When a nurse observes a fellow nurse preparing an incorrect dose of medication, what is the best action to take?

Correct Answer: D

Rationale: The correct answer is D: Report the error to the supervisor immediately. This action prioritizes patient safety and prevents harm. It follows ethical guidelines by promoting transparency and accountability. Reporting the error also upholds professional standards and fosters a culture of continuous learning and improvement. Ignoring the error (A) risks patient harm. Administering the medication anyway (B) compromises patient safety. Correcting the error without informing the nurse (C) overlooks the importance of addressing the root cause and preventing future mistakes.

Correct Answer: C

Rationale: The primary goal of evidence-based practice (EBP) is to enhance clinical decision-making. Evidence-based practice involves integrating the best available research evidence with clinical expertise and patient values to make informed decisions about patient care. By using evidence-based practice, healthcare providers can ensure that their decisions are based on the most current and relevant evidence, leading to improved patient outcomes. While reducing healthcare costs, improving patient outcomes, and ensuring patient safety are important aspects of healthcare, they are not the primary goal of evidence-based practice.

Correct Answer: B

Rationale: The correct answer is B: Physical therapy for stroke patients, as it falls under tertiary prevention aimed at reducing the impact of a disease or disability. Physical therapy helps stroke patients regain function and improve quality of life post-onset. A: Administering immunizations is an example of primary prevention, preventing a disease from occurring. C: Routine health screenings are a form of secondary prevention, detecting diseases early to prevent progression. D: Health education campaigns can be both primary (preventing disease occurrence) or secondary prevention (early detection).

Correct Answer: C

Rationale: The correct answer is C: Ongoing training and education. This is crucial in a QI project as it ensures staff are equipped with necessary skills and knowledge to implement and sustain improvements. Ongoing training fosters a culture of continuous learning and improvement, leading to better outcomes. A: Standardized care protocols are important but not the key component. They provide guidelines for care delivery but without ongoing training, staff may struggle to adhere to these protocols effectively. B: Employee satisfaction is important for motivation but does not directly guarantee successful QI projects. Training and education are more crucial for achieving sustainable improvement. D: Financial incentives can be a motivator, but they do not address the root cause of quality issues. Ongoing training is essential for building capacity and expertise within the team.

Correct Answer: C

Rationale: The primary responsibility of a nurse manager in a healthcare setting is to oversee administrative tasks (Choice C). This includes managing staff, scheduling, budgeting, ensuring regulatory compliance, and improving patient care quality. Providing direct patient care (Choice A) is typically the responsibility of bedside nurses. Managing healthcare facilities (Choice B) is usually handled by facility administrators. Conducting clinical research (Choice D) is more aligned with the role of a nurse researcher or clinical trials coordinator. Thus, the correct answer (Choice C) focuses on the core duties of a nurse manager in managing the operations and administrative aspects of a healthcare setting.