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 D
Explanation
Choice A reason: This statement does not indicate an understanding of acute care, but rather a misconception and a lack of responsibility. Acute care is a level of health care that provides immediate and short-term treatment for severe or life-threatening conditions, such as asthma attacks. Acute care requires the parents to stay with their child and participate in their care plan.
Choice B reason: This statement does not indicate an understanding of acute care, but rather a denial and a delay of treatment. Acute care is not provided at home, but at a specialized facility that has the equipment and staff to handle emergencies. Waiting for the nurse to come may worsen the child's condition and increase the risk of complications.
Choice C reason: This statement does not indicate an understanding of acute care, but rather an exaggeration and a misunderstanding of the duration of treatment. Acute care is not meant to last for a long time, but only until the condition is stabilized or resolved. The length of stay at an acute care facility depends on the severity of the condition and the response to treatment, but it is usually less than a month.
Choice D reason: This statement indicates an understanding of acute care, as it reflects the main goal and intervention of acute care for asthma. Acute care for asthma involves administering medications that can quickly relieve the symptoms and prevent further inflammation of the airways. Medications may include bronchodilators, corticosteroids, oxygen, and others.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect because right documentation is not one of the five rights of delegation. Right documentation is a responsibility of the nurse and the AP, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Choice B reason: This statement is correct because right communication is one of the five rights of delegation. Right communication means that the nurse provides clear, concise, and specific instructions to the AP, and that the AP acknowledges and understands the instructions. Right communication also involves feedback, reporting, and documentation between the nurse and the AP.
Choice C reason: This statement is incorrect because right time is not one of the five rights of delegation. Right time is a factor that affects the delegation process, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
Choice D reason: This statement is incorrect because right room is not one of the five rights of delegation. Right room is a factor that affects the delegation process, but it is not a criterion for deciding what tasks to delegate and to whom. The five rights of delegation are right task, right circumstance, right person, right direction, and right supervision.
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