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What is evaluated when conducting a nursing audit?
- A. physical environment
- B. policies and procedures
- C. patient records
- D. patient satisfaction
Correct Answer: C
Rationale: A nursing audit reviews patient records to assess care quality and compliance with standards.
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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.
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 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 has developed a plan of care for the nursing diagnosis Risk for Loneliness for a recently widowed man. When evaluating the plan, the man tells the nurse new information about his active social life. What would the nurse do next?
- A. Continue with the plan.
- B. Delete the nursing diagnosis.
- C. Tell the patient he is lonely.
- D. Adjust the time criteria.
Correct Answer: B
Rationale: New information indicating an active social life negates the risk for loneliness, so the diagnosis should be removed.
Which of the following is a descriptor that helps to define the term criteria?
- A. immeasurable qualities
- B. established by authority
- C. acceptable level of performance
- D. evidence-based practice
Correct Answer: C
Rationale: Criteria are measurable standards, such as an acceptable level of performance, used to evaluate outcomes.