaders to encourage autonomy and critical thinking, allowing new staff to develop their skills and confidence.
Correct Answer is D
Explanation
Choice A reason: Conducting a chart review can provide insights into the care issue, but it does not directly address the employee's performance or reasons for failing to meet standards.
Choice B reason: Asking other staff to document concerns may be part of a broader investigation into the issue, but it should not be used solely for the purpose of discharging an employee without a fair assessment and opportunity for improvement.
Choice C reason: Asking questions of the employee can help understand their perspective and knowledge base, but it is not a comprehensive approach to dealing with performance issues.
Choice D reason: Determining if the issue is related to the employee's will or skill is essential. If it is a skill issue, the leader can provide additional training or resources. If it is a will issue, then further action, such as motivational interviewing or disciplinary measures, may be necessary. This approach ensures a fair and constructive response to the problem.
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