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When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?
- A. The task being delegated matches the AP's skill level.
- B. The task being delegated to the AP is relatively non-invasive.
- C. The task being delegated to the AP is within their scope of practice.
- D. The task being delegated requires close supervision.
Correct Answer: D
Rationale: Rationale: Choice D is incorrect because a task requiring close supervision does not align with the five rights of delegation, which include right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Delegated tasks should match the AP's skill level, be within their scope of practice, and not necessarily require constant supervision. Tasks that need close supervision should typically be handled by a licensed healthcare professional. The other choices (A, B, C) correspond with the principles of delegation by ensuring tasks are appropriate for the AP's skill level, non-invasive, and within their scope of practice.
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A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
- A. I need to speak with you about unit expectations regarding delegating and completing tasks.
- B. You have been very inconsiderate of others by not completing your share of the work.
- C. If you don't do your share of the work, I will have to inform the nurse manager.
- D. Several staff members have commented that you don't do your fair share of the work.
Correct Answer: A
Rationale: The correct answer is A: "I need to speak with you about unit expectations regarding delegating and completing tasks." This statement addresses the issue directly and professionally, focusing on establishing clear communication and setting expectations. By having a conversation about unit expectations, it allows for clarification on roles and responsibilities, promoting accountability and teamwork.
Incorrect Choices:
B: This statement uses accusatory language and does not address the issue constructively.
C: Threatening to inform the nurse manager may escalate the conflict instead of resolving it through open communication.
D: This choice involves hearsay and gossip, which is not an effective way to address the issue professionally.
The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?
- A. Integrate available evidence with unit expertise.
- B. Develop the clinical question.
- C. Appraise the evidence.
- D. Identify the databases to be used.
Correct Answer: B
Rationale: The correct answer is B: Develop the clinical question. This step is crucial in evidence-based practice as it helps to focus the search for evidence. By clearly defining the clinical question, the nurse manager can determine what information is needed to address the problem of preventing ventilator-associated pneumonia. Integrating available evidence with unit expertise (choice A) comes after developing the question. Appraising the evidence (choice C) and identifying databases (choice D) are important steps, but they should come later in the evidence-based inquiry process after the question has been formulated.
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 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.
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
- A. Review the events leading up to each medication administration error.
- B. Require staff nurses to demonstrate competency by passing a medication administration examination.
- C. Develop a quality improvement program for nurses involved in medication administration errors.
- D. Provide an inservice on medication administration to all the nurses.
Correct Answer: A
Rationale: The correct answer is A: Review the events leading up to each medication administration error. This is the first strategy the committee should initiate because it helps identify root causes of errors. By conducting a thorough review of the events leading up to each error, the committee can identify systemic issues, communication breakdowns, and other factors contributing to errors. This information is crucial for developing targeted interventions to prevent future errors.
Choice B is incorrect because competency testing alone may not address underlying system issues leading to errors. Choice C is incorrect because focusing solely on nurses involved in errors may overlook broader system issues. Choice D, providing an inservice, is also not as effective as reviewing events leading to errors, as it may not address specific causes of errors.