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.
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Related Questions
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
While suggesting that the patient get a walker might help with mobility, it does not directly address the safety concerns in the home environment.
Choice B rationale
A medical alert device could be beneficial in case of emergencies, but it does not prevent the risk of falls or accidents in the home.
Choice C rationale
Ensuring the patient’s privacy is important, but it does not address the immediate safety concerns observed by the nurse.
Choice D rationale
Identifying potential safety hazards in the home is the most immediate and effective action the nurse can take. By doing this, the nurse can work with the patient and their family to make necessary changes to improve safety and prevent falls.
Correct Answer is C
Explanation
Answer and explanation
The correct answer is Choice C.
Choice A rationale
A 65-year-old aide working in a nursing home is at high risk of contracting and spreading influenza due to their exposure to a vulnerable population. Therefore, they should be prioritized for vaccination.
Choice B rationale
An 8-year-old girl with poorly-controlled asthma is also at high risk for complications from influenza and should be prioritized for vaccination.
Choice C rationale
A 60-year-old client with diabetes is at increased risk for complications from influenza. However, their agoraphobia (fear of crowds) might make them less likely to be exposed to the
virus compared to the other individuals. Therefore, they could be advised to return to the clinic when more vaccines are available.
Choice D rationale
An 80-year-old resident in an Alzheimer’s unit is at high risk due to their age and living situation. They should be prioritized for vaccination.
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