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)?

Integrate available evidence with unit expertise.

Develop the clinical question.

Appraise the evidence.

Identify the databases to be used.

Answer and Explanation

The Correct Answer is B

A. Integrate available evidence with unit expertise: This step comes after gathering evidence and assessing its quality. It involves applying evidence in conjunction with clinical expertise.
B. Develop the clinical question: Formulating a clear, focused clinical question is crucial for guiding the search for relevant evidence and ensuring that the inquiry addresses specific aspects of the problem.
C. Appraise the evidence: This step is performed after collecting evidence to evaluate its quality and relevance, ensuring that the findings are reliable and applicable.
D. Identify the databases to be used: Identifying databases is part of the search process, but it follows the development of a clinical question to guide the search for relevant evidence.

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Correct Answer is A

Explanation

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.

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice. B. Establish a rewards program to recognize achievements of the staff. C. Hire additional staff so individual workloads are lessened. D. Improve the working conditions of the unit by investing in ergonomic chairs.

Correct Answer is B

Explanation

A. Allow LPNs and CNAs to perform tasks beyond their scope of practice: This approach can lead to legal and ethical issues, compromising patient safety and putting staff at risk for disciplinary action.
B. Establish a rewards program to recognize achievements of the staff: Implementing a rewards program acknowledges and values the hard work of the staff, boosting morale and job satisfaction, which can lead to decreased turnover rates.
C. Hire additional staff so individual workloads are lessened: While this can reduce stress and burnout, it might not directly address the need for recognition and motivation, which are crucial for job satisfaction.
D. Improve the working conditions of the unit by investing in ergonomic chairs: Enhancing physical work conditions is beneficial, but it does not address the core issues of motivation and recognition that significantly impact job satisfaction.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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:

Correct Answer is A

Explanation

A floor manager discovers widespread dissatisfaction and a high turnover rate amongst LPN and certified nursing assistants (CNA). Which of the following strategies might motivate the staff and lead to enhanced job satisfaction?

Correct Answer is B

Explanation

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

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

During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

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?

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

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?