The nurse educator of the pediatric unit determines that vital signs are frequently not being documented when children return from surgery.
According to quality improvement (QI), to correct the problem, the educator, in consultation with the patient care manager, would initially do which of the following?
a. Talk to the staff individually to determine why this is occurring.
b. Call a meeting of all staff to discuss this issue.
c. Have a group of staff nurses review the established standards of care for postoperative patients.
d. Document which staff members are not recording vital signs, and write them up.
Question 2A nurse manager wants to decrease the number of medication errors that occur in her department. The manager arranges a meeting with the staff to discuss the issue. The manager conveys a total quality management philosophy by:
a. Explaining to the staff that disciplinary action will be taken in cases of additional errors.
b. Recommending that a multidisciplinary team should assess the root cause of errors in medication.
c. Suggesting that the pharmacy department should explore its role in the problem.
d. Changing the unit policy to allow a certain number of medication errors per year without penalty.
Question 3You are hired as a new manager. When the offer of employment is made, you agree to at-will employment.
Later, you become very concerned about the policies and practices of your organization and their impact on patient care. You speak with your supervisor several times about your concerns, but no action is taken. In considering your next steps, you:
a. Consider your increased vulnerability under the terms of your employment.
b. Recognize that your supervisor is more vulnerable than you are because of her more senior position.
c. Are more likely as a leader to take action because you are well protected from repercussions by federal and state regulations.
d. Contact your union to discuss your concerns and review your options.
Question 4With the rise of violence in the psychiatric department, the nurse manager decides that she should work with the risk manager in violence prevention. The nurse manager should:
a. Request all staff to accept new risk management practices.
b. Hold staff accountable for safe practices.
c. Document inappropriate behavior.
d. Hire more police security.
Question 5Nurses in an Emergency Department, in an inner-city neighborhood characterized by high levels of violence, are concerned with low levels of security presence in their department.
Security levels have recently been decreased and the nurses question why this has occurred. An appropriate action would be to:
a. Provide nurses with information about rationale for recent changes in security staffing.
b. Refer the matter to the head of security and let her deal with it.
c. Provide mentors who can help nurses diffuse aggressiveness.
d. Accept the security levels as a consequence of funding realities.
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