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 Furthermore, it is determined that some lifts are outdated.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:
Review the correct procedure with staff members who use the mechanical lifts incorrectly.
Remind employees who sustain back injuries that they are solely responsible for their actions.
Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts.
File a grievance about inadequate funding and an unsafe work environment.
The Correct Answer is A
A. Review the correct procedure with staff members who use the mechanical lifts incorrectly: Reviewing and reinforcing proper use of equipment is a direct and practical approach to improving safety and reducing injuries.
B. Remind employees who sustain back injuries that they are solely responsible for their actions: Placing sole responsibility on employees ignores potential systemic issues and does not address the root cause of the problem.
C. Compile Wikipedia articles to develop a revised procedure to operate mechanical lifts: Using Wikipedia as a source for developing procedures is inappropriate; reliable, evidence-based sources should be used for developing safety procedures.
D. File a grievance about inadequate funding and an unsafe work environment: While addressing funding and safety concerns is important, the immediate step should be to address procedural and equipment issues directly related to the injuries.
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Related Questions
Correct Answer is D
Explanation
A. The task being delegated matches the AP's skill level: This corresponds with the five rights of delegation, ensuring that tasks are assigned based on the AP’s capabilities.
B. The task being delegated to the AP is relatively non-invasive: Non-invasive tasks are generally suitable for delegation, aligning with the principle of matching tasks to the AP’s skills.
C. The task being delegated to the AP is within their scope of practice: Delegation should always be within the AP’s legal and professional scope of practice.
D. The task being delegated requires close supervision: The need for close supervision is not a component of the five rights of delegation. The rights focus more on the appropriateness of the task, the individual’s skills, and the delegation process rather than the level of supervision required.
Correct Answer is D
Explanation
A. Autonomy: Autonomy refers to respecting individuals' right to make their own decisions, which is not the primary focus in providing feedback.
B. Nonmaleficence: Nonmaleficence involves avoiding harm, which is indirectly related to providing truthful feedback, but not the main ethical principle here.
C. Justice: Justice involves fairness and equality, which can be related to evaluations but is not specifically about providing truthful feedback.
D. Fidelity: Fidelity refers to being truthful and maintaining trustworthiness. Providing honest feedback is a key aspect of fidelity, ensuring transparency and trust in the manager-nurse relationship.
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