A nurse is assisting with teaching a class about categories of nurse sensitive quality indicators. The nurse should instruct the class that which of the following is included in the outcome category?
Use of restraints
Client admissions
Hospital readmissions
Staffing
The Correct Answer is C
Choice A reason: Use of restraints is not included in the outcome category, but in the process category. The process category measures the nursing interventions and activities that affect the client's health outcomes. Use of restraints is a nursing intervention that can have negative effects on the client's physical and psychological wellbeing, such as injuries, infections, agitation, and depression.
Choice B reason: Client admissions is not included in the outcome category, but in the structure category. The structure category measures the characteristics and resources of the health care setting that affect the quality of care. Client admissions is a characteristic that reflects the volume and complexity of the client population and the demand for nursing services.
Choice C reason: Hospital readmissions is included in the outcome category. The outcome category measures the results and consequences of the nursing care provided to the clients. Hospital readmissions is a result that indicates the effectiveness and continuity of the nursing care. A high rate of hospital readmissions can suggest poor quality of care, inadequate discharge planning, or lack of follow-up care.
Choice D reason: Staffing is not included in the outcome category, but in the structure category. The structure category measures the characteristics and resources of the health care setting that affect the quality of care. Staffing is a resource that reflects the quantity and quality of the nursing staff, such as the number, education, experience, and skill mix of the nurses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because a nurse cannot access the records of any client in the healthcare facility, unless they have a legitimate need to do so. Accessing the records of clients who are not under their care is a violation of the client's privacy and confidentiality, and may result in legal or disciplinary actions.
Choice B reason: This statement is correct because a nurse can only access the records of clients they are actively caring for, as part of their professional duty and responsibility. Accessing the records of clients they are caring for is necessary to provide safe and effective care, and to communicate with other members of the healthcare team.
Choice C reason: This statement is incorrect because a nurse cannot share information from the client’s medical record with immediate family members, unless the client has given consent, or the disclosure is authorized by law. Sharing information from the client's medical record with family members without the client's permission is a breach of the client's privacy and confidentiality, and may cause harm or distress to the client or the family.
Choice D reason: This statement is incorrect because a nurse cannot share information about a client with clients who have a similar diagnosis, unless the client has given consent or the disclosure is authorized by law. Sharing information about a client with other clients without the client's permission is a breach of the client's privacy and confidentiality, and may compromise the client's dignity or safety.
Correct Answer is C
Explanation
Choice A reason: This statement is false and should not be included in the teaching. Teaches nursing students is not a responsibility of a case manager, but rather a role of a nurse educator. A nurse educator is a nurse who designs, implements, and evaluates educational programs for nurses, students, and other health care professionals.
Choice B reason: This statement is false and should not be included in the teaching. Provides direct client care is not a responsibility of a case manager, but rather a role of a direct care nurse. A direct care nurse is a nurse who provides handson care to patients in various settings, such as hospitals, clinics, or home health agencies.
Choice C reason: This statement is true and should be included in the teaching. Organizes client services following discharge is a responsibility of a case manager, as it involves coordinating and facilitating the transition of care from one setting to another. A case manager is a nurse who assesses, plans, implements, monitors, and evaluates the options and services required to meet the client's health and human service needs.
Choice D reason: This statement is false and should not be included in the teaching. Collects and utilizes data to change current practice is not a responsibility of a case manager, but rather a role of a nurse researcher. A nurse researcher is a nurse who conducts scientific studies to improve health care outcomes, quality, and safety.
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