Week 10
Assessing issues related to income
A 58-year-old client is planning to retire. Which action would be appropriate in this situation?
Fairness
A client complains to the nurse that a staff member did not respond to the clients call. The nurse politely reassures the client, and makes the client comfortable. The nurse speaks to the staff member about the incident and solves the problem. Which critical thinking attitude has the nurse demonstrated in this situation?
Administering prescribed antibiotics
A client with recent history of sinusitis develops meningitis and demonstrates a positive Brudzinski sign. What is the priority nursing care?
A procedure performed at the hospital is the cause
A hospitalized client develops an infection at a catheter insertion site. The nurse uses the term iatrogenic when describing this infection. What is the rational for the nurses comment?
Quality improvement
A nurse used flow charts to determine the usefulness of bed-monitoring devices for checking on dementia clients. Which Quality and Safety Education for Nurses (QSEN) competency does the nurse comply with?
Curing the disease before engaging in care of the client
According to Watson's theory, in which practice is the nurse least likely to engage?
Teamwork
According to the agency for Healthcare research and Quality (AHRQ) STEPPS and STAPPS 2.0 programs, which skill is an essential?
Circumstance
If the nurse is considering whether the right equipment and recourse are available to complete a task, which delegation right is considered?
- Providing work therapy for hospitalized patients - Making provisions to help clients maximize their capabilities
In which of these activities does a nurse engage when providing tertiary care at a rehabilitation center?
Analysis
The RN is teaching a student nurse about making assumptions with an open mind when looking at information about a client. Which critical thinking skill is being referred to?
Business
The healthcare industry has borrowed and applied models of continuous quality improvement from which industry?
Safety
The home health care nurse discards outdated and leftover medications from previous prescriptions at the home of an elderly client. Which Quality and Safety Education for nurses (QSEN) competency does this intervention involve?
Educate the client on managing stress.
The nurse is assessing a young client who presents with recurrent gastrointestinal disorders. On further assessment, the nurse learns that the client is experiencing job-related pressure. What is the most important nursing intervention for this client?
Meet the client's comfort, hygiene and nutritional needs
The nurse is assisting with the end-of-life care of an older adult. Which activity is performed when the nurse views family as context?
venous thromboembolism (VTE) prevention
The nurse is caring for an elderly client who has a right hip fracture. Which priority intervention should be included in the plan of care?
They review the nursing activities
The nurse leader is executing quality improvement (QI) processes in a team. Why are Qi processes important?
- Accept responsibility for one's mistakes - Give credit to others where credit is due - Use business card when introducing yourself to new contacts
What are the power strategies for nursing leaders?
Prescriptive theory focuses on medication
What is true about prescriptive theory?
Health Professions Education: A Bridge to Quality
Which Institute of Medicine Report attempted to help interprofessional team work more effectively together?
Structure, process, and outcome
Which are the tree categorized of the healthcare quality and standards?
- Damaged tissue - Obstructed airway
Which condition in the client indicates need of nursing care that supports homeostatic regulation?
- Releases pent-up emotions - Helps individuals grow personally - Builds cohesiveness among people
Which constructive aspects of conflict does the nurse leader identify?
Performance gaps
Which date can benchmarks help identify?
Magnet
Which designation is given to an organization with low staff burnout rates and high-quality patient care?
A nurse accepts his or her lack of knowledge regarding stem cell transplantation and seeks opportunities for learning
Which example best demonstrates humility in a critical thinker?
Six sigma
Which group decision-making approach has the goal of creating a virtually error-free healthcare delivery environment?
-Looking at all the situations objectively - Using several criteria to determine the effectiveness of a nursing intervention
Which nursing action is part of the evaluation phase of the critical thinking process?
Institute of Medicine
Which organization advocates nurse taking a prominent role in the healthcare arena?
Institute of medicine
Which organization released a report based on the issue of medical errors that launched a major national focus on the safety of healthcare system and processes?
Private accreditation
Which process has had the most significant effect on the development of quality improvement systems in health care?
The National Database of Nursing Quality Indicators
Which resource comprises nurse-sensitive indicators collected at the nursing unit level and provided the ability for participants to benchmark performance with national averages?
- Specific - Relevant
Which standards would the nurse explain are important for critical thinking?
Direct an unlicensed practical nurse to perform certain tasks
Which statement is true related to the role of the registered nurse in active delegation?
Sentinel event
Which term refers to an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof?
Benchmarking
Which term refers to the comparison of information that allows an organization to evaluate its own performance in relation to others?
Never event
Which type of error takes place if the wrong blood type is given to a patient during a blood transfusion?
Encourage the older adult to use assistive devices such as glasses.
While assessing an older adult, the nurse observes visual impairment in the client. Which technique should the nurse used to communicate?
