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.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Choice A Reason:

Continuing education. Continuing education is essential for nurses to stay updated with the latest medical knowledge and practices. It ensures that nurses maintain their competencies and can provide high-quality care. However, while continuing education contributes to professional development, it is not the primary factor highlighted by the ANA Systematic Practices for overall organizational improvement.

Choice B Reason:

Endorsement. Endorsement refers to the formal approval or support of a nurse’s qualifications and competencies by a recognized authority. While endorsement is important for validating a nurse’s skills and knowledge, it does not directly address the broader concept of intellectual capital and its impact on organizational improvement.

Choice C Reason:

Accreditation. Accreditation is the process by which an organization or program is evaluated and recognized as meeting certain predetermined standards. It is crucial for ensuring the quality and credibility of nursing programs and healthcare institutions. However, accreditation alone does not encompass the comprehensive development of nurses’ intellectual capital.

Choice D Reason:

The development of nurses’ knowledge, skills, and attitudes, thereby enriching the profession. This choice best aligns with the ANA Systematic Practices. The development of intellectual capital—encompassing knowledge, skills, and attitudes—is fundamental to enhancing the quality of healthcare and fostering professional growth. By investing in the continuous development of these attributes, nurses can contribute more effectively to patient care and organizational improvement.

Choice E Reason:

Entrepreneurship. Entrepreneurship in nursing involves innovative approaches to healthcare delivery and management. While it can drive improvements and introduce new solutions, it is not the primary focus of the ANA Systematic Practices related to intellectual capital and overall organizational improvement.

A. I can input the note for you. What would you like to include? Please ensure you sign your note as it will be recorded under my login credentials. B. I apologize, but you need to enter the information using your own password. C. Certainly, feel free to log me out when you’re finished.

Correct Answer is B

Explanation

Choice A Reason

Offering to input the note for the resident and asking them to sign it under the nurse’s login credentials is not appropriate. This practice can lead to issues with accountability and accuracy in medical records. Each healthcare professional is responsible for their own documentation, and using another person’s login credentials can compromise the integrity of the medical record and violate hospital policies and regulations.

Choice B Reason

Informing the resident that they need to enter the information using their own password is the correct response. This ensures that each entry in the medical record is accurately attributed to the correct healthcare provider, maintaining accountability and integrity in documentation. It also complies with hospital policies and regulations regarding the use of electronic health records (EHRs) and protects patient confidentiality.

Choice C Reason

Allowing the resident to use the nurse’s login credentials and log her out when finished is not appropriate. This practice can lead to security breaches and issues with accountability in the medical record. Each healthcare provider must use their own login credentials to ensure that all entries are accurately attributed and to maintain the security of the EHR system.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

According to the ANA Systematic Practices, nurses’ contributions to quality health care and their professional roles are scaled in:

Correct Answer is D

Explanation

The clinic nurse has recently opened a client’s chart on the computer. A resident approaches and requests her to remain logged in so he can add a note to the same chart. Her response should be:

Correct Answer is B

Explanation

A nurse manager is planning to request two new mechanical ventilators at a cost of approximately $50,000 each. This item would typically be included in which budget?

A staff nurse confronts a nurse manager expressing that she believes the manager’s scheduling decisions are unfair. Which of the following responses by the nurse manager exhibits assertiveness?

A nurse manager seeks to enhance their unit’s use of evidence-based practice. Which of the following is an appropriate strategy for the nurse manager to consider?

Planning is intended to attain objectives in ever-changing, competitive settings. As a new manager, what is the most appropriate initial step in creating a strategic plan of action for a fall prevention program?

An RN working in a behavioral health unit is evaluating a client. The RN intends to assign some of the nursing responsibilities to a licensed practical nurse (LPN). Which statement made by the RN demonstrates proper delegation to the LPN?

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?

During annual performance evaluations of RNs, a nurse manager is assessing staff behaviors. Which of the following behaviors indicates INEFFECTIVE followership?