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 A

Explanation

A. Involve affected staff in the decision-making process: Involving staff in decision-making aligns with complexity principles, which emphasize collaboration and the consideration of multiple perspectives to address complex issues effectively.
B. Focus the assessment on the unit and do not consider the hospital as a whole: Ignoring broader organizational factors may limit the effectiveness of adaptations and does not fully consider the complexity of the hospital environment.
C. Create a mandatory policy to force workers to participate in problem-solving solutions: Mandating participation without engagement may lead to resistance and does not align with complexity principles that value collaboration and buy-in.
D. Select a management approach that does not change: Maintaining the status quo may fail to address the unique needs of older adults and does not reflect the adaptive nature of complexity principles.

A. practice failure. B. efficacy. C. effectiveness. D. comparative error.

Correct Answer is C

Explanation

A. Practice failure: Practice failure refers to the inability of a practice or intervention to be successful in a clinical setting, but the issue described is specific to the difficulty of implementation rather than complete failure.
B. Efficacy: Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions, but it does not address real-world application challenges.
C. Effectiveness: Effectiveness refers to how well an intervention works in real-world settings, considering factors like ease of use and patient understanding. The feedback highlights difficulties in real-world application, indicating an issue with effectiveness.
D. Comparative error: Comparative error would refer to errors in comparing two different interventions, but the problem here is related to the usability of the new scale.

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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

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?

Correct Answer is A

Explanation

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:

Correct Answer is C

Explanation

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

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?

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