As a nurse manager, you initiate a pilot study that tests a new pain scale to be used on your unit. You compare the patient outcomes with the previously used scale. Feedback from staff suggests that the new scale is too difficult for non-English speaking patients. The difficulty in implementing the new scale refers to testing:

Practice failure.

Efficacy.

Comparative error.

Effectiveness.

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Practice failure. Practice failure refers to the inability to implement a procedure or intervention correctly due to practical issues such as lack of training or resources. In this scenario, the difficulty is not due to a failure in practice but rather the suitability of the scale for non-English speaking patients. Therefore, practice failure is not the correct answer.

Choice B Reason:

Efficacy. Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions. While the new pain scale might be effective in a controlled environment, the issue here is its practical application in a diverse patient population. Thus, efficacy is not the primary concern in this context.

Choice C Reason:

Comparative error. Comparative error involves mistakes made when comparing two different methods or interventions. Although comparing the new scale with the old one is part of the study, the main issue highlighted by the staff is the difficulty non-English speaking patients have with the new scale, which is not a comparative error.

Choice D Reason:

Effectiveness. Effectiveness refers to how well an intervention works in real-world conditions. The feedback indicates that the new pain scale is not effective for non-English speaking patients, highlighting a gap between its theoretical efficacy and practical effectiveness. This makes effectiveness the correct answer.

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Correct Answer is D

Explanation

Choice A Reason:

Navigate the workday without a strategy. Navigating the workday without a strategy is counterproductive and can lead to inefficiency and increased stress. Effective time management requires planning and prioritizing tasks to ensure that important responsibilities are addressed promptly. Without a strategy, nurse managers may find themselves overwhelmed and unable to meet their goals.

Choice B Reason:

Delay important tasks until they are motivated to begin them. Delaying important tasks until motivation strikes is a poor time management practice. Procrastination can lead to missed deadlines and increased pressure as tasks pile up. Instead, nurse managers should prioritize their tasks and tackle important ones first, even if they do not feel motivated at the moment.

Choice C Reason:

Only accept projects that exactly fit their specifications. While it is important to take on projects that align with one’s skills and goals, being too selective can limit opportunities for growth and collaboration. Nurse managers should be open to projects that may not fit perfectly but still offer valuable experience and contribute to the team’s objectives.

Choice D Reason:

Refuse requests that do not align with their priorities. This is the most effective time management strategy. By refusing requests that do not align with their priorities, nurse managers can focus on tasks that are most important and relevant to their goals. This approach helps prevent overcommitment and ensures that their time and energy are directed towards activities that have the greatest impact.

A. I should promote the idea of clients getting an annual flu vaccination. B. I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. C. I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. D. I ought to assign the task of administering closed irrigation to the assistive personnel (AP).

Correct Answer is A

Explanation

Choice A Reason:

I should promote the idea of clients getting an annual flu vaccination. Promoting annual flu vaccinations is a cost-saving measure because it helps prevent the flu, which can lead to serious health complications and hospitalizations. By encouraging clients to get vaccinated, nurses can reduce the incidence of flu-related illnesses, thereby decreasing healthcare costs associated with treating these conditions. This preventive approach aligns with cost-saving strategies in client care.

Choice B Reason:

I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. Delaying the emptying of a drainable colostomy until it is three-fourths full is not a recommended practice. It can lead to leakage, skin irritation, and other complications. Proper and timely management of colostomies is essential for maintaining client comfort and preventing additional healthcare costs related to complications.

Choice C Reason:

I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. While sterile technique is important in certain clinical settings, it is not typically required for routine tracheostomy care at home. Teaching clients proper clean technique is usually sufficient and more practical for home care. This statement does not demonstrate an understanding of cost-saving methods, as it may unnecessarily increase costs and complexity for clients.

Choice D Reason:

I ought to assign the task of administering closed irrigation to the assistive personnel (AP). Administering closed irrigation is a task that requires specific knowledge and skills, and it may not be appropriate to delegate this to assistive personnel. Proper delegation involves ensuring that tasks are assigned to individuals with the appropriate training and competency. This statement does not reflect an understanding of safe and cost-effective delegation practices.

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Naxlex Comprehensive Predictor Exams

To help nurse managers better manage their time, the chief nursing officer suggests that they:

Correct Answer is D

Explanation

A nurse is educating a newly licensed nurse on cost-saving methods in client care. Which statement from the newly licensed nurse demonstrates comprehension of the teaching?

Correct Answer is A

Explanation

In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that:

Which of the following approaches is best to determine the quality and strength of a research study?

The manager calls a staff meeting to discuss a situation in which an anxious family member of a gravely ill patient is taking up an excessive amount of the staff’s time. The manager proposes a solution and asks for the staff’s input. What is the role of the nurse manager in this situation?

Which of the following descriptions best describes a prototype evaluation system?

The chief director of nursing of a metropolitan hospital develops classes to improve the translation of research into practice (TRIP). Which of the following selections best describes TRIP?

As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in: (Select all that apply)

Upon examining her monthly budget report, the nurse manager observes a shortfall, leading her to modify the staffing schedule. Which of the following pieces of information exemplifies a negative variance?

When examining the present healthcare delivery model, the nurse manager acknowledges that a demographic shift with substantial implications for future healthcare delivery systems is: