A strategic goal for nursing in the facility developed by the chief nursing officer is to implement an evidence-based practice program. What is an appropriate strategy that can be used by a nurse manager who is beginning to implement an evidence-based practice program on the unit?
Identifying patients with extended lengths of stay.
Reviewing specialty organization guidelines.
Conducting a review of adverse events and incident reports.
Soliciting input from staff members.
The Correct Answer is B
A. Identifying patients with extended lengths of stay: While identifying these patients can highlight areas needing improvement, it does not directly help in implementing an evidence-based practice program.
B. Reviewing specialty organization guidelines: Specialty organization guidelines are based on current best practices and evidence, providing a foundation for the implementation of evidence-based practice.
C. Conducting a review of adverse events and incident reports: This review is important for quality improvement and safety but does not directly facilitate the establishment of an evidence-based practice program.
D. Soliciting input from staff members: Staff input is valuable for ensuring engagement and compliance, but it should be guided by evidence and guidelines to establish a robust evidence-based practice program.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.
Correct Answer is A
Explanation
A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.
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