EAQ 7 - Healthcare Quality & Safety

A client with a history of schizophrenia, who responds poorly to medication, is now being treated for acute depression. Which informaton would the nurse provide in light of the information elicited from the medication list and laboratory results?

"Come in for weekly blood tests to monitor for medication-induced agranulocytosis."

A client who has been taking the prescribed dose of zolpidem for 5 days returns to the clinic for a follow-up visit. Which statement by the client indicates the medication has been effective?

"I have been sleeping better."

When caring for a client in the third trimester of pregnancy with a history of myocardial infarction, which statement made by the client would concern the nurse the most?

"I have been using cough drops to try and get rid of my cough."

Beginning the HIGHEST priority needs as defined by Maslow, in which ascending order would the hierarchy of needs occur?

1. Psychological needs 2. Safety and security 3. Love and belonging needs 4. Self-esteem 5. Self-actualization

Arrange the order of critical thinking tasks for an existing problem.

1. Recognizing the existing issue 2. Analyzing information about the issue 3. Evaluating the information 4. Making a conclusion

Arrange the stages of life in Erikson's theory of psychosocial development in the correct order.

1. Trust versus mistrust 2. Autonomy versus a sense of shame and doubt 3. Initiative versus guilt 4. Industry versus inferiority 5. Identity versus role confusion 6. Intimacy versus isolation

Place the steps of the nursing process in the correct order

1. identify the client's health care needs by collecting subjective and objective data 2. Define the nursing diagnoses or collaboration problems clearly 3. Plan the care by determining priorities, goals, and expected outcomes 4. Perform the nursing interventions competently 5. Evaluate the effects of the nursing interventions performed

A client is to receive metoclopramide 15 mg orally before meals. The concentrated solution contains 10 mg/mL. How many milliliters of solution will the nurse administer? Record your answer using one decimal place.

1.5

Colchicine 1200 mcg orally is prescribed for client with gout. Each tablet contains 0.6 mg. How many tablets will the nurse administer? Record your answer using a whole number.

2

Atenolol 150 mg by mouth is prescribed for a client with hypertension. Each tablet contains 50 mg. How many tablets will the nurse administer? Record your answer using a whole number. tablet(s)

3

Phenytoin suspension 200 mg is prescribed for a client with epilepsy. The suspension contains 125 mg/5 mL. How many milliliters will the nurse administer? Record your answer using a whole number.

8

Which nursing intervention is classified under complex physiological domain according to the Nursing Interventions Classification (NIC) taxonomy? Select all that apply. One, some, or all responses may be correct.

> Interventions to restore tissue integrity > Interventions to optimize neurological functions > Interventions to provide care before, during, and immediately after surgery

Which characteristic can be observed in abusive parents? Select all that apply. One, some, or all responses may be correct.

> Social isolation > Poor coping skills >Family authoritarianism > Feeling of no control over life > Inability to seek help from others > Expects child to satisfy needs for love

Which theories are relevant only to development in adults? Select all that apply!

> Stage-Crisis theory > Life-span approach

Which potential health problem would the nurse include in the young adult's discharge teaching?

Accidents, including their prevention

Which is the most important nursing action involved in caring for a client receiving medications?

Administering the medications

Which action would the nurse confirm before approving a client's transfer to radiology for magnetic response imaging (MRI)?

All metal objects, such as jewelry, hair ornaments, and clothing containing metal were removed.

Why would organizations promote transparency in health care?

Allows continuous feedback for improving client outcomes

Which critical thinking skill will help a student nurse avoid making assumptions about clients?

Analysis

Which condition would be a contraindication to electroconvulsive therapy (ECT)?

Brain tumor

How would the nurse respond to an alcohol recovery program sponsor requesting to read the client's progress record?

By not allowing the sponsor to review the record

When planning for a client's care during the detoxification phase of early alcohol withdrawal, which action would the nurse take?

Check on the client frequently

Which is the most important skill of the nurse leader?

Clinical care coordinator

Which objective is the purpose of an administrative review debriefing session after a disaster?

Determine what went right and what went wrong

Which critical thinking skill refers to the use of knowledge and experience to choose effective strategies for client care?

Explanation

Which assessment after administration of diltiazem to a client with supraventricular tachycardia (SVT) and a heart rate of 170 beats/minute indicates that the medication was effective?

Heart rate of 98 beats/minute

which postpartum complication would the nurse monitor for in a client with hydramnious?

Hemorrhage

Which skill in critical thinking requires the nurse to be orderly in data collection?

Interpretation

Which medication is the first choice of medication for the treatment of attention-deficit/hyperactivity disorder (ADHD)?

Methylphenidate

Which medication is indicated to treat shift-work sleep disorder (SWSD)?

Modafinil

Which nurse participates in the development of nursing policies and procedures?

Nurse educator

Which concept refers to respecting the rights of others?

Open-mindedness

Which purpose describes the failure mode effective analysis?

Prevent medical errors in a hospital

Which nursing action would be considered a part of self-regulation in the decision-making process?

Reflecting on one's own experiences

Which health care team member is responsible for providing intravenous medication therapy to a client?

Registered nurse (RN)

Which drug category applies to cocaine?

Stimulants

Which precaution will the nurse consider when initiating treatment with fluoxetine?

The blood level may not be sufficient to cause noticeable improvement for 2 to 4 weeks.

According to Avedis Donabedian, which finding is the most important validator of quality and effectiveness of health care in a hospital?

The client outcomes achieved by the care provided

Which action is accurate in explaining how neuroleptic medications act in the body to promote mental health for clients diagnosed with schizophrenia?

They block access to dopamine receptors at the postsynaptic receptor site.

Which statement best describes the mission of a community hospital?

To provide general medical and surgical services

Which type of functional health pattern describes values and goals?

Value-belief pattern

Which action by the nurse would illustrate the quality improvement competency, according to QSEN?

using data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems