The nurse is appointed to a clinical-administrative task force ...

[Tirant22]

The nurse is appointed to a clinical-administrative task force studying critical staffing issues and care delivery models for the hospital.
 
  Which evidence on the effects of different staffing choices and care delivery models should the task force consider?
  Select all that apply.
  A) Higher nurse-client ratios have been linked to a decrease in the amount of time clients are hospitalized.
  B) Shared governance is linked to a reduction in adverse outcomes.
  C) A higher proportion of registered nurses can reduce the risk of mortality in surgical clients.
  D) Research indicates that functional assignment of staff improves the likelihood of meeting clients' emotional needs.
  E) There is little or no research studying nursing ratios and client outcomes.

Question 2

The nurse is admitting a client to an inpatient psychiatric unit. The client is speaking wildly in another language and is obviously very agitated. Which action by the nurse would be appropriate to calm the client?
 
  A) Placing the client in a room, away from others
  B) Speaking to the client in a soft and calm tone
  C) Administering a prn medication to sedate the client
  D) Using short sentences when talking to the client

[Jossy]

Answer to Question 1

Answer: A, C

Higher nurse-client ratios have been associated with shorter lengths of stay and fewer complications. A recent study depicted a significant reduction in the risk of mortality in surgical clients when the proportion of registered nurses was higher. There is little research on care delivery models since it is more difficult to compare outcomes because each unit may employ slight variations of the model. Research continues to prove that higher nursing ratios result in fewer adverse outcomes for clients.

Answer to Question 2

Answer: B

Speaking in a soft, calm manner to an excited client is the first step to try defusing the situation. The nurse's tone may calm the excited client, regardless of language. Using short sentences is a useful tool, but in the case of an excited client, the nurse would attempt to calm the client first. Isolating the client may be necessary if the client's behavior escalates to violence, but that is not evident here and is not the first choice of action. Giving a sedative is the last resort and is used only if the client is threatening to hurt self or others.

[Tirant22]

Excellent

[kusterl]

TYSM