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 Furthermore, it is determined that some lifts are outdated.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 C

Explanation

A. Practice failure: Practice failure refers to the inability of a practice or intervention to be successful in a clinical setting, but the issue described is specific to the difficulty of implementation rather than complete failure.
B. Efficacy: Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions, but it does not address real-world application challenges.
C. Effectiveness: Effectiveness refers to how well an intervention works in real-world settings, considering factors like ease of use and patient understanding. The feedback highlights difficulties in real-world application, indicating an issue with effectiveness.
D. Comparative error: Comparative error would refer to errors in comparing two different interventions, but the problem here is related to the usability of the new scale.

A. Incidence of catheter-induced urinary tract infections. B. Nursing staff ratios. C. Availability of resources, such as fire extinguishers. D. Quality of nursing care provided.

Correct Answer is A

Explanation

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

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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

Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

Correct Answer is C

Explanation

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Correct Answer is A

Explanation

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