Nokea
An interdisciplinary team is evaluating the hospital's care of patients admitted with a myocardial infarction (heart attack) compared to national standards. The team analyzes the hospital's clinical indicator, which would be: (select all that apply)
- A. aspirin order within 24 hours of discharge.
- B. patient teaching related to stopping smoking completed prior to discharge.
- C. beta blocker administered upon arrival.
- D. support of employer to modify stress in workplace.
Correct Answer: A
Rationale: The correct answer is A: aspirin order within 24 hours of discharge. This is a key clinical indicator for evaluating care of heart attack patients as aspirin is a standard treatment to prevent further cardiac events. It is crucial for patient safety and adherence to national guidelines.
Choice B is incorrect as patient teaching on smoking cessation, although important, is not a direct clinical indicator for evaluating care of heart attack patients.
Choice C is incorrect as beta blocker administration upon arrival is important for heart attack patients, but it is not specific to evaluating the hospital's care compared to national standards.
Choice D is incorrect as employer support for stress modification is not a clinical indicator relevant to evaluating care of heart attack patients.
You may also like to solve these questions
Which statement accurately describes communication?
- A. The components of communication are mutually exclusive.
- B. Communication is linear.
- C. Communication involves only the sender and the receiver; everything else is superficial.
- D. When the receiver becomes the sender, the subcomponent of communication that is in use is feedback.
Correct Answer: D
Rationale: The correct answer is D because feedback is an essential component of the communication process. Feedback allows the receiver to respond to the sender, indicating understanding or seeking clarification. This two-way interaction is crucial for effective communication. In contrast, choice A is incorrect as communication components are interdependent, not mutually exclusive. Choice B is also incorrect as communication is often non-linear and involves feedback loops. Choice C is incorrect because communication involves various elements beyond just the sender and the receiver, such as context, message, and noise.
A physician shares with the patient's family that, while a central line was being inserted, the patient's lungs were inadvertently punctured, which required oxygen administration. The physician also explains that a chest x-ray indicated the lung remained intact and no additional treatment was required. The physician's role in this instance is based on the legal principle of:
- A. comparative negligence.
- B. gross negligence.
- C. disclosure.
- D. the Emergency Medical Treatment and Active Labor Act (EMTALA).
Correct Answer: C
Rationale: The correct answer is C: disclosure. In this scenario, the physician shared information about the accidental lung puncture with the patient's family, demonstrating transparency and honesty. This aligns with the legal principle of disclosure, which emphasizes the importance of informing patients and their families about relevant medical information. The physician's actions foster trust and open communication, ensuring that the patient and family are informed about the situation.
Choice A: comparative negligence, is incorrect because it involves assessing the degree of negligence by both parties involved, which is not applicable in this context.
Choice B: gross negligence, is incorrect because the physician's actions do not demonstrate recklessness or a complete disregard for the patient's safety.
Choice D: the Emergency Medical Treatment and Active Labor Act (EMTALA), is incorrect because this law primarily addresses the provision of emergency medical care and ensuring access to necessary services, not the disclosure of medical errors.
When the novice nurse asks, "What will happen if this task is not completed," which skill is being demonstrated?
- A. Priority setting
- B. Delegation
- C. Organization
- D. Clinical skills
Correct Answer: A
Rationale: The novice nurse is demonstrating priority setting by asking about the consequences of not completing a task. This skill involves determining the most crucial tasks to be completed first based on their potential impact on patient outcomes. By understanding the implications of task completion, the nurse can effectively prioritize their workload. Delegation involves assigning tasks to others, organization involves arranging tasks in a systematic way, and clinical skills refer to the technical abilities in providing patient care. These skills are not directly demonstrated by the nurse's question about the consequences of task completion.
The nurse manager meets with upper management to share strategic goals agreed upon by her staff for their individual nursing unit as the first step to begin budget negotiations. One strategic goal is that staff will have access to technology that will allow them to incorporate point-of-care devices for all RNs. The second goal is to improve RNs' ability to recognize critical indicators that a patient's health status is deteriorating through advanced health assessment skills. During the meeting the manager discusses the strategy options and selecting the one that works for the unit. Which type of budget development is used?
- A. Iterative
- B. Top-down
- C. Participatory
- D. Zero-based
Correct Answer: C
Rationale: The correct answer is C: Participatory. In participatory budget development, input is gathered from various levels within the organization, such as staff and managers. In this scenario, the nurse manager met with her staff to establish strategic goals before budget negotiations, indicating a participatory approach. This allows for staff buy-in and ownership of the goals.
A: Iterative budget development involves refining a budget through multiple rounds of review, which is not explicitly mentioned in the scenario.
B: Top-down budget development is characterized by decisions made by upper management without input from lower levels, contradicting the scenario where staff provided input.
D: Zero-based budgeting starts from scratch without considering previous budgets, which is not evident in the scenario where goals were established based on staff input.
In summary, the participatory budget development is the appropriate choice in this scenario as it aligns with the collaborative approach taken by the nurse manager and her staff in setting strategic goals before budget negotiations.
A nurse is preparing a scholarly publication on the prevalence of hepatitis A worldwide. The most efficient and effective means of conducting an Internet search to gather information for this publication is to use:
- A. a search engine such as Google or Yahoo.
- B. a consumer health website.
- C. a decision support system.
- D. MEDLINE database.
Correct Answer: D
Rationale: The correct answer is D: MEDLINE database. MEDLINE is a reputable database that provides access to a vast array of peer-reviewed medical literature, making it an excellent resource for scholarly publications. Here's the rationale:
1. Credibility: MEDLINE contains high-quality, peer-reviewed articles from reputable medical journals, ensuring the information obtained is reliable and accurate.
2. Specificity: The database is focused on medical research, including studies on hepatitis A, providing targeted and relevant information for the nurse's publication.
3. Efficiency: Search results in MEDLINE are organized and easily accessible, allowing the nurse to efficiently gather information without sifting through irrelevant sources.
4. Up-to-date: MEDLINE is regularly updated with the latest research findings, ensuring the nurse has access to the most current information on hepatitis A.
In summary, using MEDLINE is the best choice for the nurse as it offers credible, specific, efficient, and up-to-date information compared to the other options.