When the clinical nurse leader is asked to defend the use of ...

[maychende]

When the clinical nurse leader is asked to defend the use of clinical pathways to a hospitalwide
  committee, which should be stated as an advantage? Clinical pathways
 
  a. obscure resource management.
  b. deter collaborative practice.
  c. are generic rather than individualized.
  d. make it easy to monitor treatment progression.

Question 2

The nurse is talking with a young male client and has 5 minutes to go in the session with him. He
  has been silent and sullen most of the session and has been staring at the floor for the last 10
  minutes.
 
  A troubled young woman comes to the door of the room and says to the nurse, I really
  need to talk to you.. The nurse should
  a. tell the woman she is busy at the present time.
  b. end the session and spend time with the young woman.
  c. invite the woman to sit down and join in the session with the other client.
  d. tell the woman that the session with this client will take 5 more minutes, after
  which the nurse will talk with her.

[tmlewis4706]

Answer to Question 1

ANS: D
When treatment and outcomes are projected on a day-to-day basis, monitoring and outcome
evaluation are simplified. Exceptions are quickly noted. This is of considerable advantage to the
treatment team. Option A: Pathways actually facilitate resource management, particularly in the area
of staffing. Option B: Pathways support collaborative practice. Option C: Generic treatment plans
are useful because they are evidence based and complete plans for a client with a specific disorder.
They can easily be modified to meet individual needs.

Answer to Question 2

ANS: D
When a specific duration for sessions has been set, the nurse must adhere to the schedule. Leaving
the first client would be equivalent to abandonment and would destroy any trust the client had in the
nurse. Adhering to the contract demonstrates that the nurse can be trusted and that the client and the
sessions are viewed as important. Option A preserves the nurse-client relationship with the young
male client but may seem abrupt to the young female client. Option B abandons the young male
client. Option C does not observe the contract with the young male client.

[maychende]

Excellent

[olderstudent]

TYSM