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. 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.

A. The task being delegated matches the AP's skill level. B. The task being delegated to the AP is relatively non-invasive. C. The task being delegated to the AP is within their scope of practice. D. The task being delegated requires close supervision.

Correct Answer is D

Explanation

A. The task being delegated matches the AP's skill level: This corresponds with the five rights of delegation, ensuring that tasks are assigned based on the AP’s capabilities.
B. The task being delegated to the AP is relatively non-invasive: Non-invasive tasks are generally suitable for delegation, aligning with the principle of matching tasks to the AP’s skills.
C. The task being delegated to the AP is within their scope of practice: Delegation should always be within the AP’s legal and professional scope of practice.
D. The task being delegated requires close supervision: The need for close supervision is not a component of the five rights of delegation. The rights focus more on the appropriateness of the task, the individual’s skills, and the delegation process rather than the level of supervision required.

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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

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)?

Correct Answer is B

Explanation

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?

Correct Answer is D

Explanation

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?

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

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