The nurse manager needs to create a patient satisfaction survey. What is one of the crucial factors to consider when choosing a patient satisfaction tool?

The ability to utilize a uniform tool across all clinical units.

Having the capability to assess patient satisfaction prior to a patient’s hospital discharge.

Including items that are important from the patient’s perspective.

Ensuring that the reading level does not exceed that of a third grader.

Answer and Explanation

The Correct Answer is C

Choice A Reason:

The ability to utilize a uniform tool across all clinical units can be beneficial for consistency and comparability of data. However, it is not the most crucial factor when choosing a patient satisfaction tool. The primary goal of a patient satisfaction survey is to gather meaningful feedback that can lead to improvements in patient care. Therefore, while uniformity is important, it should not overshadow the need to capture relevant and significant patient experiences.

Choice B Reason:

Having the capability to assess patient satisfaction prior to a patient’s hospital discharge is useful for obtaining timely feedback. This can help in addressing any immediate concerns and improving the patient’s overall experience before they leave the hospital. However, this factor alone does not ensure that the survey will capture the most important aspects of patient satisfaction. The content of the survey and its relevance to the patient’s experience are more critical.

Choice C Reason:

Including items that are important from the patient’s perspective is crucial for the effectiveness of a patient satisfaction survey. This approach ensures that the survey addresses the aspects of care that matter most to patients, leading to more accurate and actionable feedback. By focusing on patient-centered questions, healthcare providers can better understand and improve the areas that directly impact patient satisfaction. This aligns with best practices in survey design, which emphasize the importance of capturing the patient’s voice.

Choice D Reason:

Ensuring that the reading level does not exceed that of a third grader is important for accessibility and comprehension, especially in diverse patient populations. However, it is not the most crucial factor. While readability is essential to ensure that all patients can understand and respond to the survey, the content and relevance of the questions are more important for obtaining meaningful feedback.

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Correct Answer is C

Explanation

Choice A Reason:

Displaying the client’s medical diagnosis on a message board within the client’s room is a violation of patient privacy and confidentiality. According to the Health Insurance Portability and Accountability Act (HIPAA), patient information must be kept confidential and only shared with individuals directly involved in the patient’s care. Displaying such information publicly could lead to unauthorized access and breaches of confidentiality.

Choice B Reason:

Sharing her password with a new nurse during orientation to enable the new nurse to input her client’s vital signs is inappropriate. Password sharing is a significant security risk and violates hospital policies designed to protect patient information. Each healthcare worker should have their own login credentials to ensure accountability and maintain the integrity of the electronic health record system.

Choice C Reason:

Signing out of the computer system after recording a client’s intake and output measurements is an appropriate action. This practice ensures that patient information is secure and that the system is not left open for unauthorized access. It also helps maintain the accuracy and integrity of patient records by ensuring that only authorized personnel can make entries.

Choice D Reason:

Disposing of her nursing activity worksheet in a trash bin near the elevator at the conclusion of the shift is inappropriate. Nursing activity worksheets often contain sensitive patient information, and disposing of them in a public trash bin can lead to breaches of confidentiality. Proper disposal methods, such as shredding, should be used to ensure that patient information is securely destroyed.

A. “The patient must consent because the procedure is necessary for survival.” B. “Consent should not be forced.” C. “If the surgery is life-saving, we can proceed regardless of what the patient says.” D. “Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” E. “The patient has every right to refuse.”

Correct Answer is ["B","E"]

Explanation

Choice A Reason:

“The patient must consent because the procedure is necessary for survival.” This statement is incorrect because it implies that the necessity of the procedure overrides the patient’s autonomy. Informed consent is a fundamental ethical and legal requirement in healthcare. Patients have the right to make their own decisions about their treatment, even if refusing treatment may result in harm or death. Forcing consent undermines patient autonomy and can lead to legal and ethical issues.

Choice B Reason:

“Consent should not be forced.” This statement is correct and aligns with the principles of patient autonomy and informed consent. Forcing a patient to consent to a procedure violates their rights and can lead to ethical and legal complications. Healthcare providers must respect the patient’s decision, provide all necessary information, and support them in making an informed choice.

Choice C Reason:

“If the surgery is life-saving, we can proceed regardless of what the patient says.” This statement is incorrect. Even in life-saving situations, patients have the right to refuse treatment. There are very few exceptions to this rule, such as when a patient is deemed legally incompetent to make decisions. In such cases, a legal guardian or power of attorney may be involved. However, competent patients retain the right to refuse any medical intervention.

Choice D Reason:

“Sometimes patients refuse because they are anxious. Give them a sedative, then ask again.” This statement is inappropriate and unethical. Administering a sedative to obtain consent can be seen as coercive and does not respect the patient’s autonomy. It is important to address the patient’s concerns and anxiety through communication and support, rather than using medication to influence their decision.

Choice E Reason:

“The patient has every right to refuse.” This statement is correct and reflects the ethical principle of respect for patient autonomy. Patients have the right to make their own healthcare decisions, including the right to refuse treatment. Healthcare providers should ensure that patients are fully informed about their options and the potential consequences of their decisions, but ultimately, the decision rests with the patient.

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The nurse manager needs to create a patient satisfaction survey. What is one of the crucial factors to consider when choosing a patient satisfaction tool?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is observing the actions of an assistive personnel (AP). Which of the following actions by the AP is appropriate?

Correct Answer is C

Explanation

Correct Answer is ["B","E"]

Explanation

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