The nurse manager scheduled a meeting with a nurse who works on ...

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The nurse manager scheduled a meeting with a nurse who works on the unit. The nurse enters the nurse manager's office while talking on a wireless cellular phone.
 
  To conserve time, which of the following statements by the nurse manager is the best response?
  1. Come on in and sit down. I'll write down what I want to talk about with you on this pad of paper.
  2. No reason to get off the phone. I think I can tell you briefly what I want you to understand.
  3. We'll need to meet at another time. I can't talk to you while you're on the phone.
  4. This is an unacceptable use of my time and yours, and will result in your termination from this organization.

Question 2

The nurse manager's unit has been very short-staffed due to an increased number of employee health issues. The nurse manager began enforcing mandatory overtime for the remaining staff to cover open shifts.
 
  The nurse manager is examining a recent set of incident reports that occurred on the unit. Which of the following employee incidents might be related to these staffing issues? Select all that apply.
  1. Sixteen units of regular insulin were ordered for the client, but the nurse gave 61 units of regular insulin.
  2. All of the clients under the nurse's care received their 9 a.m. medications after 11:30 a.m.
  3. The nurse slipped on a wet floor after the client spilled his water on the floor.
  4. The nurse was injured while attempting to turn a 420-pound person alone.
  5. The nurse gave the client another client's medications.

[rnehls]

Answer to Question 1

Answer: 3

Rationale: The nurse manager must use effective communication techniques to facilitate time management. Sometimes technology can maximize the use of a person's time, and sometimes it can hinder it. When there is an overload of communication, this results in poor use of time by those involved. Good communication is fundamental to the effective use of resources. It is appropriate for the nurse manager to tell the nurse to come back at another time to meet. The nurse manager should not attempt to communicate with the nurse while the nurse is on his phone. This would result in information overload and ineffective information sharing during their meeting. The time would have been wasted. There is no reason to terminate the nurse, because there is nothing to suggest that this is a continued problem for the nurse.

Answer to Question 2

Answer: 1; 2; 4; 5

Rationale:
 Sixteen units of regular insulin was ordered for the client, but the nurse gave 61 units of regular insulin. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. This is an error related to not following specific principles of client rights regarding medication administration.
 All of the clients under the nurse's care received their 9 a.m. medications after 11:30 a.m. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. These medications were not administered within a safe window of time due to poor staffing and nurse fatigue.
 The nurse slipped on a wet floor after the client spilled his water on their floor. This issue sounds like an accident, unrelated to staffing.
 The nurse was injured while attempting to turn a 420-pound person alone. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. Nurses should seek help when attempting to turn or lift people who are larger. The nurse should have sought help in this instance. This might have been related to poor staffing.

 The nurse gave the client another client's medications. When a unit is understaffed and a nurse manager begins using mandatory overtime to fill the open shifts, this leads to unsafe nursing practice. When nurses are hurried, they can make mistakes. This might have been related to poor staffing.

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Gracias!

[ktidd]

Excellent