Leading and Managing in Nursing 7th Edition by Yoder
Wise (chapters 1-30) complete.
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Chapter 02: Clinical Safety: The Core of Leading, Managing, and Following
Yoder-Wise: Leading and Managing in Nursing, 7th Edition
MULTIPLE CHOICE
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
m
er as
delivering quality care.
co
TOP: AONE competency: Knowledge of the Health Care Environment
eH w
o.
2. The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What
rs e
interventions might assist to reduce the number of falls on the unit?
ou urc
a. Determining who is responsible for the falls
b. Strengthening unit policies to avoid inappropriate admissions
c. Encouraging involvement of
NURnurses
SING B.COMrelated to falls and safety
inTeducation
o
d. Ensuring that patients are appropriately restrained if they are at risk for falls
aC s
ANS: C
vi y re
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.
TOP: AONE competency: Professionalism
ed d
ar stu
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
is
b. Consulting with a management expert about staffing schedules
c. Ensuring that the senior nursing officer attends the board meetings
Th
d. Instituting improved practices to reduce needlestick injuries
ANS: C
The IOM report (2004) highlighted the importance of the attendance of the senior nurse
sh
executive at board meetings to be a key spokesperson on safety and quality issues.
TOP: AONE competency: Knowledge of the Health Care Environment
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