A nurse is developing a quality improvement (QI) program. Which of the following would be the most important aspect of the program that should be considered?
Standards used to provide care
Vision and values of the agency
Results of nursing care
Evaluation of process changes
The Correct Answer is C
A. Standards used to provide care: Important for guiding practice but don’t reflect the actual outcomes or effectiveness of care.
B. Vision and values of the agency: These shape the culture and direction but do not directly assess the quality of care delivered.
C. Results of nursing care: The primary goal of QI is to improve outcomes - client health, satisfaction, and safety - which are measured through care results.
D. Evaluation of process changes: This is part of the QI cycle, but outcomes are ultimately what define success and are the most important element.
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Related Questions
Correct Answer is B
Explanation
A. Individual: This refers to direct one-on-one interventions, which is not the case in a public campaign.
B. Community: The campaign is designed to affect the community as a whole, involving leaders and broad public outreach - this is characteristic of the community system.
C. Family: Family-focused interventions target households or small family units, not entire communities.
D. Aggregate: Aggregates refer to subpopulations with common traits (e.g., pregnant teens, smokers), not general community-wide efforts.
Correct Answer is C
Explanation
A. No action is necessary because it is easily treated with oral vermicides: While treatment is simple, prevention through hygiene is still essential, especially in group settings.
B. Every child in the daycare should be treated because they are all probably infected: Treatment should be based on diagnosis or close contact, not blanket treatment without evaluation.
C. Using good hand washing is important to prevent the transmission: Pinworms spread via the fecal-oral route. Hand hygiene is the most effective way to prevent reinfection and spread.
D. Close the daycare until all surfaces are cleaned: This is extreme and unnecessary - proper hygiene and targeted treatment are typically sufficient.
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