The nurse manager is concerned about safe quality care being provided to patients on the mental health care unit. Which variable should the manager recognize as having the greatest impact?

1. The orientation process lasts more than 6 weeks.
2. Novice nurses are mentored by more experienced nurses.
3. Many hours are spent developing therapeutic relationships with the patients.
4. Most of the nurses' time is spent on medication administration and paperwork.


4. Most of the nurses' time is spent on medication administration and paperwork.

Explanation:
Providing safe and quality nursing care on the mental health unit is the priority for all nurses. However, variables occur that can decrease the safety provided by nurses. If most of the nurses' time is spent on medication administration and paperwork, both safety and quality are hindered. An extended orientation, mentored novice nurses, and therapeutic nurse-patient relationships improve, not hinder, safety and quality on the mental health unit.

Nursing

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