The chief nursing officer understands that clinical incompetence is best prevented by:

Formalized competency program with established standards for practice.

Standardized clinical skills checklist.

Administration of personality tests and competency assessments at the point of hire.

Flexible protocol for evaluating competency skills.

Answer and Explanation

The Correct Answer is A

Choice A reason: A formalized competency program with established standards for practice ensures that all nurses meet a certain level of proficiency and adhere to the same high standards, which is essential for preventing clinical incompetence.

Choice B reason: While a standardized clinical skills checklist can be a useful tool for assessing specific skills, it does not encompass the comprehensive approach of a formalized competency program.

Choice C reason: Personality tests and competency assessments at the point of hire can help in selecting competent staff, but they are not sufficient on their own to prevent clinical incompetence throughout an employee's tenure.

Choice D reason: A flexible protocol for evaluating competency skills may allow for individualized assessment, but without established standards, it may not effectively prevent clinical incompetence.

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Correct Answer is D

Explanation

Choice A: State nurse practice act

The State Nurse Practice Act is a set of laws that governs how nurses should practice nursing in each state. It provides a broad framework for the practice of nursing, but it does not provide specific details about procedures such as inserting an IV catheter.

Choice B: More experienced nurse

While a more experienced nurse can be a valuable resource for a newly licensed nurse, they may not always be available. Additionally, their methods may vary and may not always align with the current best practices or institutional policies.

Choice C: Website

While there are many educational resources available online, the information on websites can vary in quality and may not be up-to-date or in line with the specific policies and procedures of the nurse's institution.

Choice D: Institutional policy and procedures manual

The institutional policy and procedures manual is the most reliable source for a newly licensed nurse to review the procedure and the standard at which it should be performed. This manual provides detailed, step-by-step instructions for various procedures and is tailored to the specific practices and standards of the institution. Therefore, it is the best choice in this scenario.

A. Reliance on the manager to provide direct guidance on patient care management. B. Avoiding use of the new protocol until feedback from peers is obtained. C. Strict adherence to unit leaders' decisions. D. Self-awareness and the ability to speak up and voice opinions and concerns.

Correct Answer is D

Explanation

Choice A reason: Reliance on the manager for direct guidance does not demonstrate the proactive qualities of a follower in action. Followers should be able to work independently while understanding the direction provided by leaders.

Choice B reason: Avoiding the use of a new protocol until receiving peer feedback may indicate a lack of initiative or resistance to change, which are not characteristics of an effective follower.

Choice C reason: While adherence to decisions is important, strict adherence without question does not embody the critical thinking and engagement expected of a follower in action.

Choice D reason: Self-awareness and the ability to speak up reflect a follower who is engaged, thoughtful, and proactive, which are key qualities in a dynamic healthcare environment.

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The chief nursing officer understands that clinical incompetence is best prevented by:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed?

Correct Answer is D

Explanation

After attending a regular monthly unit meeting, a nurse considers the impact of a new protocol on patient care delivery. Which of the following examples best describes a follower in action?

Correct Answer is D

Explanation

A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:

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