The most important approach that a nurse manager can take with an emotionally troubled employee is to:
adjust the employee's work schedule to decrease stress.
assist the employee in obtaining professional help.
act as a therapist for the employee.
adjust the standard of care to assist the employee.
The Correct Answer is B
A. Adjusting the employee's work schedule may provide temporary relief, but it does not address the underlying emotional issues that need professional attention.
B. Assisting the employee in obtaining professional help is the most crucial action a nurse manager can take. This ensures that the employee receives the appropriate support and intervention needed to address their emotional challenges.
C. Acting as a therapist for the employee is outside the scope of a nurse manager's role and may lead to ethical and professional boundaries being crossed.
D. Adjusting the standard of care to assist the employee compromises the quality of patient care and is not a viable solution for supporting an emotionally troubled employee.
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Correct Answer is ["A","B","D","E"]
Explanation
A. Ensuring two fingers can fit between the device and the client is crucial for monitoring circulation and preventing skin breakdown.
B. Performing a neurovascular check every 2 hours is necessary to assess circulation and nerve function, ensuring that the restraint is not causing harm.
C. Securing the restraint to the bedrail is not appropriate; restraints should be secured to the movable part of the bed frame to avoid causing injury.
D. Obtaining a prescription renewal every 72 hours is required for ongoing restraints, as it ensures continued monitoring and justification for their use.
E. Implementing passive range-of-motion exercises is essential to maintain joint mobility and prevent complications associated with immobility.
Correct Answer is D
Explanation
A. While human error contributes to adverse events, the focus of selecting surveillance systems is on prevention through technology rather than just acknowledging errors.
B. Although data systems can provide documentation, the primary goal of surveillance systems is to monitor and prevent events rather than serve as a backup.
C. Illegibility in documentation can lead to errors, but this option does not specifically address the role of surveillance technology in preventing adverse events.
D. Physiologic monitoring systems are designed to detect early physiological changes, which can help prevent adverse events before they occur, aligning with the aim of using technology effectively.