Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
CHAPTER 02: CLINICAL SAFETY: THE CORE OF LEADING,MANAGING
AND FOLLOWING YODER-WISE:
Chapter 02: Clinical Safety: The Core LEADING AND MANAGING
of Leading, Managing, and Following
NURSING,7TH EDITION
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
delivering quality care.
TOP: AONE competency: Knowledge of the Health Care Environment
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
NURnurses
SING B.COMrelated to falls and safety
inTeducation
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.
TOP: AONE competency: Professionalism
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.
TOP: AONE competency: Knowledge of the Health Care Environment
This study source was downloaded by 100000849838140 from CourseHero.com on 09-27-2022 11:35:28 GMT -05:00
https://www.coursehero.com/file/54769006/02pdf/ NURSINGTB.COM
, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
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.
ANS: A
The involvement of staff nurses in safety on the unit is imperative in improvement of quality
and the provision of patient care. This is a relationship engagement by the manager to engage
the nurses and building these relationships improves quality.
TOP: AONE competency: Communication and Relationship-Building
5. What did the IOM Health Professions Education report highlight as a concern for patient
safety?
a. A normal risk in professional practice
b. A result of disciplinary silos
c. A reflection of frontline staff
d. Related to systems errors
ANS: B
The IOM Health Professions Education report (2004) highlighted the education of health
disciplines in silos as a majorNconcern
URSINinGpatient
TB.Csafety
OM and endorsed five recommendations.
One to be increased and improved communication between the health disciplines.
TOP: AONE competency: Knowledge of the Health Care Environment
6. A nurse manager is implementing strategies to support the steps in the AHRQ document “Five
Steps to Safer Health Care.” What does the manager include in the implementation?
a. Patients are actively encouraged to make decisions related to care.
b. Rules and decisions are made through centralized processes.
c. You monitor the performance of each staff member closely.
d. Preference is given to increasing staff numbers rather than staff credentials.
ANS: A
The Agency for Healthcare Research and Quality (AHRQ) outlines “Five Steps to Safer
Health Care,” which suggests that safe, patient-centered care is facilitated by assisting patients
to become active partners in their own care.
TOP: AONE competency: Knowledge of the Health Care Environment
7. After consulting with practice environments about quality and safety concerns in health care,
a dean in a health care program implements what to improve quality and safety in health care?
a. A nursing program that emphasizes the development of a strong disciplinary
identity.
b. Programming that stresses discipline-based research.
This study source was downloaded by 100000849838140 from CourseHero.com on 09-27-2022 11:35:28 GMT -05:00
https://www.coursehero.com/file/54769006/02pdf/ NURSINGTB.COM
CHAPTER 02: CLINICAL SAFETY: THE CORE OF LEADING,MANAGING
AND FOLLOWING YODER-WISE:
Chapter 02: Clinical Safety: The Core LEADING AND MANAGING
of Leading, Managing, and Following
NURSING,7TH EDITION
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
delivering quality care.
TOP: AONE competency: Knowledge of the Health Care Environment
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
NURnurses
SING B.COMrelated to falls and safety
inTeducation
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.
TOP: AONE competency: Professionalism
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.
TOP: AONE competency: Knowledge of the Health Care Environment
This study source was downloaded by 100000849838140 from CourseHero.com on 09-27-2022 11:35:28 GMT -05:00
https://www.coursehero.com/file/54769006/02pdf/ NURSINGTB.COM
, Leading and Managing in Nursing 7th Edition Yoder-Wise Test Bank
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.
ANS: A
The involvement of staff nurses in safety on the unit is imperative in improvement of quality
and the provision of patient care. This is a relationship engagement by the manager to engage
the nurses and building these relationships improves quality.
TOP: AONE competency: Communication and Relationship-Building
5. What did the IOM Health Professions Education report highlight as a concern for patient
safety?
a. A normal risk in professional practice
b. A result of disciplinary silos
c. A reflection of frontline staff
d. Related to systems errors
ANS: B
The IOM Health Professions Education report (2004) highlighted the education of health
disciplines in silos as a majorNconcern
URSINinGpatient
TB.Csafety
OM and endorsed five recommendations.
One to be increased and improved communication between the health disciplines.
TOP: AONE competency: Knowledge of the Health Care Environment
6. A nurse manager is implementing strategies to support the steps in the AHRQ document “Five
Steps to Safer Health Care.” What does the manager include in the implementation?
a. Patients are actively encouraged to make decisions related to care.
b. Rules and decisions are made through centralized processes.
c. You monitor the performance of each staff member closely.
d. Preference is given to increasing staff numbers rather than staff credentials.
ANS: A
The Agency for Healthcare Research and Quality (AHRQ) outlines “Five Steps to Safer
Health Care,” which suggests that safe, patient-centered care is facilitated by assisting patients
to become active partners in their own care.
TOP: AONE competency: Knowledge of the Health Care Environment
7. After consulting with practice environments about quality and safety concerns in health care,
a dean in a health care program implements what to improve quality and safety in health care?
a. A nursing program that emphasizes the development of a strong disciplinary
identity.
b. Programming that stresses discipline-based research.
This study source was downloaded by 100000849838140 from CourseHero.com on 09-27-2022 11:35:28 GMT -05:00
https://www.coursehero.com/file/54769006/02pdf/ NURSINGTB.COM
