A nurse is part of a task force planning to audit a facility's nursing units concerning adherence to hand-hygiene protocols.
Which of the following steps should the task force take first?
Take corrective measures to enforce hand hygiene.
Establish methods for collecting data within the facility.
Compare the facility's data with the established criteria for hand hygiene.
Determine the accepted standards for hand hygiene.
The Correct Answer is D
Choice A rationale:
Taking corrective measures to enforce hand hygiene should not be the first step. It is important to establish a baseline and understand the current situation through data collection and analysis before implementing corrective measures.
Choice B rationale:
Establishing methods for collecting data within the facility is a crucial first step. Gathering information about the current hand hygiene practices, compliance rates, and areas of improvement is essential for the audit process. Data collection provides a factual basis for identifying problems and implementing targeted interventions.
Choice C rationale:
Comparing the facility's data with the established criteria for hand hygiene is a subsequent step after data collection. This step helps in evaluating the current practices against the accepted standards and guidelines. However, it is not the first step in the audit process.
Choice D rationale:
Determining the accepted standards for hand hygiene is an essential first step. It involves researching and understanding the national and international guidelines, protocols, and recommendations related to hand hygiene. Knowing the standards helps the task force establish a benchmark against which the facility's practices can be evaluated. It provides a foundation for data collection and subsequent analysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation

Hospice care includes bereavement support for the family for up to a year after the client's death.
- B is incorrect because the hospice nurse does not administer pain medication, but rather teaches the family how to manage the client's pain at home.
- C is incorrect because respite care is one of the services that hospice provides to allow the family to take a break from caregiving.
- D is incorrect because hospice care does not aim to prolong life, but rather to provide comfort and quality of life for the client and the family.
Correct Answer is A
Explanation
Advocacy is a leadership role that helps others to self-actualize.
- A. Advocacy is a leadership role that helps others to self-actualize. This statement is true and reflects one of the core principles of advocacy, which is to empower others to achieve their full potential and exercise their rights and responsibilities. This choice is correct.
- B. Subordinates are advocates for the nurse manager. This statement is false and contradicts one of the core principles of advocacy, which is to act in the best interest of those who are vulnerable or oppressed, not those who are in positions of power or authority. This choice is incorrect.
- C. Advocacy encourages clients to rely on health care staff for decision-making. This statement is false and contradicts one of the core principles of advocacy, which is to respect and support clients' autonomy and self-determination, not to impose or influence their choices or actions. This choice is incorrect.
- D. Nurse managers should distrust people who expose inappropriate professional practices. This statement is false and contradicts one of the core principles of advocacy, which is to promote and uphold ethical standards and quality of care, not to conceal or ignore malpractice or misconduct. This choice is incorrect.
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