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Leading and Managing in Nursing, 7th Edition Chapter 02: Clinical Safety: The Core of Leading, Managing, and FollowingYoder-Wise: Questions and Correct Answers the Latest Update and Recommended Version$9.99
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Leading and Managing in Nursing, 7th Edition Chapter 02: Clinical Safety: The Core of Leading, Managing, and FollowingYoder-Wise: Questions and Correct Answers the Latest Update and Recommended Version
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross
Hospital reduced the number of its managers and increased the number of units for which each
manager was responsible. Within a year, the number of adverse events on the units had
doubled. How do the increase...
Leading and Managing in Nursing, 7th
Edition Chapter 02: Clinical Safety: The
Core of Leading, Managing, and
FollowingYoder-Wise: Questions and
Correct Answers the Latest Update and
Recommended Version
1. In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross
Hospital reduced the number of its managers and increased the number of units for which each
manager was responsible. Within a year, the number of adverse events on the units had
doubled. How do the increase in adverse events relate to decreased managers?
a. The overload of staff nurse duties
b. Resistance to change by staff
c. A change in reporting system for everyone
d. Fewer clinical leaders facilitate best practice
→ ANS: D
→ Eliminating barriers to the implementation of best practices is the role of managers and
leaders. When there are insufficient resources for leadership to encourage a culture in
which evidence-based practice is embraced, frontline nurses recognize this as a
stumbling block for delivering quality care.
2. The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What
interventions might assist to reduce the number of falls on the unit?
a. Determining who is responsible for the falls
b. Strengthening unit policies to avoid inappropriate admissions
c. Encouraging involvement of nurses in education related to falls and safety
d. Ensuring that patients are appropriately restrained if they are at risk for falls
→ ANS: C
→ The IOM (2010) emphasizes the need for nurses to engage in lifelong learning and to
use evidence and best practices to inform practice and ensure safety.
3. How would the nurse executive begin to increase safety in patient care areas of the Valley
Hospital?
a. Asking the community what the safety issues are
b. Consulting with a management expert about staffing schedules
c. Ensuring that the senior nursing officer attends the board meetings
d. Instituting improved practices to reduce needlestick injuries
→ ANS: C
→ The IOM report (2004) highlighted the importance of the attendance of the senior
nurse executive at board meetings to be a key spokesperson on safety and quality
issues.
4. During review of back injuries, it is determined that a large number of injuries are occurring
in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are
outdated. In addressing this concern, the unit manager:
a. meets individually with nurses who are observed to be using the lifts incorrectly to review
the correct procedure.
b. after consultation with the staff about the review, orders new lifts to replace older ones that
are malfunctioning.
c. blames the system for inadequate funding for resources.
d. reviews the system of reporting incidents to ensure that appropriate reporting is occurring.
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