A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching?

Correct Answer: C

Rationale: The correct answer is C: Use the abbreviation SC when indicating a subcutaneous injection. This is important because using standardized abbreviations helps prevent medication errors. SC is the accepted abbreviation for subcutaneous injections, ensuring clear communication among healthcare providers. Choice A is incorrect as using the complete name of medications can be time-consuming and unnecessary in documentation. Choice B is incorrect as spaces should be maintained between the numerical dose and the unit of measure for clarity. Choice D is incorrect as 'U' is not the standard abbreviation for insulin dosage; instead, units should be written in full to avoid confusion.

Correct Answer: A

Rationale: The correct answer is A: Job enlargement. Job enlargement involves adding more tasks of a similar level of complexity to an existing job role. In this scenario, the manager is given additional responsibilities without a new hire, which expands the scope of their role. This aligns with the concept of job enlargement. Explanation for why other choices are incorrect: B: Proactive management typically involves taking preventive actions to address potential issues before they occur. This situation does not involve proactive measures. C: Time log refers to tracking and recording time spent on various tasks, which is not relevant to the scenario described. D: Prioritizing involves determining the order of importance of tasks. While prioritizing may be necessary in this situation, it is not the best fit for the scenario provided.

Correct Answer: B

Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when individuals are unwilling to cooperate or communicate effectively, leading to negative consequences. In this scenario, the resident and nurse are engaging in disruptive conflict by refusing to answer calls and retaliating with more calls. This behavior disrupts the communication and collaboration necessary for effective patient care. A: Perceived conflict is when individuals believe there is a conflict, even if it may not exist. In this case, the conflict is real and not just perceived. C: Competitive conflict involves individuals trying to outdo each other or win at the expense of the other party. This is not evident in the scenario provided. D: Felt conflict refers to the emotional response to a conflict situation. While there are emotions involved in the scenario, the main issue is the disruption in communication rather than just feelings.

Correct Answer: B

Rationale: The correct answer is B: Only use approved abbreviations. Using approved abbreviations in nursing documentation helps ensure clarity, accuracy, and consistency, which are crucial for legal credibility. Abbreviations can lead to misunderstandings or errors if not standardized. Explanation for other choices: A: Using shortcuts in documentation can compromise accuracy and lead to incomplete or unclear information, which could result in legal issues. C: Documentation should be objective, not subjective, to provide an accurate portrayal of the patient's condition and care. Subjective documentation can be challenged legally. D: Documenting after care is provided is important, but documenting in a timely manner is crucial for legal credibility. Delayed documentation can raise questions about the accuracy and reliability of the information.

Correct Answer: A

Rationale: The correct answer is A: The hierarchy of authority and responsibility. 1. 'Chain of command' refers to the structure where authority flows downwards and responsibility flows upwards. 2. It establishes the order in which decisions are made and instructions are passed down. 3. It ensures clear communication and accountability within an organization. 4. The other choices are incorrect because B talks about a relationship without authority, C refers to linear authority, and D mentions the tendency of people to perform as expected, which are not related to the concept of chain of command.

Correct Answer: B

Rationale: The primary advantage of utilizing a modular nursing model is enhanced teamwork. This is because modular nursing promotes collaboration among healthcare professionals, leading to better coordination of care and improved patient outcomes. It allows for flexibility and efficiency in assigning roles and responsibilities based on individual strengths and expertise. Improved teamwork fosters effective communication, enhances job satisfaction, and ultimately benefits patient care. Patient satisfaction, cost reduction, and communication are important aspects but not the primary advantage of a modular nursing model.

Correct Answer: B

Rationale: The correct answer is B because in a functional nursing delivery system, one RN typically administers medications for all clients on a unit. This system allows for efficient distribution of tasks, ensuring that medications are given safely and accurately. A: Incorrect. Functional nursing does not involve each RN coordinating care for a group of clients. C: Incorrect. In this system, care tasks are divided among team members, not each RN providing total care to a group of clients. D: Incorrect. Functional nursing typically does not involve sharing responsibility among different roles like RN, LPN, and unlicensed assistive personnel.

Correct Answer: C

Rationale: The correct answer is C: Use the abbreviation SC when indicating a subcutaneous injection. This is important because using standardized abbreviations helps prevent medication errors. SC is the accepted abbreviation for subcutaneous injections, ensuring clear communication among healthcare providers. Choice A is incorrect as using the complete name of medications can be time-consuming and unnecessary in documentation. Choice B is incorrect as spaces should be maintained between the numerical dose and the unit of measure for clarity. Choice D is incorrect as 'U' is not the standard abbreviation for insulin dosage; instead, units should be written in full to avoid confusion.

Correct Answer: C

Rationale: The correct answer is C: It empowers staff to make decisions. Effective delegation involves assigning tasks and responsibilities to employees while providing them with the authority and autonomy to make decisions within their scope of work. This benefits the organization by empowering staff, improving morale, fostering skill development, and increasing productivity. By delegating effectively, managers can focus on strategic tasks, reduce micromanagement, and promote a culture of trust and collaboration within the team. The other choices are incorrect because: A: It increases the manager's workload - Effective delegation should actually decrease the manager's workload by distributing tasks among team members. B: It allows the manager to make all the decisions - This goes against the concept of delegation, which involves sharing decision-making authority with staff. D: It decreases staff involvement - Effective delegation should increase staff involvement by giving them responsibilities and decision-making power.