Correct Answer: A

Rationale: Promoting flu vaccinations prevents costly illnesses. Delaying colostomy emptying (
B) risks complications, sterile tracheostomy care (
C) is unnecessary, and irrigation delegation (
D) is inappropriate.

Correct Answer: C

Rationale: Informing the provider that the client is withdrawing consent respects patient autonomy. Explaining necessity (
A) or reminding about the signed form (
B) may pressure the patient, and discussing alternatives (
D) follows provider notification.

Correct Answer: B

Rationale: Assessing the unit's workload and taking into account the services it provides is crucial for developing an effective staffing budget. This approach ensures that the budget reflects the actual needs of the unit, including the number of staff required to deliver quality care and the types of services offered. By understanding the workload, the nurse manager can allocate resources more efficiently, ensuring that the unit operates smoothly and meets patient care standards. Ignoring organizational changes is short-sighted, competitor services are more relevant for strategic planning, and scheduling is operational, not budgetary.

Correct Answer: B

Rationale: The conflict can help nurses better identify their common values. While conflict can sometimes lead to positive outcomes, such as a deeper understanding of shared values and improved communication, it often requires effective conflict resolution strategies and a supportive environment. In the context of a new policy that has already sparked mistrust, it is less likely that the immediate outcome will be positive without deliberate efforts to address the underlying issues.Diverted attention and energy from patient care may potentially impact patient well-being. This is a significant concern in healthcare settings, especially in intensive care units where patient needs are critical. When nurses are preoccupied with internal conflicts and mistrust, their focus on patient care can be compromised, leading to potential negative outcomes for patients. Ensuring that the team remains cohesive and focused on patient care is essential for maintaining high standards of care and patient safety.The policy change, being the correct choice, will improve the overall unit performance. This statement assumes that the policy change is inherently beneficial and that its positive effects will be immediately apparent. However, even well-intentioned policies can face resistance if not properly communicated and implemented. The initial mistrust and conflict may hinder the potential benefits of the policy, at least in the short term.When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group. While this outcome is possible, it is not the most likely immediate outcome given the initial mistrust and conflict. It often takes time for the positive effects of a policy change to become evident and for dissenting team members to change their perspectives. Effective leadership and communication are crucial in facilitating this process.

Correct Answer: C

Rationale: Working together with floor nurses to identify the causes of errors and develop solutions is the most effective approach. This collaborative method ensures that the staff who are directly involved in patient care are engaged in the process of identifying issues and creating practical solutions. Nurses on the floor have firsthand knowledge of the challenges and can provide valuable insights into the factors contributing to medication errors. This approach fosters a culture of teamwork, continuous improvement, and shared responsibility for patient safety. Motivating nurses to submit incident reports is reactive and does not address root causes, delegating to another department risks disconnect, and a punitive approach discourages reporting and learning.