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:

practice failure.

efficacy.

effectiveness.

comparative error.

Answer and Explanation

The Correct Answer is C

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.

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Correct Answer is A

Explanation

A. "I need to speak with you about unit expectations regarding delegating and completing tasks.": This statement is direct, focuses on the issue at hand, and sets the stage for a constructive conversation about expectations and responsibilities.
B. "You have been very inconsiderate of others by not completing your share of the work.": This statement is accusatory and may lead to defensiveness rather than resolving the conflict.
C. "If you don't do your share of the work, I will have to inform the nurse manager.": This statement is threatening and does not foster a collaborative approach to problem-solving.
D. "Several staff members have commented that you don't do your fair share of the work.": This statement may lead to feelings of isolation and defensiveness, rather than addressing the behavior constructively.

A. Identifying patients with extended lengths of stay. B. Reviewing specialty organization guidelines. C. Conducting a review of adverse events and incident reports. D. Soliciting input from staff members.

Correct Answer is B

Explanation

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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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer is A

Explanation

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?

Correct Answer is B

Explanation

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

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?

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

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?

Which of the following is an effective approach in the appraisal of research studies?

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?

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

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: