Nokea
The nursing staff on a hospital unit are using peer review to improve professional performance. Who performs the review?
- A. unit manager
- B. nurses
- C. patients
- D. visitors
Correct Answer: B
Rationale: Peer review is conducted by nurses evaluating each other's performance.
You may also like to solve these questions
A nurse working in a hospital setting discovers problems with the delivery of nursing care on the pediatric unit. Which of the following suggestions from the Institute of Medicines Committee on Quality of Health Care in America (Kohn, Corrigan, & Donaldson, 2000) could help redesign and improve care? Select all that apply.
- A. Base care on continuous healing relationships.
- B. Customize care based on available resources.
- C. Keep the nurse as the source of control.
- D. Share knowledge and allow for free flow of information
- E. Practice evidence-based decision making
- F. Emphasize safety as a system property.
Correct Answer: A,D,E,F
Rationale: The Institute of Medicine emphasizes continuous healing relationships (A), knowledge sharing (D), evidence-based practice (E), and safety as a system property (F) to improve care quality.
A nurse is teaching a patient how to administer insulin, with the expected outcome that the patient will be able to self-administer the insulin injection. How would this outcome be evaluated?
- A. asking the patient to verbally repeat the steps of the injection
- B. asking the patient to demonstrate self-injection of insulin
- C. asking family members how much trouble the patient is having with injections
- D. asking the patient how comfortable he or she is with injections
Correct Answer: B
Rationale: Demonstration of the skill (self-injection) directly evaluates the psychomotor outcome of insulin administration.
A nurse is counseling a novice nurse who gives 150% effort at all times and is becoming frustrated with a healthcare system that provides substandard care to patients. Which of the following advice would be appropriate in this situation? Select all that apply.
- A. Tell the new nurse to help other nurses perform their jobs to ensure quality patient care is being delivered.
- B. Encourage the new nurse to leave her problems at work behind, instead of rehashing them at home.
- C. After establishing a reputation for delivering quality nursing care, have her seek creative solutions for nursing problems.
- F. Have her focus on patient advocacy to improve care standards.
Correct Answer: B,C,D,F
Rationale: Advising to leave work stress behind (B), seek creative solutions after establishing credibility (C), modify unrealistic expectations (D), and focus on advocacy (F) supports the novice nurse's well-being and professional growth.
Which of the following best summarizes the evaluating step of the nursing process?
- A. The nurse completes a health assessment to establish a database.
- B. The patient and family have met healthcare goals and no longer need care.
- C. The nurse and patient identify nursing diagnoses and appropriate interventions.
- D. The nurse and patient measure achievement of planned outcomes of care.
Correct Answer: D
Rationale: Evaluation in the nursing process involves assessing whether the planned outcomes of care have been achieved, making option D the best summary.
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.