Leadership Case Evidence Question & Answer Guide (With Explanation)
Students often encounter this when studying fundamental concepts.
What This Question Is About
This question relates to leadership case evidence and requires a structured academic response.
How to Approach This Question
Structure your response with introduction, analysis, and conclusion.
Key Explanation
This topic involves leadership case evidence. A strong answer should include explanation, application, and examples.
Original Question
Leadership Case: Evidence-Based Practice and Quality Improvement 1.The nursing student recalls that evidence-based practice (EBP) is defined as: a.Nursing care based on historical nursing tradition and history b.A problem-solving approach to clinical practice based on best practices c.Quality nursing care provided in an efficient and economically sound manner d.Scholarly inquiry into the nursing and medical research literature 2. 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.) a.Improve staff communication b.Reduce blood transfusion reactions c.Identify patients correctly d.Prevent falls in our elderly population e.Identify patient safety risks f.Use medications safely 3.Before developing a procedure on prevention of falls in elderly patients, a nurse reviews all current research-based literature on this topic. What type of nursing will be practiced based on this review? a.Data-driven practice b.Evidence-based practice c.Expert practice d.Standards of care practice 4.The new graduate is hoping to get his first job in a hospital that has a shared governance organizational structure. What describes shared governance? a.The governance of a unit occurs by unit councils who make recommendations to the nurse manager. b.The governance of the hospital is shared among board members, nurses, providers, and management, which emphasizes the empowerment of nurses. c.A process by which nurse managers from all units in the hospital work together to implement the same processes to assure that all staff are treated equally. d.A process by which the Chief Nursing Office consults with all nurse managers before making patient care delivery decisions. 5.What would the new nurse identify as an example of evidence-based practice (EBP) in action on a medical-surgical nursing unit? a.A group of staff from the dietary department and the med-surg unit, organized by the Director of b.Nursing, meeting monthly to address the issue of cold food. c.The nurse manager working with the dietary manager to share patient concerns about cold food. d.The evening charge nurse posting an “article of the month” in the staff breakroom. Implementation of a new telemetry monitoring system with all staff attending in-services. 6.The new graduate nurse recalls that when looking at a model for evidence-based practice, what is the final step of the process? a.Including the practice change in all the unit policies b.Implementation of the new practice c.Submitting a description of the new practice change for publication d.Evaluation of the new practice change 7.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? a.Complete a fall diary with the family to determine if there were any falls before the CVA. b.Encourage a family member to stay with the client. c.Instruct the client to sit, obtain balance, dangle legs, and rise slowly. d.Attach a sensor to the client’s bed, so that the bed alarm will sound when the client attempts to get out of bed. 8.The new nurse recalls that which strategies promote evidence-based practice? (Select all that apply.) a.Collaborate with other nurses locally and globally. b.Use sources that are only authored by nurses to stay true to nursing practice. c.Continue to use older and outdated practices if requested by the patient and family. d.Use and encourage use of multiple sources of evidence. e.Interact with other disciplines to bring nursing evidence to the table. 9.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? a.Patient and family-centered care initiative b.Six-Sigma approach c.Risk management project d.Performance improvement project
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