Nokea
During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:
- A. Review the correct procedure with staff members who use the mechanical lifts incorrectly.
- B. Remind employees who sustain back injuries that they are solely responsible for their actions.
- C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts.
- D. File a grievance about inadequate funding and an unsafe work environment.
Correct Answer: A
Rationale: The correct answer is A: Review the correct procedure with staff members who use the mechanical lifts incorrectly. This is the correct choice because it addresses the root cause of the problem, which is the incorrect use of mechanical lifts. By reviewing the correct procedure with the staff members, the unit manager can ensure that everyone is properly trained and following the correct protocols, thus reducing the occurrence of back injuries.
Choice B is incorrect because it shifts the blame to the employees instead of addressing the need for proper training and procedures. Choice C is incorrect because using Wikipedia articles may not provide accurate or reliable information for developing a revised procedure. Choice D is incorrect because filing a grievance does not directly address the issue of improper use of mechanical lifts.
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Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):
- A. longitudinal study.
- B. appraisal tool.
- C. meta-analysis.
- D. RCT.
Correct Answer: D
Rationale: The correct answer is D: RCT (Randomized Controlled Trial). In this study design, volunteers are randomly assigned to groups to receive either the herbal supplement or a placebo, allowing for comparison of the effects. This random assignment helps minimize bias and ensures that any observed differences between the groups are likely due to the treatment. A longitudinal study (A) follows subjects over an extended period, which is not described here. An appraisal tool (B) is used to evaluate research quality, not a study design. Meta-analysis (C) involves combining results from multiple studies, not assigning treatments.
A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?
- A. Incidence of catheter-induced urinary tract infections.
- B. Nursing staff ratios.
- C. Availability of resources, such as fire extinguishers.
- D. Quality of nursing care provided.
Correct Answer: A
Rationale: The correct answer is A because an outcome audit measures the results or outcomes of client care, such as the incidence of catheter-induced urinary tract infections. This type of audit evaluates the effectiveness of the care provided and focuses on patient outcomes. Choices B and C are incorrect as they pertain to process audits, which assess how care is delivered and the availability of resources, respectively. Choice D is incorrect because it is too broad and does not specifically address a measurable outcome. Choices E, F, and G are not provided, but they would likely be incorrect unless they specifically relate to measurable outcomes of client care.
A charge nurse allows a nurse an additional twenty minutes for his lunch break to take care of a personal matter. The charge nurse agrees to watch his patients for the additional twenty minutes, only if he agrees to help with the end-of-shift drug count. The charge nurse is demonstrating which of the following types of conflict management?
- A. Avoiding
- B. Compromising
- C. Cooperating
- D. Competing
Correct Answer: B
Rationale: The correct answer is B: Compromising. Compromising involves finding a middle ground where both parties give up something to reach a mutually acceptable solution. In this scenario, the charge nurse and nurse both make concessions - the charge nurse agrees to watch the patients for an additional twenty minutes, and the nurse agrees to help with the end-of-shift drug count. This approach allows both parties to achieve their goals partially, demonstrating a compromise. Avoiding (A) would be ignoring the issue, cooperating (C) would involve working together without concessions, and competing (D) would be a win-lose situation.
After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff, the department is especially taxed by a train accident that brings in many seriously injured individuals. You observe that Rama ignores the requests of several of the injured, even when time is available to care for them and is rude to two older adult patients. You are concerned that Rama is evidencing which state?
- A. depersonalization
- B. role ambiguity
- C. depression
- D. hardiness
Correct Answer: A
Rationale: The correct answer is A: depersonalization. Depersonalization is a common symptom of burnout, characterized by a lack of empathy and treating patients as objects rather than individuals. In this scenario, Rama's behavior of ignoring patient requests and being rude to older adult patients indicates a disconnect and lack of personalization in patient care. This behavior can be a coping mechanism for dealing with high stress and heavy patient loads.
Choice B: role ambiguity, is incorrect as there is no indication of confusion or uncertainty about Rama's role in this scenario. Choice C: depression, is incorrect as the behavior described is more indicative of depersonalization rather than depression. Choice D: hardiness, is incorrect as hardiness refers to resilience and adaptability in stressful situations, which is not demonstrated by Rama's behavior in this scenario.
The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?
- A. Searching the literature for a systematic review.
- B. Applying strategies that aid in adoption of research in practice.
- C. Providing the results of research studies to practitioners.
- D. Conducting an integrative review of the literature.
Correct Answer: B
Rationale: The correct answer is B: Applying strategies that aid in adoption of research in practice. This best describes TRIP because it involves implementing evidence-based research findings into clinical practice. It focuses on bridging the gap between research and practice by promoting the utilization of research findings to improve patient outcomes.
A: Searching the literature for a systematic review is a step in the research process but not specifically related to TRIP.
C: Providing the results of research studies to practitioners is important but does not encompass the full process of translating research into practice.
D: Conducting an integrative review of the literature is a research method but not directly related to implementing research into practice.