A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Incidence of catheter-induced urinary tract infections.

Nursing staff ratios.

Availability of resources, such as fire extinguishers.

Quality of nursing care provided.

Answer and Explanation

The Correct Answer is A

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

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Correct Answer is ["B","C","D"]

Explanation

A. Assuming the thoughts and behaviors of individuals based on their race or ethnicity: This approach is based on stereotypes and can lead to misunderstandings and discrimination, hindering effective management of a diverse staff.
B. Encouraging the potential in all staff: By recognizing and fostering the abilities of each individual, a nurse manager can create an inclusive environment that respects and values diversity.
C. Being conscious of the dynamics when culture interacts: Understanding how different cultures interact helps in managing conflicts and promoting effective communication and collaboration among staff.
D. Conducting a cultural self-assessment: This allows a nurse manager to reflect on their own cultural biases and improve their ability to manage a culturally diverse team.
E. Fostering unity by imposing American values upon all staff members: Imposing a single cultural perspective can lead to cultural insensitivity and resentment, negatively impacting staff morale and unity.

A. The patient has a right to choose not to consent. B. Consent must not be coerced. C. Consent for life-saving surgery is always mandatory. D. The patient must sign the consent because the doctor wants him to sign. E. Minors can consent to procedures in the absence of parents or guardians.

Correct Answer is ["A","B"]

Explanation

A. The patient has a right to choose not to consent: Patients have the right to refuse consent if they do not understand the procedure or do not agree to it, reflecting the principle of autonomy in medical decision-making.
B. Consent must not be coerced: Consent must be given voluntarily and with full understanding; coercion undermines the validity of the consent.
C. Consent for life-saving surgery is always mandatory: While consent is crucial, there are exceptional cases where procedures may be performed without explicit consent if a patient is incapacitated and the surgery is urgent.
D. The patient must sign the consent because the doctor wants him to sign: The patient's understanding and voluntary consent are more important than the doctor's request; the process cannot be rushed or forced.
E. Minors can consent to procedures in the absence of parents or guardians: Generally, minors cannot consent to medical procedures without parental or guardian consent, with some exceptions based on state laws and the nature of the procedure.

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A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that: (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

A nurse is planning care for a client who has anorexia nervosa. The nurse should make which of the following client goals the priority?

Which of the following is most accurate regarding evidence-based practice?

To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

During a review of back injuries, a unit manager discovers a large number of injuries are occurring in spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated. In establishing a quality improvement plan, the unit manager should:

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?