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?

Deter mistakes by emphasizing the consequences of committing a medication error.

Include the bedside nurses in the decision-making process involving their practice.

Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart.

Relinquish responsibility by asking a separate department to oversee quality improvement.

Answer and Explanation

The Correct Answer is B

A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.

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Correct Answer is D

Explanation

A. The task being delegated matches the AP's skill level: This corresponds with the five rights of delegation, ensuring that tasks are assigned based on the AP’s capabilities.
B. The task being delegated to the AP is relatively non-invasive: Non-invasive tasks are generally suitable for delegation, aligning with the principle of matching tasks to the AP’s skills.
C. The task being delegated to the AP is within their scope of practice: Delegation should always be within the AP’s legal and professional scope of practice.
D. The task being delegated requires close supervision: The need for close supervision is not a component of the five rights of delegation. The rights focus more on the appropriateness of the task, the individual’s skills, and the delegation process rather than the level of supervision required.

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 is B

Explanation

A. Integrate available evidence with unit expertise: This step comes after gathering evidence and assessing its quality. It involves applying evidence in conjunction with clinical expertise.
B. Develop the clinical question: Formulating a clear, focused clinical question is crucial for guiding the search for relevant evidence and ensuring that the inquiry addresses specific aspects of the problem.
C. Appraise the evidence: This step is performed after collecting evidence to evaluate its quality and relevance, ensuring that the findings are reliable and applicable.
D. Identify the databases to be used: Identifying databases is part of the search process, but it follows the development of a clinical question to guide the search for relevant evidence.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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)?

Correct Answer is B

Explanation

Which of the following is most accurate regarding evidence-based practice?

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