During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

Review the correct procedure with staff members who use the mechanical lifts incorrectly.

Remind employees who sustain back injuries that they are solely responsible for their actions.

Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts.

File a grievance about inadequate funding and an unsafe work environment.

Answer and Explanation

The Correct Answer is A

A. Review the correct procedure with staff members who use the mechanical lifts incorrectly: Reviewing and reinforcing proper use of equipment is a direct and practical approach to improving safety and reducing injuries.
B. Remind employees who sustain back injuries that they are solely responsible for their actions: Placing sole responsibility on employees ignores potential systemic issues and does not address the root cause of the problem.
C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts: Using Wikipedia as a source for developing procedures is inappropriate; reliable, evidence-based sources should be used for developing safety procedures.
D. File a grievance about inadequate funding and an unsafe work environment: While addressing funding and safety concerns is important, the immediate step should be to address procedural and equipment issues directly related to the injuries.

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Correct Answer is B

Explanation

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.

A. Review the events leading up to each medication administration error. B. Require staff nurses to demonstrate competency by passing a medication administration examination. C. Develop a quality improvement program for nurses involved in medication administration errors. D. Provide an inservice on medication administration to all the nurses.

Correct Answer is A

Explanation

A. Review the events leading up to each medication administration error: Analyzing the events that led to medication errors helps identify root causes and contributing factors, which is crucial for developing targeted interventions and improving practices.
B. Require staff nurses to demonstrate competency by passing a medication administration examination: While competency is important, it should be based on insights gained from reviewing errors and understanding specific areas needing improvement.
C. Develop a quality improvement program for nurses involved in medication administration errors: This is a valuable step but should come after understanding the underlying causes of the errors through a review process.
D. Provide an inservice on medication administration to all the nurses: Training is important, but it should be informed by the findings from the error review to address specific issues and improve practices effectively.

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During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

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Naxlex Comprehensive Predictor Exams

A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Correct Answer is B

Explanation

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

Correct Answer is A

Explanation

During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

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