Coursepoint: prioritization
The nurse manager may use which quality assurance or performance improvement technique to identify underlying process flaws in the reporting of suspected child or elder abuse? - root cause analysis - cause-and-effect diagram - small group participation
- root cause analysis (Root cause analysis is a quality assurance or performance improvement technique that is used to identify the underlying root causes of a problem, or in this case the lack of understanding of an important process of child/elder abuse reporting. Root cause analysis focuses on process flaws and NOT on people who have erred or made a mistake. A cause-and-effect diagram may be used for root cause analysis, but it in itself is not a quality assurance or performance improvement technique. Although small groups participate in quality assurance or performance improvement activities, small groups are not a performance improvement technique.)
The nurse should plan to see which patient first when planning morning care? - a 12 yr old who is 24 hr post-op from an appendectomy awaiting orders for a full diet and discharge. - a 12 yr old who was admitted for chemotherapy via a central venous catheter. - a 12 yr old with dehydration taking oral rehydration fluids. - a 30 yr old requiring prednisone teaching.
- a 12 yr old who was admitted for chemotherapy via a central venous catheter. (The first patient to be seen should be the patient currently receiving chemotherapy, which is a priority ongoing treatment with many associated risks and side effects. The patient with dehydration taking oral rehydration fluids, the patient requiring prednisone teaching, and the patient post-appendectomy are all stable with no info given that suggests a new or acute problem requiring an immediate assessment.)
The Institute of medicine (IOM) would consider which behaviors as an indicator of quality care?
- a hospital requiring annual retraining for all staff in CRP and AED use - the use of nationally developed and approved patient education materials - nurses returning to school to obtain a baccalaureate degree in nursing - nurses taking population-specific classes to keep their professional knowlege updated (According to IOM, for care to be considered high quality, it must be consistent with current professional knowlege. While a shared governance model may result in greater nurse satisfaction, it is not idenitfied as an indicator of quality care.)
The nurse in the ED should see which of these 4 patients first? - a patient reporting a headache, photosensitivity, and a stiff neck - a patient with an elevated temp, sore throat, and upper respiratory symptoms - a patient with an ankle injury
- a patient reporting a headache, photosensitivity, and a stiff neck (The patient reporting a headache, photosensitivity, and a stiff neck has an actual, current problem; the nurse is expected to recall that those symptoms may suggest meningitis. The patients with a potential ankle injury, sore throat, and upper respiratory symptoms are not as urgent a priority based on the info provided, as well as the knowledge that meningitis is a critical, time-sensitive clinical emergency)
After receiving report, which client should the nurse see first? - a patient who is admitted with kidney stones and is crying with back pain - a patient who is to receive one unit of packed RBCs today and needs an IV restarted. - a patient who is admitted with chest pain
- a patient who is admitted with kidney stones and is crying with back pain (The client with kidney stones has an actual, current problem of acute pain that needs to be assessed and treated as prescribed. The client admitted with chest pain is not reporting any symptoms indicating an actual problem, although this may be a potential problem. Restarting an IV prior to a blood transfusion is not an urgent priority at this time based on the info provided. Even if the blood were already on the unit, the client who is having episodes of back pain should be assessed first.)
