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The nurse manager is compiling a report for a hospital committee on the quality of nursing-sensitive indicators for a nursing unit. Which does the nurse manager include in the report?
- A. The average age of the nurses on the unit
- B. The salary ranges for the nurses on the unit
- C. The education and certification of the nurses on the unit
- D. The number of nurses who have applied but were not hired for the unit
Correct Answer: C
Rationale: Nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. For example, the number of nursing staff, the skill level of the nursing staff, and the education and certification of nursing staff indicate the structure of nursing care. The average age of the nurses, salary range, and number of nurses who have applied but were not hired for the unit are not nursing-sensitive indicators.
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The school nurse is evaluating the number of school-age children classified as obese. The nurse recognizes that the percentile of body mass index that classifies a child as obese is greater than which?
- A. 50th percentile
- B. 75th percentile
- C. 80th percentile
- D. 95th percentile
Correct Answer: D
Rationale: Obesity in children and adolescents is defined as a body mass index at or greater than the 95th percentile for youth of the same age and gender.
The nurse is evaluating research studies according to the GRADE criteria and has determined the quality of evidence on the subject is moderate. Which type of evidence does this determination indicate?
- A. Strong evidence from unbiased observational studies
- B. Evidence from randomized clinical trials showed inconsistent results
- C. Consistent evidence from well-performed randomized clinical trials
- D. Evidence for at least one critical outcome from randomized clinical trials had serious flaws
Correct Answer: B
Rationale: Evidence from randomized clinical trials with important limitations indicates that the evidence is of moderate quality. Strong evidence from unbiased observational studies and consistent evidence from well-performed randomized clinical trials indicates high quality. Evidence for at least one critical outcome from randomized clinical trials that has serious flaws indicates low quality.
The clinic nurse is reviewing statistics on infant mortality for the United States versus other countries. Compared with other countries that have a population of at least 25 million, the nurse makes which determination?
- A. The United States is ranked last among 27 countries.
- B. The United States is ranked similar to 20 other developed countries.
- C. The United States is ranked in the middle of 20 other developed countries.
- D. The United States is ranked highest among 27 other industrialized countries.
Correct Answer: A
Rationale: Although the death rate has decreased, the United States still ranks last in infant mortality among nations with a population of at least 25 million. The United States has the highest infant death rate of developed nations.
The nurse is talking to a group of parents of school-age children at an after-school program about childhood health problems. Which statement should the nurse include in the teaching?
- A. Childhood obesity is the most common nutritional problem among children.
- B. Immunization rates are the same among children of different races and ethnicity.
- C. Dental caries is not a problem commonly seen in children since the introduction of fluoridated water.
- D. Mental health problems are typically not seen in school-age children but may be diagnosed in adolescents.
Correct Answer: A
Rationale: When teaching parents of school-age children about childhood health problems, the nurse should include information about childhood obesity because it is the most common problem among children and is associated with type 2 diabetes. Teaching parents about ways to prevent obesity is important to include. Immunization rates differ depending on the childs race and ethnicity; dental caries continues to be a common chronic disease in childhood; and mental health problems are seen in children as young as school age, not just in adolescents.
Parents of a hospitalized toddler ask the nurse, What is meant by family-centered care? The nurse should respond with which statement?
- A. Family-centered care reduces the effect of cultural diversity on the family.
- B. Family-centered care encourages family dependence on the health care system.
- C. Family-centered care recognizes that the family is the constant in a childs life.
- D. Family-centered care avoids expecting families to be part of the decision-making process.
Correct Answer: C
Rationale: The three key components of family-centered care are respect, collaboration, and support. Family-centered care recognizes the family as the constant in the childs life. The family should be enabled and empowered to work with the health care system and is expected to be part of the decision-making process. The nurse should also support the familys cultural diversity, not reduce its effect.