A Nurse Manager completes an interruption log and identifies two staff members who take an inordinate amount of time with drop-in issues that are not urgent. What are some methods to address this behavior in an attempt to better manage time? (Select all that apply.)

Correct Answer: A

Rationale: Correct Answer: A: Designate specific time slots for drop-in visits. Rationale: 1. Designating specific time slots for drop-in visits allows for better time management by setting boundaries and expectations. 2. It helps staff members plan their interactions with the Nurse Manager, reducing interruptions throughout the day. 3. This method promotes efficiency and productivity by consolidating similar tasks into designated blocks of time. Summary of other choices: B: Position the desk chair so it is not facing the hallway - This may help reduce distractions but does not directly address time management. C: Communicate with staff about using e-mail for non-urgent matters to improve time management - While this is a good practice, it does not specifically address the issue of inordinate time spent on drop-in visits. D: When staff members drop in, the manager should stand and remain standing during the conversation - Standing may convey urgency, but it does not provide a structured approach to managing time effectively.

Correct Answer: D

Rationale: The correct answer is D: affinity map. When a problem is not easily identified, using an affinity map can help organize and visually represent different ideas or information related to the issue. This method allows for clustering similar themes or concepts, leading to a clearer understanding of the problem. A: Trial and error involves randomly trying different solutions without a systematic approach. B: The Delphi method is a structured communication technique for gathering opinions from experts, which may not directly help in identifying the problem. C: Political decision-making model focuses on power dynamics and interests, which may not be relevant for problem identification. In summary, using an affinity map promotes structured organization of information, making it the most suitable choice for identifying unclear problems.

Correct Answer: D

Rationale: The correct answer is D: Glycosylated hemoglobin level. This test provides an average blood glucose level over the past 2-3 months, reflecting long-term glycemic control. It is preferred for monitoring treatment effectiveness in diabetes. Urine dipstick for glucose (A) only detects current glucose levels in urine, not overall control. Oral glucose tolerance test (B) evaluates how the body processes glucose, not long-term control. Fasting blood glucose level (C) provides a snapshot of blood glucose at a specific moment, not long-term control.

Correct Answer: D

Rationale: The correct answer is D. This statement indicates a need for additional teaching because it shows a lack of understanding about diabetes complications. Here's the rationale: 1. Diabetes can lead to complications even if the patient doesn't need insulin. 2. Complications like heart disease, neuropathy, and kidney damage can still occur in type 2 diabetes. 3. Believing that not needing insulin means no complications is a misconception. 4. Patients with type 2 diabetes need to manage their condition carefully to prevent complications. 5. Therefore, educating the patient about potential complications is crucial for their overall health.

Correct Answer: D

Rationale: The correct answer is D because an elevated BUN level of 52 mg/dL indicates potential kidney dysfunction, which is a contraindication for metformin due to the risk of lactic acidosis. A: Blood glucose level of 174 mg/dL is slightly high but not a contraindication for metformin. B: Weight gain is unrelated to metformin administration. C: Chest x-ray does not directly impact metformin administration.