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Patient lost 2 of the 5 pound/month goal. How should the nurse alter the plan of care in response to this new data?
- A. The nurse should not alter the plan of care.
- B. The nurse should change the diet.
- C. The nurse should delete the nursing diagnosis.
- D. The nurse should modify the time criteria.
Correct Answer: D
Rationale: Since the patient made progress but didn't meet the goal, adjusting the time criteria allows for continued effort toward the outcome.
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A hospital is evaluating its policies and procedures. What type of evaluation is the hospital conducting?
- A. outcome
- B. process
- C. quality
- D. structure
Correct Answer: D
Rationale: Evaluating policies and procedures assesses the organizational framework, which is a structure evaluation.
Which of the following are major premises of a quality-improvement program? Select all that apply.
- A. It focuses on organizational structure.
- B. It is driven by external factors.
- C. It focuses on processes rather than individuals.
- D. It has no end points.
- E. Its outcome is focused on assuring quality.
- F. It focuses on data and statistical thinking.
Correct Answer: C,D,F
Rationale: Quality-improvement programs emphasize processes (C), continuous improvement without endpoints (D), and data-driven decision-making (F).
A nurse is evaluating an established plan of care. After identifying the evaluative criteria and standards (expected patient outcomes), what must the nurse do next?
- A. Interpret and summarize findings.
- B. Document his or her judgment.
- C. Collect data about patient responses.
- D. Formulate a new plan of care.
Correct Answer: C
Rationale: After setting criteria, the nurse collects data on patient responses to assess whether outcomes are met.
Why are quality-assurance programs important in nursing?
- A. They enable nursing to be accountable for the quality of care.
- B. They facilitate increased enrollment in educational programs.
- C. They specify how resources are used or not used.
- D. They allow increased retention of qualified nurses.
Correct Answer: A
Rationale: Quality-assurance programs ensure accountability for care quality, a core nursing responsibility.
A nurse is interested in improving patient care on the unit through performance improvement. What is the first step in this process?
- A. Discover the problem.
- B. Plan a strategy.
- C. Implement a change.
- D. Assess the change.
Correct Answer: A
Rationale: The first step in performance improvement is identifying or discovering the problem to address.