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

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason: Stealing and selling narcotics is a criminal act and a clear violation of trust and legal obligations, warranting immediate dismissal.

Choice B reason: Unsupervised and punitive restraint of a patient is unethical, potentially illegal, and against medical standards, justifying immediate dismissal.

Choice C reason: Physical assault or threats against any staff member, including the unit manager, are serious offenses that compromise safety and warrant immediate dismissal.

Choice D reason: While failing to pursue further medical help is a serious concern, it may not always result in immediate dismissal. It requires investigation to understand the context and whether it was a case of negligence or a different issue.

A. State nurse practice act. B. More experienced nurse C. Website. D. Institutional policy and procedures manual.

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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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?

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Naxlex Comprehensive Predictor Exams

The following are grounds for immediate dismissal except:

Correct Answer is D

Explanation

A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed?

Correct Answer is D

Explanation

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