A nurse has developed a six-month program to address the increased incidence of hospital-acquired infections among clients in a long-term care facility.
The program includes three mandatory classes on proper handwashing techniques and increases the availability of hand cleansers in the facility.
Which measure provides the best indication of the program’s effectiveness?
Survey employees to determine how often hand cleansers are used during client care.
Compare the incidence of infections before and after the program’s implementation.
Observe a random sample of employees washing their hands three weeks after the program starts.
Use an experimental design to compare program participants with a control group.
The Correct Answer is B
Answer and explanation
The correct answer is Choice B.
Choice A rationale
While surveying employees to determine how often hand cleansers are used during client care can provide some insight into the adherence to the program, it does not directly measure the effectiveness of the program in reducing hospital-acquired infections.
Choice B rationale
Comparing the incidence of infections before and after the program’s implementation is the most direct and reliable measure of the program’s effectiveness. A significant reduction in the
rate of hospital-acquired infections after the implementation of the program would indicate that the program is effective.
Choice C rationale
Observing a random sample of employees washing their hands three weeks after the program starts can provide information about the employees’ compliance with the handwashing techniques taught in the program. However, this measure does not directly indicate whether the program has been effective in reducing the incidence of hospital-acquired infections.
Choice D rationale
Using an experimental design to compare program participants with a control group could provide valuable data on the program’s effectiveness. However, this method might not be feasible or ethical in a healthcare setting, as it would involve deliberately withholding the program from the control group.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
The correct answer is Choice A.
Choice A rationale
Primary prevention includes measures that prevent the occurrence of a specific disease or health condition. In the context of sexually transmitted infections (STIs), primary prevention would involve education on safe sex practices. This could include information on the use of condoms, the importance of regular STI testing, and the risks associated with having multiple sexual partners. Given the client’s history of multiple sexual partners and recurrent symptoms suggestive of STIs, education on safe sex practices would be an appropriate preventive strategy.
Choice B rationale
Secondary prevention involves early detection and intervention to prevent the progression of a disease or health condition. Regular screenings for STIs fall under this category. However, given that the client has visited the clinic three times in the past 12 months with similar concerns but no STIs were diagnosed, secondary prevention may not be the most appropriate focus for this client.
Choice C rationale
Tertiary prevention involves managing disease post diagnosis to slow or stop disease progression through measures such as medication management and lifestyle changes. Education regarding prescribed treatments for STIs would fall under this category. However, since the client has not been diagnosed with an STI in her previous visits, tertiary prevention would not be the most appropriate focus for this client.
Choice D rationale
Quaternary prevention involves strategies to reduce or avoid unnecessary interventions in the health care system. This could include avoiding unnecessary diagnostic tests or treatments.
Given the client’s history and current symptoms, focusing on quaternary prevention would not be appropriate as it is important to identify the cause of her symptoms and provide appropriate treatment.
Correct Answer is B
Explanation
Answer and explanation The correct answer is B. Choice A rationale
An increase in requests for pregnancy tests does not necessarily indicate that the objectives of Healthy People 2030 are being met. It could reflect a variety of factors, including changes in sexual behavior, access to contraception, or education about reproductive health.
Choice B rationale
A decrease in the number of firearms found on school premises could suggest improvements in school safety, one of the focus areas of Healthy People 20304.
Choice C rationale
A decrease in student enrollment does not necessarily indicate progress towards Healthy People 2030 objectives. It could be influenced by many factors unrelated to health, such as demographic shifts or changes in school policies.
Choice D rationale
An increase in absenteeism could suggest worsening health outcomes, which would be contrary to the goals of Healthy People 20304.
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