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 C
Explanation
Answer and explanation The correct answer is C. Choice A rationale
A hurricane that destroys 50,000 homes and kills 5,000 victims is a high-intensity disaster, but it is not small-scope. The impact is widespread, affecting a large number of homes and people.
Choice B rationale
A forest fire that destroys 25,000 acres and causes significant damage to livestock is also a high-intensity disaster. However, the scope is not small as it affects a large area and has a significant impact on the local economy.
Choice C rationale
A tornado that destroys 25 houses and uproots an interstate for 0.5 miles is an example of a high-intensity, small-scope disaster. The disaster is high-intensity due to the destructive nature of a tornado, but the scope is relatively small, affecting only a limited number of houses and a small section of an interstate.
Choice D rationale
An explosion at a water treatment plant that affects the community water supply is a high- intensity disaster due to the potential for widespread impact on the community’s water supply. However, the scope is not necessarily small as it could affect a large population.
Correct Answer is D
Explanation
Answer and explanation
The correct answer is Choice D.
Choice A rationale
Being teased by friends for being overweight can indeed be a concern as it might affect the child’s mental health. However, this is not an immediate health risk. The nurse could address this issue by discussing coping strategies and the importance of self-esteem with the patient.
Choice B rationale
Preferring solitary play situations is not necessarily a problem. Some children are more introverted and enjoy time alone. It could become a concern if the child shows signs of excessive isolation or withdrawal.
Choice C rationale
Living in subsidized housing in an inner city setting does not directly warrant a follow-up unless there are specific health risks associated with the living conditions that need to be addressed.
Choice D rationale
The patient reporting that they become easily short of breath is a significant concern. Shortness of breath could indicate a number of health issues, including asthma, heart conditions, or other respiratory problems. This warrants immediate follow-up.
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