A.
Tell them to work harder and be more resilient.
✓
B.
Organize a mandatory overtime shift to catch up on work.
✓
C.
Acknowledge the stress, offer support through debriefing sessions, and advocate for adequate staffing and resources.
✓
D.
Ignore the issue as it is a personal problem for the nurses.
✓
A.
The personal preferences of each nurse.
✓
B.
The patient acuity (level of sickness) and the skill mix of the available staff.
✓
C.
Which nurses are friends and work well together.
✓
D.
The need to keep staffing costs as low as possible, regardless of patient needs.
✓
A.
Waiting for instructions from the provincial health department before taking any action.
✓
B.
Prioritizing the safety of her staff and patients, and beginning immediate triage and basic care with available resources.
✓
C.
Closing the BHU to protect the equipment.
✓
D.
Focusing only on documentation and ignoring the influx of patients.
✓
A.
Any minor error that causes no harm to the patient.
✓
B.
A daily staff meeting.
✓
C.
An unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof.
✓
D.
A planned quality improvement initiative.
✓
A.
Plan, Do, Study, Act.
✓
B.
Patient, Diagnosis, Solution, Assessment.
✓
C.
Problem, Decision, Strategy, Action.
✓
D.
Plan, Delegate, Supervise, Achieve.
✓
A.
Blame the staff for the high infection rates.
✓
B.
Implement and monitor adherence to an evidence-based bundle of care for catheter insertion and maintenance.
✓
C.
Stop using urinary catheters for all patients.
✓
D.
Reward the nurse who has the fewest patients with CAUTIs.
✓
A.
Making decisions based on tradition and "how it's always been done."
✓
B.
Using the best available research, clinical expertise, and staff input to guide leadership decisions.
✓
C.
Following the leadership style of the most popular person on the unit.
✓
D.
Making decisions based on intuition alone.
✓
A.
Implementing the change immediately.
✓
B.
Solidifying the change into the new normal.
✓
C.
Creating awareness and a readiness for the change.
✓
D.
Evaluating the effects of the change.
✓
A.
Agreeing with everything the patient says.
✓
B.
Protecting the patient from their family.
✓
C.
Speaking up for the patient's rights and best interests, especially when they cannot speak for themselves.
✓
D.
Making all decisions for the patient.
✓
A.
Loyalty to their friend above all else.
✓
B.
Professional accountability and patient advocacy.
✓
C.
A desire to get their colleague into trouble.
✓
D.
A violation of the colleague's privacy.
✓
