Nokea
Which of the following is a key component of a successful quality improvement (QI) project?
- A. Standardized care protocols
- B. Employee satisfaction
- C. Ongoing training and education
- D. Financial incentives
Correct Answer: C
Rationale: The correct answer is C: Ongoing training and education. This is crucial in a QI project as it ensures staff are equipped with necessary skills and knowledge to implement and sustain improvements. Ongoing training fosters a culture of continuous learning and improvement, leading to better outcomes.
A: Standardized care protocols are important but not the key component. They provide guidelines for care delivery but without ongoing training, staff may struggle to adhere to these protocols effectively.
B: Employee satisfaction is important for motivation but does not directly guarantee successful QI projects. Training and education are more crucial for achieving sustainable improvement.
D: Financial incentives can be a motivator, but they do not address the root cause of quality issues. Ongoing training is essential for building capacity and expertise within the team.
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Most evaluations are based on absolute judgment. This is:
- A. A standard set by an external source.
- B. The manager and staff's perceived notion.
- C. Internal standards.
- D. The manager's personal opinion.
Correct Answer: C
Rationale: The correct answer is C: Internal standards.
Rationale:
1. Internal standards refer to criteria set by an organization based on its own goals and values.
2. Absolute judgment means evaluations are made against these internal standards.
3. By using internal standards, evaluations are consistent and aligned with organizational objectives.
4. External sources (A) and manager's personal opinion (D) are subjective and may not reflect organizational goals.
5. Manager and staff's perceived notion (B) may vary and lack consistency, unlike internal standards.
Summary:
Internal standards provide a consistent and objective basis for evaluations, ensuring alignment with organizational goals. External sources, personal opinions, and perceived notions lack this consistency and alignment.
When lifting a bedside cabinet to move it closer to a client, what action should the nurse take to prevent self-injury?
- A. Keep the feet close together.
- B. Use the back muscles for lifting.
- C. Stand close to the cabinet when lifting it.
- D. Bend at the waist.
Correct Answer: A
Rationale: The correct answer is A: Keep the feet close together. This helps maintain a stable base of support, improving balance and reducing the risk of injury. The wider the base of support, the more stable the body is during lifting. Keeping the feet close together also helps distribute the weight evenly and allows for better control over the movement.
Summary of why other choices are incorrect:
B: Using the back muscles for lifting can lead to strain and injury. It is important to use the legs and core muscles instead.
C: Standing close to the cabinet when lifting may cause strain due to limited range of motion. It is better to maintain a comfortable distance.
D: Bending at the waist increases the risk of back injury. Instead, it is recommended to bend at the knees and hips while keeping the back straight.
How can a staff nurse recognize they are experiencing burnout? (EXCEPT)
- A. They are spending more time talking to staff on other units.
- B. Staff is questioning their clinical judgment.
- C. They sleep longer hours, sometimes coming in late to work.
- D. They are drinking alcohol more frequently to relax.
Correct Answer: A
Rationale: Rationale: A staff nurse experiencing burnout may isolate themselves, leading to less interaction with staff on other units. This can result in spending less time talking to staff on other units. Choices B, C, and D are incorrect as they are common signs of burnout: staff questioning clinical judgment, increased sleep, and increased alcohol consumption.
Which nursing action can the nurse delegate to unlicensed assistive personnel (UAP) working in the diabetic clinic?
- A. Measure the ankle-brachial index.
- B. Check for changes in skin pigmentation.
- C. Assess for unilateral or bilateral foot drop.
- D. Ask the patient about symptoms of depression.
Correct Answer: A
Rationale: The correct answer is A, "Measure the ankle-brachial index." This task involves using a blood pressure cuff and Doppler ultrasound to assess blood flow in the lower extremities, which is within the scope of practice for UAPs. It is a non-invasive procedure that does not require specialized training.
Choice B, "Check for changes in skin pigmentation," involves assessing for potential skin changes related to circulation issues, which requires more in-depth knowledge and interpretation than what UAPs are trained for.
Choice C, "Assess for unilateral or bilateral foot drop," involves evaluating muscle strength and nerve function, which requires clinical judgment and knowledge beyond the scope of UAP practice.
Choice D, "Ask the patient about symptoms of depression," involves assessing mental health and requires communication skills and training that UAPs do not typically have.
Attending a continuing education class on advanced technology in health care is interpreted as which of the following by the nurse manager?
- A. Only important for nurse managers
- B. Not important
- C. A waste of time
- D. Essential to nursing care
Correct Answer: D
Rationale: The correct answer is D: Essential to nursing care. Attending a continuing education class on advanced technology in health care is essential for nurses to stay updated with the latest advancements, improve patient care, and enhance their clinical skills. It helps nurses deliver high-quality care, adapt to changes in healthcare practices, and improve patient outcomes. The other choices are incorrect because continuing education benefits all healthcare professionals, not just nurse managers. It is not unimportant or a waste of time, as it directly impacts the quality of nursing care provided.