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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.
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A nurse is evaluating the outcomes of a plan of care to teach an obese patient about the calorie content of foods. What type of outcome is this?
- A. psychomotor
- B. affective
- C. physiologic
- D. cognitive
Correct Answer: D
Rationale: Teaching about calorie content involves knowledge acquisition, which is a cognitive outcome.
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 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.
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.
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.