Nokea
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.
You may also like to solve these questions
Our world is connected by a sophisticated communication system that makes much health information instantly accessible, no matter where the patient is being treated. This instant access to health information has impacted health care delivery strategies, including the delivery of nursing care. What is one way the delivery of health care has been impacted by this phenomenon?
- A. Brisk changes as well as swift obsolescence
- B. Rapid change that is nearly permanent
- C. Limitations on the settings where care can be provided
- D. Increased need for social acceptance
Correct Answer: A
Rationale: The sophisticated communication systems that connect most parts of the world, with the capability of rapid storage, retrieval, and dissemination of information, have stimulated brisk change as well as swift obsolescence in health care delivery strategies. The other answers are incorrect because, although we have rapid change in the delivery of nursing care, it does not last a long time; it is evolving as health care itself evolves. Giving nursing care has not become easier, it becomes more complex with every change; and it does not need to be more socially acceptable; it needs to be more culturally sensitive.
A nurse is providing care for a patient who is postoperative day one following a bowel resection for the treatment of colorectal cancer. How can the nurse best exemplify the QSEN competency of quality improvement?
- A. By liaising with the members of the interdisciplinary care team
- B. By critically appraising the outcomes of care that is provided
- C. By integrating the patients preferences into the plan of care
- D. By documenting care in the electronic health record in a timely fashion
Correct Answer: B
Rationale: Evaluation of outcomes is central to the QSEN competency of quality improvements. Each of the other listed activities is a component of quality nursing care, but none clearly exemplifies quality improvement activities.
The ANA has identified several phenomena toward which the focus of nursing care should be directed, and a nurse is planning care that reflects these priorities. Which of the nurses actions best demonstrates these priorities?
- A. Encouraging the patients dependence on caregivers
- B. Fostering the patients ability to make choices
- C. Teaching the patient about nurses roles in the health care system
- D. Assessing the patients adherence to treatment
Correct Answer: B
Rationale: The ANA identifies several focuses for nursing care and research, including the ability to make choices. The other answers are incorrect because they are not phenomena identified by the ANA.
A nurse on a postsurgical unit is providing care based on a clinical pathway. When performing assessments and interventions with the aid of a pathway, the nurse should prioritize what goal?
- A. Helping the patient to achieve specific outcomes
- B. Balancing risks and benefits of interventions
- C. Documenting the patients response to therapy
- D. Staying accountable to the interdisciplinary team
Correct Answer: A
Rationale: Pathways are an EBP tool that is used primarily to move patients toward predetermined outcomes. Documentation, accountability, and balancing risks and benefits are appropriate, but helping the patient achieve outcomes is paramount.
CNPs are educated as specialists in areas such as family care, pediatrics, or geriatrics. In most states, what right do CNPs have that RNs do not possess?
- A. Perform health interventions independently
- B. Make referrals to members of other health disciplines
- C. Prescribe medications
- D. Perform surgery independently
Correct Answer: C
Rationale: In most states, nurse practitioners have prescriptive authority. Surgery is beyond the CNP scope of practice and all professional nurses may perform interventions and make certain referrals.