The hospital has initiated a new fall risk-assessment tool. The nurse manager would like to reward those staff members who use the tool regularly. Which method of reinforcement would be most successful in getting long-term compliance?
1. A coupon for free lunch each time the tool is utilized
2. A counseling session with the nurse manager when the assessment tool has not been utilized
3. A coupon for a free lunch for staff members who have utilized the tool appropriately during a medical
record review of nursing documentation
4. A pizza party for the staff when there is 100% compliance
3
Explanation: 1. When giving reinforcement for desired behaviors, the reward should be seen as positive for the
employee and based on continued performance. A reward on each occurrence of a behavior
will change behavior more quickly, but is not as effective for a lasting behavior change.
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A client is scheduled to have a hip replacement. Preoperatively, the client is found to be mildly anemic and the surgeon states the client may need a blood transfusion during or after the surgery. What action by the preoperative nurse is most important?
a. Administer preoperative medications as prescribed. b. Ensure that a consent for transfusion is on the chart. c. Explain to the client how anemia affects healing. d. Teach the client about foods high in protein and iron.
The nurse who is faced with an ethical dilemma refers to the Code of Ethics for Nurses with Interpretative Statements for guidance. What help can the nurse expect from this document?
1. Specific guidelines for common ethical issues. 2. Some ideas of the ethics of nursing that are negotiable depending upon circumstance. 3. The basis for ethical analyzing and decision making for nurses practicing in the United States. 4. A lengthy description of the need for ethical behavior and decision making in nursing
The Newborns' and Mothers' Health Protection Act of 1995 mandates that all health care plans require a minimal postpartum hospital stay of how many hours for vaginal and cesarean births?
a. vaginal, 24; Cesarean, 48 c. vaginal, 72; Cesarean, 72 b. vaginal, 48; Cesarean, 96 d. vaginal, 72; Cesarean, 96
The nurse notices that a client's pupils constrict when reading the consent form for medical treatment. This observation would lead the nurse to consider which of the following?
1. The room is too dark. 2. The client is able to read. 3. This is a normal response. 4. The client requires glasses for reading.