A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Surgery to the wrong site was stopped prior to a procedure.

Paralysis of a client's lower extremities occurred following epidural anesthesia.

A client fall during ambulation did not result in client injury.

A complaint that a nurse was culturally insensitive was made by a client's family member.

Answer and Explanation

The Correct Answer is B

A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.

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Correct Answer is D

Explanation

A. Progress through the workday without a plan: Working without a plan can lead to inefficient use of time and missed priorities, making it difficult to manage tasks effectively.
B. Put off important tasks until they feel motivated to start them: Procrastination can lead to delays and increased stress, affecting overall productivity and management effectiveness.
C. Only accept projects that exactly fit their specifications: Limiting acceptance to projects that fit exactly within specifications may hinder flexibility and the ability to address broader needs or priorities.
D. Decline requests that are not in alignment with their priorities: Prioritizing tasks and declining requests that do not align with current priorities helps manage time effectively and ensures focus on the most important tasks.

A. "I need to speak with you about unit expectations regarding delegating and completing tasks." B. "You have been very inconsiderate of others by not completing your share of the work." C. "If you don't do your share of the work, I will have to inform the nurse manager." D. "Several staff members have commented that you don't do your fair share of the work."

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.

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A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

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

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