When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is:

The growing proportion of the population that will surpass the age of 65.

Rising incidents of workplace violence.

Increases in healthcare expenses.

Changes in staffing patterns.

Answer and Explanation

The Correct Answer is A

Choice A Reason:

The growing proportion of the population that will surpass the age of 65 is a significant demographic shift with substantial implications for future healthcare delivery systems. As the population ages, there will be an increased demand for healthcare services, particularly for chronic disease management, long-term care, and geriatric care. This shift will require healthcare systems to adapt by expanding services, increasing the workforce specialized in geriatric care, and developing new models of care to meet the needs of an aging population.

Choice B Reason:

Rising incidents of workplace violence are a serious concern in healthcare settings, impacting the safety and well-being of healthcare workers. However, this issue, while critical, does not represent a demographic shift. Addressing workplace violence involves implementing safety protocols, training staff, and creating a supportive work environment. It is an operational challenge rather than a demographic one.

Choice C Reason:

Increases in healthcare expenses are a major challenge for healthcare systems worldwide. Rising costs can strain resources and limit access to care. However, this issue is more related to economic and policy factors rather than a demographic shift. Strategies to manage healthcare expenses include cost-containment measures, value-based care models, and efficient resource utilization.

Choice D Reason:

Changes in staffing patterns are important for adapting to evolving healthcare needs. These changes can include shifts in the roles and responsibilities of healthcare professionals, the integration of new technologies, and the development of interdisciplinary teams. While staffing patterns are crucial for effective healthcare delivery, they are influenced by demographic shifts rather than being a demographic shift themselves.

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Correct Answer is A

Explanation

Choice A Reason:

The wrong operation was performed on a patient. This incident is a clear example of a sentinel event. According to The Joint Commission, a sentinel event is a patient safety event that results in death, permanent harm, or severe temporary harm and requires immediate investigation. Performing the wrong operation on a patient is a serious error that can lead to significant harm or even death, making it a sentinel event.

Choice B Reason:

A client received an incorrect dose of medication, but it did not result in injury. While administering an incorrect dose of medication is a medication error, it does not qualify as a sentinel event if it does not result in harm. Sentinel events are defined by the severity of the outcome, and in this case, the lack of injury means it does not meet the criteria.

Choice C Reason:

A patient complains that a nurse was rude and abrasive. Although this behavior is unprofessional and can affect patient satisfaction and trust, it does not constitute a sentinel event. Sentinel events are related to significant harm or risk of harm to the patient, which is not the case here.

Choice D Reason:

A nurse withholds a medication upon suspecting that the patient may be allergic to the drug. This action is a precautionary measure taken to prevent potential harm and is not a sentinel event. In fact, it demonstrates good clinical judgment and adherence to patient safety protocols.

A. File a grievance about inadequate funding and an unsafe work environment. B. Remind employees who experience back injuries that they are solely responsible for their actions. C. Copy and adopt the mechanical lift procedures implemented in neighboring hospitals. D. Review the correct procedure with staff members who use the mechanical lifts incorrectly.

Correct Answer is D

Explanation

Choice A Reason:

Filing a grievance about inadequate funding and an unsafe work environment might address some systemic issues, but it does not directly resolve the immediate problem of back injuries. While it is important to advocate for better resources and safer working conditions, this action alone does not provide a practical solution for the current misuse of mechanical lifts.

Choice B Reason:

Reminding employees who experience back injuries that they are solely responsible for their actions is not an effective or supportive approach. This method can lead to a blame culture, which is counterproductive and can demoralize staff. It is essential to focus on training and support rather than placing blame on individuals.

Choice C Reason:

Copying and adopting the mechanical lift procedures implemented in neighboring hospitals might be beneficial if those procedures are proven to be effective. However, this approach assumes that the neighboring hospitals’ procedures are superior without first understanding the specific issues within the unit. It is better to tailor solutions to the unique needs and challenges of the unit.

Choice D Reason:

Reviewing the correct procedure with staff members who use the mechanical lifts incorrectly is the most immediate and practical solution. This approach addresses the root cause of the injuries by ensuring that staff are properly trained and aware of the correct usage of the equipment. Proper training and adherence to safety protocols can significantly reduce the risk of injuries. Additionally, this method fosters a culture of continuous improvement and safety.

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When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager participates in a quality-improvement committee seeking to reduce the risk of sentinel events in a healthcare facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Correct Answer is A

Explanation

During a review of back injuries, a unit manager discovers a large number of injuries are occurring even though mechanical lifts are being used. It is also discovered that some of the mechanical lifts are outdated. In establishing a quality improvement plan, the unit manager should:

Correct Answer is D

Explanation

As a manager, you want to create behavioral interview questions. Considering occasional team conflicts on your unit, which of the following questions would address your goal of using behavioral questions effectively?

The primary strategy a nurse should adopt when dealing with an emotionally distressed employee is to:

A manager observes a rise in medication errors following staffing changes. What approach should the manager consider to decrease errors?

In Don Miguel’s “The Four Agreements,” a collection of agreements is outlined to foster personal development and consciousness. Which of the following is NOT among the four agreements?

A nurse is delivering a presentation on client confidentiality to a group of newly licensed nurses. Which of the following actions demonstrates a breach in patient confidentiality?

A patient, while smoking in the bathroom, disposed of a cigarette into a wastepaper basket, causing it to start smoldering. What should be the nurse’s top priority in this situation?

In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?

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