Study Guide
The new nurse recalls that which strategies promote evidence-based practice? (Select all that apply.)
- Use and encourage use of multiple sources of evidence., - Collaborate with other nurses locally and globally., - Interact with other disciplines to bring nursing evidence to the table
Which theories does the student nurse recognize as evidence-based theories of planned change? (Select all that apply.)
-Stages of Change Model -Complex Adaptive Systems Theory -Chaos Theory
The nursing student recalls that evidence-based practice (EBP) is defined as:
A problem-solving approach to clinical practice based on best practices
The new nurse manager identifies what reason for the need to thoughtfully use a change management process?
If all critical human and organizational elements are addressed in a structured manner, it increases the likelihood of sustainable change.
A nurse manager was reviewing patient care data to determine opportunities to improve the quality of patient care. The nurse manager identified that many clients were being admitted to the unit without a required allergy arm band. The nurse manager, working with a unit-based committee of nurses and nursing assistants, developed a plan including goals, objectives, and a timeline to address this problem. This is an example of which approach?
Performance improvement project
The nurse manager is implementing a new staffing strategy, and identifies that which response from a team member may indicate that change management strategies may be needed?
'I really don't see the need for this—our current staffing plan works fine.'
Which would the student nurse recognize as phases in Lewin's Theory of Planned Change? (Select all that apply.)
- Unfreezing - Movement - Refreezing
What would the new nurse identify as an example of evidence-based practice (EBP) in action on a medical-surgical nursing unit?
A group of staff from the dietary department and the med-surg unit, organized by the Director of Nursing, meeting monthly to address the issue of cold food
The new graduate nurse recalls that when looking at a model for evidence-based practice, what is the final step of the process?
Evaluation of the new practice change
Before developing a procedure on prevention of falls in older adult patients, a nurse reviews all current research-based literature on this topic. What type of nursing will be practiced based on this review?
Evidence based review
Which response by the nurse manager is most appropriate when overhearing staff complaints about a new hospital-wide process to improve patient ID band identification?
Let's start today with addressing these new patient ID bands in every huddle, and then I'll send a memo before calling a special meeting to discuss this by the end of the week.
The new evening charge nurse recalls that there are both internal as well as external forces that influence changes on a unit. In a staff meeting, she explains that what is NOT an external force?
Low morale of the unit staff due to several unexpected resignations
Which activity would the nurse manager expect in the unfreezing stage of change?
Making others aware of the need for the change to be implemented
A new nurse manager on a med-surg unit is not satisfied with the consistently low scores on patient-satisfaction surveys in the area of staff responsiveness. The manager has also noticed that staff morale is quite low compared to other units. Which strategy is a priority for this new nurse manager?
Schedule a special staff meeting to address the survey results and add 'patient survey results' as a standing agenda item for each monthly staff meeting.
Which statement is an example of Lewin's "refreezing" phase of change management?
Supporting others so that the change can continue
The new graduate is hoping to get his first job in a hospital that has a shared governance organizational structure. What describes shared governance?
The governance of the hospital is shared among board members, nurses, providers, and management, which emphasizes the empowerment of nurses.
Which restraining force would the nursing leadership team identify when planning to implement a new self-scheduling system?
The vacancies of two full-time night employees
What are recent examples of National Patient Safety Goals as identified by the Joint Commission for Accreditation of Healthcare Organizations (JCAHO)? (Select all that apply.)
- Identify patients correctly - Improve staff communication - Use medications safely - Identify patient safety risks
The nurse is planning care with the family of an older adult who is recuperating on a rehab unit for injuries sustained in a fall due to postural hypotension. As part of a quality improvement (QI) project to reduce the number of the falls on this rehab unit, what will be most effective in preventing falls in this client?
instruct the client to sit, obtain balance, dangle legs, and rise slowly
