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 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.

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

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

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

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 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?

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

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

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

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

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following does NOT correspond with the five rights of delegation?

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?