Chp 19 Prep U

Quality by inspection

inspection is an approach to quality assurance in which nurses watch for deficient workers and remove them in an effort to prevent harm to clients.

Which nurse is using criteria to determine expected standards of performance

The new graduate nurse consults the policies and procedures of the institution prior to skill implementation.

the expression of a desire for change is an

affective outcome.

The maintenance of healthy blood glucose levels is a

physiologic outcome.

on the other hand, focuses on finding opportunities for improvement and fosters an environment that thrives on teamwork, with people sharing the skills and lessons they have learned.

Quality as opportunity,

A new parent is having difficulty breastfeeding a newborn. A goal was established stating that the newborn would be nursing every 2 to 3 hours by age 1 week. The parent presents to the follow-up clinic at 1 week and reports having discontinued breastfeeding 4 days ago. How will the nurse characterize the original goal?

unmet

The client will verbalize appropriate cast care on discharge" represents which type of outcome?

Cognitive

Quality assurance

assurance is an externally driven process, demonstrating nursing excellence by meeting professional standards of care.

Demonstration of the technique constitutes a

psychomotor outcome,

The levels of performance accepted by and expected of nursing staff or other health team members" defines:

standards.

The nurse has performed multiple evaluations on the hospital unit. What evaluation does the nurse identify as a structure evaluation?

tracking nurse-client ratios on various shifts

A client has returned to the clinic for a postoperative visit. The nurse reviews the plan of care and may choose to take which actions based on the client's previous responses to the current plan of care?

-Terminate the plan of care if the client has achieved outcomes. -Modify the plan of care if the client has encountered difficulty with achieving outcomes. -Continue the plan of care if more time could result in achievement of outcomes.

Which characteristic is the most important indicator of high-quality nursing practice?

-The nurse considers the individual needs of clients. explain: the personal, compassionate, caring side of a nurse is the most important indicator of quality nursing care. Considering the individual needs of the clients demonstrates the nurse's belief in the importance of the client. -Being organized and efficient, following policies and procedures, and ensuring accurate medication administration are important parts of nursing care but are mainly task oriented.

A mother brings an infant into the clinic for a well-infant visit. The mother reports being concerned at discharge from the hospital after giving birth about being able to get the infant to latch on for breastfeeding. Now, however, the mother reports success with breastfeeding and the nurse finds that the infant is gaining weight appropriately. Which is an appropriate evaluative statement for this client?

8FEB2016. Goal met. Mother reports that breastfeeding is going well with the infant eating every 2-3 hours and attaching to the nipple easily. Infant is gaining weight.

A nurse manager is conducting peer reviews of the staff on the critical care unit. Which person would the nurse manager select to evaluate a registered nurse who is certified in critical care?

Another registered nurse with critical care certification

A client is administered an anxiolytic. Which nursing action demonstrates the nurse evaluating the client?

Asking whether the client feels less anxious 30 minutes after administering the medicine ex:valuation allows the nurse to determine whether the client has met the goal. By analyzing the client's response to the anxiolytic, the nurse determines the effectiveness of the nursing care. The other actions demonstrate other parts of the nursing process: assessment (collecting data about the client's history with anxiety), diagnosis (assigning the client a new nursing diagnosis based on the client's controlled anxiety), planning (devising a plan for the client to practice anti-anxiety exercises at home).

The nurse and client have written the following outcome measure: "The client will eat at least 80% of each meal offered by 3/2." When should the nurse collect information to evaluate this outcome?

At the completion of each meal

Which action is appropriate when evaluating a client's responses to a plan of care?

Continue the plan of care if more time is needed to achieve the goals/outcomes

The nurse is caring for a client with congestive heart failure. The nurse manager informs the nurse that the client was enrolled in a clinical trial to assess whether a 10-minute walk, 3 times per day, leads to expedited discharge. Which type of evaluation best describes what the researchers are examining?

Outcome

he nurse is caring for a client with congestive heart failure. The nurse manager informs the nurse that the client was enrolled in a clinical trial to assess whether a 10-minute walk, 3 times per day, leads to expedited discharge. Which type of evaluation best describes what the researchers are examining?

Outcome

A group of nurses on the orthopedic floor of a hospital wish to improve their clinical performance. The nurse manager suggests a program in which the nurses will evaluate each other and provide feedback for improved performance. This program is termed:

Peer review

The Joint Commission is conducting an accreditation visit at the hospital. What is the focus of the evaluation being conducted?

Quality assurance Explain: Accreditation by the Joint Commission evaluates quality assurance. -Quality assurance: assurance is an externally driven process, demonstrating nursing excellence by meeting professional standards of care. -Quality improvement: . is an internally driven, continuous process focusing on the processes of client care. Peer review is a process whereby individual nurses improve their professional performance through the evaluation of one staff member by another staff member on the same level of the hierarchy. Magnet Status :is awarded by the American Nurses Credentialing Center, recognizing health care organizations for their excellence in nursing.

The nurse manager observes one of the unit nurses failing to wash hands on entering a client room. Hospital protocol is to wash hands before and after entering a client room. This scenario is an example of which approach to quality assurance?

Quality by inspection

are not specific approaches to quality assurance.

Quality by perception and quality as initiative

A nurse is working as part of a quality assurance team that uses the American Nurses Association model. The team is evaluating the resources of the facility as well as the physical facilities and equipment. Which type of evaluation is the team engaged in?

Structure evaluation

A client has been recently diagnosed with diabetes after receiving emergency treatment for a hyperglycemic episode. Which of the client's actions indicates that the client has achieved a cognitive outcome in the management of this new health problem?

The client is able to explain when and why the client needs to check the blood glucose level. explain: The ability to describe the rationale and technique for blood glucose monitoring indicates that the client has achieved a cognitive outcome.

Quality improvement:

is an internally driven, continuous process focusing on the processes of client care.

Magnet Status

is awarded by the American Nurses Credentialing Center, recognizing health care organizations for their excellence in nursing.

Peer review

is a process whereby individual nurses improve their professional performance through the evaluation of one staff member by another staff member on the same level of the hierarchy.