The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

Analyze the cause of the problem.

Define the problem.

Measure the problem.

Solve the root cause.

Answer and Explanation

The Correct Answer is B

Choice A reason: While analyzing the cause is an important part of the process, it cannot be effectively done without first having a clear definition of what the problem is.

Choice B reason: Defining the problem is crucial as it sets the stage for all subsequent steps in the Quality Management process. It ensures that everyone understands what the issue is and agrees on its importance.

Choice C reason: Measuring the problem is necessary to understand its extent and impact, but it comes after the problem has been defined and before solutions are considered.

Choice D reason: Solving the root cause is the ultimate goal, but it is a later step that follows defining, analyzing, and measuring the problem.

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Correct Answer is C

Explanation

Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.

Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.

Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.

Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.

A. Assist with follow-up documentation and offer access to counseling. B. Offer the nurse immediate education and training in self-defense. C. Encourage the nurse to view the incident as a normal part of care. D. Provide access to a lawyer so a formal complaint can be filed.

Correct Answer is A

Explanation

Choice A reason: This is the appropriate response as it addresses the immediate need for support and ensures that the incident is properly recorded.

Choice B reason: While education and training in self-defense may be beneficial, it is not the immediate concern following such an incident.

Choice C reason: Encouraging the nurse to view physical assault as a normal part of care is inappropriate and can lead to a harmful work environment.

Choice D reason: Providing access to a lawyer may be necessary if the nurse decides to take legal action, but the initial response should focus on support and documentation.

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The risk manager informs the nurse manager of an orthopedic unit that her unit has had an increase in incident reports related to patients falling during the 11-7 shift. The nurse manager knows that the first step in Quality Management is to:

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Correct Answer is C

Explanation

A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:

Correct Answer is A

Explanation

A charge nurse explains a new procedure to a staff nurse. However, the staff nurse is upset about working understaffed. The charge nurse recognizes that which barrier to communication is influencing this dialogue?

A nurse manager insists on ensuring that a patient receives the treatment that is customary for the condition, despite the patient's inability to pay. The nurse manager is:

Resistance is most likely to occur when change:

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What is the most important approach that a nurse manager can take with an emotionally troubled employee?

A nurse manager is aware that which of the following is an internal factor that impacts staffing?

A staff nurse has the goal of becoming a manager and is studying the leader-follower relationship.What has the nurse discovered as an accurate part of the leader-follower relationship?