A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer: A

Rationale: Step-by-step rationale for why answer A is correct: 1. Address the issue professionally and objectively. 2. Focus on unit expectations rather than personal attacks. 3. Create an opportunity for open dialogue and clarification. 4. Set a constructive tone for resolving the conflict. Summary of why other choices are incorrect: B. Involves hearsay and personal attacks. C. Threatening without a resolution strategy. D. Accusatory and judgmental approach.

Correct Answer: C

Rationale: The correct answer is C: Data saturation. In qualitative research, data saturation is the point where new data no longer brings additional insights or changes in themes. This principle guides sample size determination as it ensures enough data is collected to reach this saturation point, leading to a comprehensive understanding of the phenomenon under study. Effect size (A) is more relevant in quantitative research, while the number of variables (B) and sub-group analysis (D) are factors that may influence the complexity of the study but are not directly related to determining sample size in qualitative research.

Correct Answer: B

Rationale: The correct answer is B: Minimize selection bias. Random assignment in an RCT helps ensure that participants in the experimental and control groups are similar at baseline. This minimizes the risk of selection bias, where certain characteristics of participants influence study outcomes. Choice A is incorrect because the purpose of random assignment is not specifically to test treatment effectiveness but to minimize bias. Choice C is incorrect because random assignment does not directly increase sample size. Choice D is incorrect because providing a baseline measurement is not the primary purpose of random assignment in an RCT.

Correct Answer: C

Rationale: Step 1: Reviewing the events leading up to each medication administration error is the most crucial first step. It allows the committee to understand the root causes of the errors, identify patterns or common factors contributing to errors, and develop targeted interventions to prevent future errors. Step 2: Providing an inservice on medication administration to all nurses (Choice A) is important but should come after understanding the specific issues causing errors. Step 3: Requiring staff nurses to demonstrate competency by passing an examination (Choice B) is not the most effective initial strategy as it focuses on individual performance rather than systemic issues. Step 4: Developing a quality improvement program for nurses involved in errors (Choice D) is important but should follow the analysis of the errors to ensure the program's effectiveness in addressing the identified issues.

Correct Answer: B

Rationale: The correct answer is B: Leave the pimple. Pinching a pimple can lead to inflammation, scarring, and further spread of bacteria. Leaving the pimple allows it to heal naturally, reducing the risk of complications. It is important to practice gentle skincare to promote healthy skin and avoid causing damage or irritation. Other choices are incorrect as they involve actions that can harm the skin and worsen the condition.