A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

Evaluate the results.

Identify the problem.

Brainstorm solutions.

Implement a resolution.

Answer and Explanation

The Correct Answer is B

A. Evaluate the results: Evaluation is necessary but comes after identifying the problem and implementing a resolution.
B. Identify the problem: Identifying the root cause of the conflict is essential before any effective solutions can be developed and implemented.
C. Brainstorm solutions: Brainstorming is useful but should occur after clearly defining the problem to ensure relevant solutions are proposed.
D. Implement a resolution: Implementing a resolution without first understanding the problem may not address the underlying issues and could lead to ineffective or temporary fixes.

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Correct Answer is B

Explanation

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.

A. Deter mistakes by emphasizing the consequences of committing a medication error. B. Include the bedside nurses in the decision-making process involving their practice. C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart. D. Relinquish responsibility by asking a separate department to oversee quality improvement.

Correct Answer is B

Explanation

A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.

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A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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