The nursing assistants are refusing to care for D.J. Martin, 78 ...

[dbose]

The nursing assistants are refusing to care for D.J. Martin, 78 years old, because he hits at them whenever they try to move him from his bed into his chair. Mr. Martin has Alzheimer's disease and becomes very agitated at times during bathing.
 
  What is the best response by the licensed practical nurse?
  a. Tell the staff that they can take turns caring for Mr. Martin and set up a revolving assignment schedule
  b. Approach Mr. Martin's family and tell them that his behavior is unacceptable and if he does not stop hitting nursing assistants he will have to be restrained
  c. Transfer Mr. Martin to another section of the nursing home to take the stress off of the nursing assistants who have been caring for him since his admission
  d. Review the plan of care with the interdisciplinary team to develop strategies to decrease Mr. Martin's agitation during bathing

Question 2

The planning hoop contains four critical aspects of decision making. To set priorities and make excellent decisions, the nurse manager must understand the concept of planning. It is
 
  a. The process of making decisions based on facts and information rather than emotions and wishes
  b. The act of sitting in an office with the door shut to think things through clearly
  c. The ability to make a plan and have the strength never to change it despite what happens
  d. Developing the flexibility to keep making changes in the plan in each of the four critical aspects of the planning hoop

[nothere]

Answer to Question 1

D
Responses A, B, and C do not consider Mr. Martin's needs, and they do not provide positive direction or strategies for the nursing assistants caring for him. Response D is appropriate because all members of the health care team, the family, and the resident are involved in solving the care problem.

Answer to Question 2

A
Response A is the definition of planning. Effective planning requires you to sit behind a closed door to review what must be done and the most effective way to do it; however, there is more to it than just the thinking. The last two answers show the extremes of being rigid and of being too flexible.