A manager identifies that he is spending more time than desired on completing repetitive paperwork. Which of the following would be appropriate ways to address this issue? (EXCEPT)

Correct Answer: B

Rationale: The correct answer is B because delegating staff evaluations to the staff nurse with the most experience is not an appropriate solution to reduce repetitive paperwork for the manager. Delegating evaluations may not necessarily address the issue of spending too much time on paperwork. A: Combining data reports can help reduce duplication and streamline the paperwork process. C: Assigning the preliminary draft of the schedule to a subcommittee can distribute the workload and free up time for the manager. D: Saying no to inappropriate paperwork assignments is a valid approach to manage workload effectively. In summary, B is the correct answer as it does not directly address the issue of spending excessive time on paperwork compared to the other options provided.

Correct Answer: B

Rationale: The correct answer is B because delegating staff evaluations to the staff nurse with the most experience is not an appropriate solution to reduce repetitive paperwork for the manager. Delegating evaluations may not necessarily address the issue of spending too much time on paperwork. A: Combining data reports can help reduce duplication and streamline the paperwork process. C: Assigning the preliminary draft of the schedule to a subcommittee can distribute the workload and free up time for the manager. D: Saying no to inappropriate paperwork assignments is a valid approach to manage workload effectively. In summary, B is the correct answer as it does not directly address the issue of spending excessive time on paperwork compared to the other options provided.

Correct Answer: B

Rationale: The correct answer is B: Beneficence and nonmaleficence. Beneficence refers to doing good and nonmaleficence refers to avoiding harm. Technology can create ethical conflicts because advancements may aim to benefit individuals (beneficence) but could also potentially cause harm (nonmaleficence). Other choices are incorrect: A) Justice is about fairness in distribution, not in conflict with beneficence; C) Veracity is truth-telling, not in direct conflict with beneficence; D) Confidentiality involves privacy, which is not directly in conflict with beneficence.

Correct Answer: D

Rationale: The correct answer is D: Improving patient care through technology. Informatics nurse specialists focus on utilizing technology to enhance patient outcomes and streamline healthcare processes. They analyze data, implement new technologies, and design systems to improve efficiency and quality of care. This role involves understanding both nursing practice and technology to bridge the gap between the two, ultimately benefiting patients. A: Managing electronic health records - While informatics nurse specialists may oversee EHR systems, their primary focus is on using technology to enhance patient care, not just managing records. B: Providing technical support - While they may provide some technical support, their main role is to leverage technology to improve patient outcomes, not solely to troubleshoot technical issues. C: Educating nursing staff - While education is a part of their role, the primary objective of an informatics nurse specialist is to improve patient care through technology, not just educating staff.

Correct Answer: C

Rationale: Rationale: - Patient outcomes are essential in a critical pathway for CHF to track progress and effectiveness of interventions. - Expected length of stay is not a core component but can be useful for resource planning. - Assigned healthcare team is important but not a core component in the critical pathway. - Medical history is relevant but not essential in the development of a critical pathway for CHF.

Correct Answer: C

Rationale: The correct answer is C: Continual monitoring. Quality improvement programs require ongoing monitoring to assess progress, identify areas for improvement, and make data-driven decisions. Continual monitoring allows for timely adjustments to processes and interventions to ensure sustained quality improvement. Blame and punishment (A) are counterproductive in a QI program as they can create a culture of fear and hinder open communication. Employee satisfaction (B) is important but not necessarily an essential element of a QI program. Strict adherence to policies (D) is important but alone may not lead to continuous improvement without the feedback loop provided by continual monitoring.

Correct Answer: C

Rationale: The correct answer is C because an elderly client awaiting a hip replacement typically requires ongoing support and coordination of services, making them a good candidate for case management. This client would benefit from assistance with navigating the healthcare system, coordinating appointments, and ensuring continuity of care post-surgery. Choice A is incorrect as the adolescent with a gunshot wound in the ER is likely to be in need of immediate medical intervention rather than case management. Choice B is incorrect as a young adult with a fractured pelvis may require medical treatment but may not necessarily need the level of ongoing support that case management provides. Choice D is incorrect as a 41-year-old client admitted for an outpatient tonsillectomy is a relatively straightforward procedure that may not require extensive case management services.

Correct Answer: A

Rationale: The correct answer is A: Use antimicrobial sanitizer for hand hygiene. Hand hygiene is crucial in preventing the spread of tuberculosis. TB is transmitted through respiratory droplets, not contact, so wearing a mask (choice B) is not effective. Limiting visitor time (choice C) may help reduce exposure, but hand hygiene is more critical. Wearing gloves for oral care (choice D) is important for standard precautions, but hand hygiene is the priority for TB prevention.

Correct Answer: B

Rationale: The correct answer is B: Remind the staff members that they are in a public location and sharing this information is a breach of the Health Insurance Portability and Accountability Act (HIPAA). Rationale: 1. HIPAA protects patients' confidentiality and prohibits the disclosure of personal health information without consent. 2. By reminding the staff members of this breach, the RN upholds ethical standards and protects the client's privacy. 3. Joining the conversation (choice A) would further violate the client's confidentiality. 4. Correcting a statement (choice C) may draw more attention to the conversation, potentially worsening the breach. 5. Ignoring the conversation (choice D) would be neglectful of the RN's duty to protect patient information.