The nurse manager is concerned about maintaining a safe environment on the care area. Which scenario should the manager realize is most likely to decrease safety on a psychiatric-mental health unit?
1. A patient with frequent hypoglycemia episodes
2. A patient with depressive symptoms and a history of hypertension
3. Mostly long-term admissions with increased length of stay
4. Mostly RN staff with a few unlicensed assistive personnel (UAPs)
1. A patient with frequent hypoglycemia episodes
Explanation:
A patient (or patients) with complex medical issues and acuity will increase the amount of nursing time needed to manage the patient, which in turn will create clinical challenges to safety on the unit. A patient with depressive symptoms and a history of hypertension is likely stable and less acute, based on the information provided. Having a high RN ratio and a number of long-term admissions would likely result in greater safety due to improved staffing levels and lower acuity on the unit.
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