Nokea
The nurse manager regularly performs chart audits and room inspections in the unit. They tell the staff to address the unit's deficiencies during a meeting. Which concept of management is the nurse manager displaying?
- A. Benchmarking
- B. Continuous Quality Improvement
- C. Performance Improvement
- D. Quality Management
Correct Answer: B
Rationale: Addressing deficiencies through audits and staff meetings (B) reflects continuous quality improvement, focusing on ongoing process enhancement. Benchmarking (A) compares to external standards, performance improvement (C) is specific to outcomes, and quality management (D) is broader.
You may also like to solve these questions
The nurse is planning client care assignments. Which task should be delegated to the unlicensed assistive personnel (UAP)?
- A. The initial ambulation of a client following a laparoscopic hernia repair.
- B. Feed a client who has dysphagia.
- C. Applying sequential compression devices to a client’s lower extremities.
- D. Calling in prescriptions to the local pharmacy for a client ready for discharge.
Correct Answer: C
Rationale: Applying sequential compression devices (C) is a non-clinical task within the UAP’s scope. Initial ambulation (A), feeding with dysphagia (B), and calling prescriptions (D) require clinical judgment or RN/LPN skills due to risk or complexity.
The charge nurse is in charge on a medical floor. The assignment includes a nursing assistant to transfer a client with a mechanical lift, within their scope. When the assistant says, 'I don’t know how to use the lift,' how should the nurse respond?
- A. It’s your job to know. You were trained; it’s in your description.'
- B. Your checklist shows you were competent in lifts during orientation.'
- C. Thanks for telling me. I’ll work with you to transfer safely.'
- D. No problem. I’ll reassign the transfer to another assistant.'
Correct Answer: C
Rationale: Offering to work with the assistant to transfer safely (C) ensures client safety and provides training, addressing the knowledge gap. Blaming (A), referencing past competency (B), or reassigning (D) do not promote learning or safety.
You are the nurse manager of the surgical acute care unit. You have noticed that several clients have almost been sent to the preoperative suite when they are not scheduled for a planned surgical procedure. Fortunately, no clients have gotten a 'wrong surgery' because this possible error was caught in time. What is your priority action as the nurse manager?
- A. Praise the staff for catching these near misses before a surgical error occurs.
- B. Investigate and explore this near miss.
- C. Investigate and explore this medical error.
- D. Report the nature and frequency of these medical errors to the State Department of Health.
Correct Answer: B
Rationale: Investigating and exploring the near miss (B) is the priority to identify root causes and prevent future errors. These are near misses, not medical errors (C, D), as no harm occurred. Praising staff (A) is supportive but secondary to addressing the systemic issue.
The nurse is caring for a client with a platelet count of 18,000 mm3 [150,000-400,000 mm3]. What is the priority action the nurse should take?
- A. Review the client's most recent liver function tests.
- B. Educate the client to notify staff before getting out of bed.
- C. Obtain and monitor the client's temperature.
- D. Encourage the client to turn, cough, and deep breathe.
Correct Answer: B
Rationale: Severe thrombocytopenia (18,000 mm3) (B) risks bleeding, so educating the client to notify staff before moving prevents injury. Liver tests (A), temperature (C), and respiratory exercises (D) are secondary to immediate safety measures.
The nurse is preparing to insert an indwelling urinary catheter. Which action may be delegated to the unlicensed assistive personnel (UAP)?
- A. Set up the sterile field
- B. Palpate the bladder for distention
- C. Explain the procedure to the client
- D. Place the urinary catheter kit at the bedside
Correct Answer: D
Rationale: Placing the catheter kit at the bedside (D) is a non-clinical task suitable for a UAP. Setting up a sterile field (A), palpating the bladder (B), and explaining the procedure (C) require clinical judgment or training beyond UAP scope.