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Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:
- A. practice failure.
- B. efficacy.
- C. effectiveness.
- D. comparative error.
Correct Answer: C
Rationale: The correct answer is C: effectiveness. In this scenario, the feedback indicates that the new scale is not effective for patients with limited language skills and under duress. The term "effectiveness" in testing refers to how well a test measures what it is intended to measure. In this case, the new scale is not effectively measuring the intended outcomes due to the difficulties faced by the patients.
A: Practice failure does not directly address the issue of the new scale being difficult for certain patients.
B: Efficacy typically refers to how well a treatment works under ideal conditions, not the appropriateness of a test for specific populations.
D: Comparative error is not relevant in this context and does not address the issue of the new scale being too difficult for certain patients.
In summary, the correct answer is C because the feedback indicates a lack of effectiveness in the new scale for patients with limited language skills and under duress.
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A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?
- A. Identifying patients with extended lengths of stay.
- B. Reviewing specialty organization guidelines.
- C. Conducting a review of adverse events and incident reports.
- D. Soliciting input from staff members.
Correct Answer: B
Rationale: The correct answer is B: Reviewing specialty organization guidelines. This strategy is appropriate because specialty organization guidelines provide evidence-based practices that are tailored to specific areas of nursing. By reviewing these guidelines, the nurse manager can ensure that the practices being implemented on the unit are evidence-based and aligned with industry standards.
A: Identifying patients with extended lengths of stay is not directly related to implementing an evidence-based practice program.
C: Conducting a review of adverse events and incident reports is important for quality improvement but may not directly contribute to implementing an evidence-based practice program.
D: Soliciting input from staff members is valuable for engagement and buy-in, but it alone may not ensure that evidence-based practices are being implemented on the unit.
A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?
- A. Follower
- B. Manager
- C. Laissez-faire
- D. Leader
Correct Answer: D
Rationale: The correct answer is D: Leader. By offering resources and support to the family during a difficult time, the nurse is taking on a leadership role. The nurse is demonstrating initiative, empathy, and guidance in providing options for additional assistance. This action shows the nurse's ability to take charge, make decisions, and support the family in coping with the situation.
A: Follower - Incorrect. The nurse is not following anyone's lead but rather taking charge and offering support.
B: Manager - Incorrect. While the nurse is managing care, the specific action of offering resources and support goes beyond typical managerial duties.
C: Laissez-faire - Incorrect. Laissez-faire implies a hands-off approach, which is not the case here as the nurse is actively engaging with the family.
E, F, G: No options provided.
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.
With regard to nursing practice, nurse managers are held responsible for:
- A. Referring all errors in nursing judgment to state disciplinary boards.
- B. Verifying that attending physicians are properly licensed to provide care on patient care units.
- C. Practicing within legal guidelines established under state law and nurse practice acts.
- D. Creating an environment of severe consequences for nursing errors to ensure quality practice.
- E. Ensuring that nursing staff under their supervision are currently licensed to practice.
Correct Answer: C,E
Rationale: The correct answers are C and E. Nurse managers are responsible for ensuring that nursing practice is within legal guidelines and that all nursing staff under their supervision are currently licensed. This is crucial for maintaining patient safety, quality care, and regulatory compliance. Referring errors to disciplinary boards (A) is not solely the role of nurse managers. Verifying physician licenses (B) is outside the scope of nursing practice. Creating an environment of severe consequences (D) may not promote a culture of learning and improvement. Choice F and G are not provided.
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.