Nokea
Monitoring the number of times a medication is given utilizing the 'five rights' is an example of which phase of the Six Sigma program?
- A. Measure
- B. Management
- C. Quantitative
- D. Goal
Correct Answer: A
Rationale: The correct answer is A: Measure. In the Six Sigma program, the Measure phase involves collecting data to understand the current process performance. Monitoring the number of times a medication is given using the 'five rights' aligns with this phase as it focuses on measuring the accuracy and effectiveness of medication administration. This data helps identify any deviations from the desired standards and provides insights for improvement.
Summary of why other choices are incorrect:
B: Management - This choice does not specifically address the phase related to data collection and measurement.
C: Quantitative - While data collection is quantitative in nature, this choice does not capture the specific phase of Six Sigma that focuses on measurement.
D: Goal - This choice does not directly relate to the phase involving data collection and measurement; it is more focused on setting objectives and targets.
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Verbal interventions with an agitated patient may be calming. These interventions include:
- A. Holding and reassuring the patient
- B. Encouraging other staff to distract the patient
- C. Remaining calm and keeping an arm's distance
- D. Standing close to the patient while talking
Correct Answer: C
Rationale: The correct answer is C because remaining calm and keeping an arm's distance is crucial when dealing with an agitated patient. This approach helps prevent escalating the situation and promotes a sense of safety. Holding and reassuring the patient (A) can be perceived as intrusive and may escalate the agitation. Encouraging other staff to distract the patient (B) can also be counterproductive as it may increase the patient's distress. Standing close to the patient while talking (D) can be perceived as threatening and may escalate the situation further. Thus, maintaining calm and keeping a safe distance is the most effective verbal intervention strategy.
Your values do not coincide with your colleagues. When you report for your shift on nights and staff are not responding to patient requests for pain medication, you, as the nurse responsible for collecting data about patient quality of care, should:
- A. Explain to the nurse manager that quality problems are because of staff apathy.
- B. Issue a memo to staff to assess patients and document their response to the pain medication.
- C. Explain to staff that improving quality is one of your annual goals and you expect them to follow through.
- D. Schedule meetings to engage with staff to monitor pain management.
Correct Answer: D
Rationale: The correct answer is D because scheduling meetings to engage with staff to monitor pain management is the most effective approach to address the issue. This option promotes open communication, collaboration, and continuous monitoring to ensure patient needs are met. By engaging with staff, you can identify root causes of the problem, provide education or training if needed, and establish a plan for improvement.
Option A is incorrect as blaming staff apathy without further investigation is not constructive. Option B is also incorrect as issuing a memo may not address the underlying issues causing staff not to respond to patient requests. Option C is not as effective as scheduling meetings because simply expecting staff to follow through without addressing their concerns or providing support may not lead to sustainable improvements.
After the nurse has finished teaching a patient who has a new prescription for exenatide
(Byetta), which patient statement indicates that the teaching has been effective?
- A. “I may feel hungrier than usual when I take this medicine.”
- B. “I will not need to worry about hypoglycemia with the Byetta.”
- C. “I should take my daily aspirin at least an hour before the Byetta.”
- D. “I will take the pill at the same time I eat breakfast in the morning.”
Correct Answer: C
Rationale: The correct answer is C. This statement indicates effective teaching because taking aspirin at least an hour before exenatide (Byetta) helps prevent any potential interactions between the two medications. By understanding the importance of timing, the patient shows comprehension of medication management and potential risks.
Incorrect choices:
A: This choice is incorrect because exenatide is known to reduce appetite, not increase hunger.
B: This choice is incorrect because hypoglycemia is still a risk with exenatide, especially if used with other medications that lower blood sugar.
D: This choice is incorrect because exenatide is injected, not taken as a pill, and should be taken before meals, not with breakfast.
What is the primary focus of strategic planning in healthcare organizations?
- A. Financial performance
- B. Staff satisfaction
- C. Patient care quality
- D. Regulatory compliance
Correct Answer: C
Rationale: The correct answer is C: Patient care quality. Strategic planning in healthcare organizations primarily focuses on improving patient outcomes, safety, and overall quality of care. This ensures that the organization aligns its resources and goals towards enhancing patient well-being. Financial performance (A) is important but not the primary focus. Staff satisfaction (B) is crucial for employee engagement but not the main goal of strategic planning. Regulatory compliance (D) is essential but not the primary focus, as it is a requirement to ensure quality care rather than the main goal itself.
As a new nurse on a pediatric unit, you must work nights and you have minimal time to spend with your children. Your colleague observes that you speak abruptly with parents and you become easily annoyed when the patients cry or when they are demanding. You realize you are becoming increasingly more distressed and that you have no time with your children and, as a result you: (Select all that apply.)
- A. Express negative comments to colleagues about patients and parents who annoy you.
- B. Ask the nurse manager to have a schedule with an equal number of day and night shifts so that you can be with your children.
- C. Call off sick as frequently as you can without violating policies so that you have more time with your children.
- D. Minimize your communication with patients and parents so you do not offend them.
Correct Answer: B
Rationale: The correct answer is B because it addresses the root of the issue by requesting a schedule change that allows for a better work-life balance. This solution promotes your well-being and maintains professionalism.
A: Expressing negative comments is unprofessional and can create a toxic work environment. It does not address the underlying problem.
C: Calling off sick frequently is unethical and can compromise patient care. It does not address the issue at hand.
D: Minimizing communication with patients and parents is not appropriate as it goes against the principles of patient-centered care and can harm the therapeutic relationship.