Author Question: A nurse is explaining a behavioral contract with the patient. Which statement by the nurse is most ... (Read 59 times)

melina_rosy · **on:** Jul 17, 2018

A nurse is explaining a behavioral contract with the patient. Which statement by the nurse is most accurate? A behavioral contract

a. lets me decide what rewards I will give you when you meet certain objectives.
b. does not have a specific time frame and continues until I terminate it.
c. eliminates the need to keep records of the behavior we are working on.
d. is planned and evaluated by both of us and concerns a specific goal.

Question 2

A nursing executive wishes to implement a new policy based on initial National Patient Safety Goals 2002 to eliminate wrong patient, wrong site, and wrong procedure. Which action by the executive would best meet one of the goals?

a. Collaborate with the laboratory for timely reporting of laboratory values.
b. Formulate a time-out policy.
c. Mandate that all fall-prone patients be clearly identified.
d. Reevaluate work flow design and patientstaffing ratios.

gcook · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

D
Both the patient and nurse are involved in planning and evaluating the contract and selecting the goals.
There are both intrinsic and extrinsic rewards in a good contract, and both the patient and nurse agree upon them.
The nurse and patient mutually decide on the time frame of a contract.
Good data collection and recording are part of a behavioral contract and can include things such as a food log.

Answer to Question 2

B
One of the initial National Patient Safety Goals 2002 was to eliminate wrong patient, wrong site, and wrong procedure surgeries, so establishing a policy that requires a time-out to verify patient, site, and procedure before starting an operation would help meet this goal.
Timely reporting of lab values would not be closely related to any of the initial National Patient Safety Goals 2002.
Reducing falls is a laudable goal, but identifying high-risk patients was not one of the initial National Patient Safety Goals 2002.
Work flow design and patientstaffing ratios may be related to patient errors, but these measures would not closely align with any of the original National Patient Safety Goals 2002.