Nokea
A nurse has integrated the principles of evidence-based practice into care. EBP has the potential to help the nurse achieve what goal?
- A. Increasing career satisfaction
- B. Obtaining federal grant money
- C. Ensuring high quality patient care
- D. Enhancing the publics esteem for nursing
Correct Answer: C
Rationale: Quality improvement is the ultimate goal of EBP. Career satisfaction, public esteem, and grant money are not priorities.
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The ANA has identified central characteristics of nursing practice that are applicable across the wide variety of contexts in which nurses practice. A nurse can best demonstrate these principles by performing which of the following actions?
- A. Teaching the public about the role of nursing
- B. Taking action to control the costs of health care
- C. Ensuring that all of his or her actions exemplify caring
- D. Making sure to carry adequate liability insurance
Correct Answer: C
Rationale: The ANA emphasizes the fact that caring is central to the practice of the registered nurse. The ANA does not identify teaching the public about nursing, controlling costs, or maintaining insurance as a central tenet of nursing practice.
Nurses in acute care settings must work with other health care team members to maintain quality care while facing pressures to care for patients who are hospitalized for shorter periods of time than in the past. To ensure positive health outcomes when patients return to their homes, what action should the nurse prioritize?
- A. Promotion of health literacy during hospitalization
- B. Close communication with insurers
- C. Thorough and evidence-based discharge planning
- D. Participation in continuing education initiatives
Correct Answer: C
Rationale: Following discharges that occur after increasingly short hospital stays, nurses in the community care for patients who need high-technology acute care services as well as long-term care in the home. This is dependent on effective discharge planning to a greater degree than continuing education, communication with insurers, or promotion of health literacy.
The Joint Commission and the Centers for Medicare and Medicaid Services (CMS) are evaluating a large, university medical center according to core measures. Evaluators should perform this evaluation in what way?
- A. By auditing the medical centers electronic health records
- B. By performing focus groups and interviews with care providers from numerous disciplines
- C. By performing statistical analysis of patient satisfaction surveys
- D. By comparing the centers patient outcomes to best practice indicators
Correct Answer: D
Rationale: Core measures are used to gauge how well a hospital gives care to its patients who are admitted to seek treatment for a specific disease or who need a specific treatment as compared to evidence-based guidelines and standards of care. Benchmark standards of quality are used to compare the care or treatment patients receive with the best practice standards. Patient satisfaction is considered, but this is not the only criterion.
A nurse on a medical-surgical unit has asked to represent the unit on the hospitals quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, what characteristic should the nurse cite?
- A. These programs establish consequences for health care professionals actions.
- B. These programs focus on the processes used to provide care.
- C. These programs identify specific incidents related to quality.
- D. These programs seek to justify health care costs and systems.
Correct Answer: B
Rationale: Numerous models seek to improve the quality of health care delivery. A commonality among them is a focus on the processes that are used to provide care. Consequences, a focus on incidents, and justification for health care costs are not universal characteristics of quality improvement efforts.
A hospice nurse is caring for a patient who is dying of lymphoma. According to Maslows hierarchy of needs, what dimension of care should the nurse consider primary in importance when caring for a dying patient?
- A. Spiritual
- B. Social
- C. Physiologic
- D. Emotional
Correct Answer: C
Rationale: Maslow ranked human needs as follows: physiologic needs; safety and security; sense of belonging and affection; esteem and self-respect; and self-actualization, which includes self-fulfillment, desire to know and understand, and aesthetic needs. Such a hierarchy of needs is a useful framework that can be applied to the various nursing models for assessment of a patients strengths, limitations, and need for nursing interventions. The other answers are incorrect because they are not of primary importance when caring for a dying patient, though each should certainly be addressed.