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 A

Explanation

A. Review the events leading up to each medication administration error: Analyzing the events that led to medication errors helps identify root causes and contributing factors, which is crucial for developing targeted interventions and improving practices.
B. Require staff nurses to demonstrate competency by passing a medication administration examination: While competency is important, it should be based on insights gained from reviewing errors and understanding specific areas needing improvement.
C. Develop a quality improvement program for nurses involved in medication administration errors: This is a valuable step but should come after understanding the underlying causes of the errors through a review process.
D. Provide an inservice on medication administration to all the nurses: Training is important, but it should be informed by the findings from the error review to address specific issues and improve practices effectively.

A. Avoiding B. Compromising C. Cooperating D. Competing

Correct Answer is B

Explanation

A. Avoiding: Avoiding conflict would involve not addressing the issue or avoiding the conversation, which is not the case here.
B. Compromising: Compromising involves making mutual concessions to reach a solution that is acceptable to both parties, which is demonstrated by the charge nurse agreeing to cover the nurse’s patients in exchange for help with the drug count.
C. Cooperating: Cooperating would involve working together to solve the problem, but without a clear exchange or compromise, which does not fully describe this situation.
D. Competing: Competing involves a win-lose approach, where one party’s needs are met at the expense of the other’s, which does not apply here as both parties are making concessions.

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

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

Which of the following is an effective approach in the appraisal of research studies?

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