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

Referring all errors in nursing judgment to state disciplinary boards.

Verifying that attending physicians are properly licensed to provide care on patient care units.

Practicing within legal guidelines established under state law and nurse practice acts.

Creating an environment of severe consequences for nursing errors to ensure quality practice.

Ensuring that nursing staff under their supervision are currently licensed to practice.

Answer and Explanation

Correct Answer : C,E

A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.

B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.

C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.

D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.

E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.

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Correct Answer is C

Explanation

A. Establishing a journal club: A journal club provides a collaborative environment for staff to review and discuss current research, promoting evidence-based practice.
B. Encouraging staff to join a professional association: Professional associations often offer resources, education, and networking opportunities that support evidence-based practice.
C. Instituting mandatory writing assignments discussing a chosen best-practice article: Mandatory writing assignments can be seen as punitive and may not be well-received by staff, potentially leading to resistance rather than engagement.
D. Creating an incentive program for staff to pursue a specialty certification: Offering incentives for specialty certification encourages professional development and can enhance evidence-based practice among staff.

A. Follower B. Manager C. Laissez-faire D. Leader

Correct Answer is D

Explanation

A. Follower: A follower role implies taking direction from others rather than initiating supportive actions independently.
B. Manager: A manager focuses on administrative and organizational tasks, while the described action is more aligned with providing emotional and spiritual support.
C. Laissez-faire: This leadership style involves minimal intervention, whereas the nurse is actively engaging with the family to offer support and resources.
D. Leader: By recognizing the family's needs and proactively offering support, the nurse demonstrates leadership in providing holistic, patient-centered care.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

Correct Answer is C

Explanation

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?

Correct Answer is D

Explanation

One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

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:

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?

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