Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

practice failure.

efficacy.

effectiveness.

comparative error.

Answer and Explanation

The Correct Answer is C

A. Practice failure: Practice failure refers to the inability of a practice or intervention to be successful in a clinical setting, but the issue described is specific to the difficulty of implementation rather than complete failure.
B. Efficacy: Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions, but it does not address real-world application challenges.
C. Effectiveness: Effectiveness refers to how well an intervention works in real-world settings, considering factors like ease of use and patient understanding. The feedback highlights difficulties in real-world application, indicating an issue with effectiveness.
D. Comparative error: Comparative error would refer to errors in comparing two different interventions, but the problem here is related to the usability of the new scale.

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Correct Answer is C

Explanation

A. Cultural awareness: Cultural awareness involves recognizing and understanding the differences and similarities between cultures, which is not directly related to imitating co-workers.
B. Cultural sensitivity: Cultural sensitivity refers to being aware of and respectful towards the cultural differences and needs of others, not necessarily imitating co-workers.
C. Acculturation: Acculturation is the process of adapting to and adopting the cultural traits or social patterns of another group, which fits the description of Mary imitating her co-workers.
D. Cultural marginality: Cultural marginality occurs when an individual feels they do not belong to any cultural group, which is not indicated by Mary's behavior of adapting to her co-workers.

A. Surgery to the wrong site was stopped prior to a procedure. B. Paralysis of a client's lower extremities occurred following epidural anesthesia. C. A client fall during ambulation did not result in client injury. D. A complaint that a nurse was culturally insensitive was made by a client's family member.

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.

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Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Mary is a newly-hired, new graduate nurse. Mary adapts her practice to imitate her co-workers on the unit. She is demonstrating:

Correct Answer is C

Explanation

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

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?

Which of the following is most accurate regarding evidence-based practice?

A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):

The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?