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The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?
- A. Restrain patients at risk for falls.
- B. Recognize that errors are solely the result of the actions of individual people.
- C. Provide an in-service that informs nurses of the current, best practices of fall prevention.
- D. Punish the staff who are caring for the patients who fall.
Correct Answer: C
Rationale: The correct answer is C: Provide an in-service that informs nurses of the current, best practices of fall prevention. This intervention is effective because education and training on fall prevention strategies empower staff to implement evidence-based practices to reduce falls. Restraint (Choice A) is not recommended as it can lead to physical and psychological harm. Blaming individuals (Choice B) does not address systemic issues. Punishing staff (Choice D) creates a culture of fear and does not promote learning or improvement.
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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.
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.
A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?
- A. Deter mistakes by emphasizing the consequences of committing a medication error.
- B. Include the bedside nurses in the decision-making process involving their practice.
- C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart.
- D. Relinquish responsibility by asking a separate department to oversee quality improvement.
Correct Answer: B
Rationale: The correct answer is B: Include the bedside nurses in the decision-making process involving their practice. By involving the nurses in decision-making, the manager can gain valuable insights into the root causes of the medication errors and collaboratively develop solutions to address them. This participatory approach fosters ownership, accountability, and engagement among the nurses, leading to a sense of empowerment and motivation to improve patient care.
A: Deter mistakes by emphasizing the consequences of committing a medication error - This approach may create a culture of fear and discourage open communication about errors, hindering the identification and resolution of underlying issues.
C: Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart - While incident reporting is important for learning from errors, placing them in the patient's chart may not address the systemic issues contributing to the errors.
D: Relinquish responsibility by asking a separate department to oversee quality improvement - This approach shifts accountability away from the nursing staff and may not effectively address
A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?
- A. Allow LPNs and CNAs to perform tasks beyond their scope of practice.
- B. Establish a rewards program to recognize achievements of the staff.
- C. Hire additional staff so individual workloads are lessened.
- D. Improve the working conditions of the unit by investing in ergonomic chairs.
Correct Answer: B
Rationale: The correct answer is B: Establish a rewards program to recognize achievements of the staff. This strategy can motivate the LPNs and CNAs by providing positive reinforcement for their hard work and dedication. Recognizing their achievements can boost morale, increase job satisfaction, and encourage them to continue performing well. This approach acknowledges their efforts and creates a sense of appreciation, leading to a more positive work environment.
Choice A is incorrect as allowing LPNs and CNAs to perform tasks beyond their scope of practice can lead to legal and safety issues. Choice C of hiring additional staff may help with workload but may not directly address job satisfaction. Choice D of investing in ergonomic chairs can improve physical comfort but may not address the underlying issues causing dissatisfaction.