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Homework answers / question archive / 1) You notice that a colleague frequently does not record patient charge items for elderly patients
1) You notice that a colleague frequently does not record patient charge items for elderly patients. When you inquire about it, you are told that your colleague feels sorry for those on fixed incomes and wants to save them money. Who pays when your colleague does this?
2) Recently, you have been part of a unit committee that is reviewing data on your unit’s pressure ulcer rates. In researching further, you discover that your unit’s rates are significantly higher than those of other units. Staffing on your unit has been stable and in accordance with the staffing plan. The staff are experienced, and, in fact, they include some of the longest tenured staff in the hospital. Why is the pressure ulcer rate higher than that of other units? What could your committee do to investigate this nurse sensitive outcome further?
3) A major responsibility of nurses is to keep patients safe. This responsibility is tested on the NCLEX-RN. This responsibility includes not only keeping side rails up on patients who are at risk for falls, but also requires such things as monitoring patients’ vital signs and level of consciousness. Maintaining safety also includes implementing safety devices such as a “keep open” IV line on patients who are at risk for poor outcomes. How have you seen nurses monitor patients? Have you noted any strategies nurses use to prevent negative nurse-sensitive patient outcomes?
4) You are caring for Mr. San Filipe, a 65-year-old man who was admitted for congestive heart failure. He is a retired steelworker from an area steel mill. He states, “I worked in that mill for 30 years, and I am thankful for the union. Because of the union, my medical costs are covered for the rest of my life. The union served me well. Do nurses have unions or groups that help them get what they want?” How will you respond to Mr. San Filipe? Name two collective groups to which you belong. What are these collective groups able to get done as a whole? Are these collective groups more effective and stronger than you are as an individual in these interest areas? What are the downsides of belonging to a collective group?
5) As a beginning nurse, how does your nursing practice identify the four essential dimensions of nursing? How do you define nursing and how do you identify your distinctive services, benefits to consumers, and cost of your services? Does good nursing care prevent nurse-sensitive patient outcomes?
6) Review Table 6-6, Summary of Conflict Management Methods. Think about a recent personal or professional time when you disagreed with someone. Which conflict management technique did you use? Did it help you achieve your goal?
7) LaTonya works the night shift on her unit. She is concerned that the medication carts stock high dosages of intravenous potassium chloride. LaTonya knows that high dosages of this medication are lethal. She believes that this medication should be made up by the pharmacy only on an “as needed” basis in response to a specific patient‘s needs. How can LaTonya work as a change agent, unfreeze the current situation, and move to a new way of preparing this medication? How can she then refreeze this needed change?
8) The Luck Factor, published in 2004, authored by R. Wiseman, discusses research that illustrates luck as something that can be learned if one pays attention to four principles: ? Lucky people create, notice, and act on the chance opportunities in their life. ? Lucky people make successful decisions by using their intuition and gut feeling. ? Lucky people’s expectations about the future help them fulfill their dreams and ambitions. ? Lucky people are able to transform their bad luck into good fortune. Do you agree with Wiseman’s findings? Can you use “luck” as well as careful planning to improve your nursing career? Your life? Discuss.
9) Visit the American Nurses Credentialing Center at www.nursingworld.org. Click on “careers and credentialing/certification.” Choose a specialty in which a nurse can be certified and compare it to the certification in informatics. How are they similar? How are they different?
