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How do accrediting agencies such as the Joint Commission ensure quality care?
- A. Imposing maximum staffing levels
- B. Stipulating nurse-patient ratios
- C. Confirming delivery of satisfactory care
- D. Requiring a specific staff mix
Correct Answer: C
Rationale: Accrediting agencies like the Joint Commission ensure quality care by confirming the delivery of satisfactory care. This involves evaluating healthcare facilities based on established standards and guidelines to ensure they meet quality benchmarks. Imposing maximum staffing levels (A) and stipulating nurse-patient ratios (B) are important factors but not directly controlled by accrediting agencies. Requiring a specific staff mix (D) may influence care quality, but it is not the primary focus of accrediting agencies. Therefore, choice C is correct as it directly aligns with the main function of accrediting agencies.
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While supervising the care of several clients, which action requires intervention by the charge nurse?
- A. A nurse photocopies a client's diagnostic test results.
- B. An assistive personnel documents the client's vital signs on the client's paper-based graphic record.
- C. The unit secretary faxes a client's laboratory results to the provider.
- D. An RN stays with a client to discuss her understanding of her vital signs that were requested.
Correct Answer: A
Rationale: The correct answer is A because photocopying a client's diagnostic test results without proper authorization violates the client's privacy and confidentiality. It is a breach of HIPAA regulations.
- Choice B is correct as assistive personnel can document vital signs on the client's record under supervision.
- Choice C is acceptable as long as the unit secretary is authorized to fax the client's results.
- Choice D is appropriate as it involves educating the client about her vital signs, promoting client understanding and autonomy.
Which intervention demonstrates Florence Nightingale's theory of nursing?
- A. Respecting the patient's culture and incorporating cultural needs
- B. Promoting good health and treating those who are ill in a holistic manner
- C. Understanding how to motivate people to practice a healthy lifestyle and reduce risks
- D. Teaching other nurses how to deliver the highest quality of care
Correct Answer: B
Rationale: The correct answer is B because promoting good health and treating those who are ill in a holistic manner aligns with Florence Nightingale's theory of nursing. Nightingale emphasized the importance of considering the physical, emotional, and social aspects of patients' well-being. This approach focuses on addressing the whole person rather than just the illness.
Respecting the patient's culture and incorporating cultural needs (A) is important in providing patient-centered care, but it does not directly align with Nightingale's theory. Understanding how to motivate people to practice a healthy lifestyle and reduce risks (C) is relevant to health promotion but does not fully capture the holistic approach of Nightingale. Teaching other nurses how to deliver the highest quality of care (D) is essential for professional development but does not specifically reflect Nightingale's holistic nursing philosophy.
Who is credited with creating a written record of health care practices and dispelling the mythical aspect of health care?
- A. Hammurabi
- B. Florence Nightingale
- C. Hippocrates
- D. Apollo
Correct Answer: C
Rationale: The correct answer is C: Hippocrates. Hippocrates is credited with creating a written record of health care practices and is known as the "Father of Medicine." He emphasized observational and logical approaches to medicine, moving away from superstition and myth. Hammurabi is known for his code of laws, not health care practices. Florence Nightingale is known for her contributions to nursing. Apollo is a Greek god associated with healing, but he is not a historical figure credited with creating a written record of health care practices.
A healthcare professional is reviewing the plan of care for a client following a total hip arthroplasty. Which of the following procedural plans is the healthcare professional following?
- A. patient classification categories
- B. diagnostic related groups
- C. Care map / clinical practice guideline
- D. functional nursing
Correct Answer: C
Rationale: The correct answer is C: Care map / clinical practice guideline. In this scenario, the healthcare professional is using a Care Map or clinical practice guideline to review the plan of care for the client post total hip arthroplasty. Care maps provide a structured, step-by-step approach to care delivery based on evidence-based practices, ensuring consistency and quality of care.
Choice A, patient classification categories, does not involve a specific plan of care but rather categorizes patients based on acuity levels. Choice B, diagnostic related groups, is a payment classification system that groups patients with similar diagnoses and treatments for reimbursement purposes, not for developing care plans. Choice D, functional nursing, is a care delivery system where tasks are divided among staff based on their function, which is not the same as following a procedural plan like a care map.
What term is used to identify the care delivery model being used when a nurse makes patient care assignments as follows: RN1 has rooms 202-210, RN2 has rooms 211-221, RN3 has rooms 222-232. The unlicensed assistive personnel have half the rooms, with one assigned to 202-215 and the second to 216-232?
- A. Partnership
- B. Primary
- C. Modular
- D. Team
Correct Answer: C
Rationale: The correct answer is C: Modular. This care delivery model involves assigning specific patient care responsibilities to individual nurses and unlicensed assistive personnel based on room numbers. This modular approach allows for efficient and organized care delivery by dividing the workload based on room assignments.
A: Partnership - This term refers to the collaborative relationship between healthcare providers and patients, not the specific care delivery model described in the question.
B: Primary - The primary care delivery model focuses on a designated primary care provider who oversees and coordinates all aspects of a patient's care, which is different from the modular approach described in the question.
D: Team - While teamwork is essential in healthcare, the term "team" does not specifically describe the care delivery model outlined in the question, which is based on room assignments and individual responsibilities.