A nurse is learning about the Institute of Medicine (IOM) (now National Academy of Medicine (NAM)) characteristics of Healthcare Quality.
Which of the following best describes the characteristics of the efficiency domain in Healthcare Quality initiatives?
Working to reduce wait times in the emergency department.
Utilizing the CAUTI bundle to prevent urinary tract infections when placing indwelling urinary catheters.
Using an interpreter for patients who do not speak the healthcare provider’s language.
Opening and utilizing supplies that are necessary for the task.
The Correct Answer is A
Choice A rationale
Efficiency in healthcare refers to the optimal use of resources to achieve the desired health outcomes. Reducing wait times in the emergency department is an example of improving efficiency, as it involves streamlining processes to provide timely care.
Choice B rationale
Utilizing the CAUTI bundle to prevent urinary tract infections when placing indwelling urinary catheters is more related to the safety and effectiveness domains of healthcare quality.
Choice C rationale
Using an interpreter for patients who do not speak the healthcare provider’s language is related to the equity and patient-centeredness domains of healthcare quality.
Choice D rationale
Opening and utilizing supplies that are necessary for the task is a basic requirement in healthcare, but it does not specifically relate to the efficiency domain of healthcare quality.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
A chocolate milkshake may be soothing, but it is not the best choice for a patient with bacterial pharyngitis due to its high sugar content, which can promote bacterial growth.
Choice B rationale
Chicken noodle soup is a good choice as it is soothing, easy to swallow, and provides necessary nutrients.
Choice C rationale
Vanilla ice cream, while soothing, is not the best choice due to its high sugar content.
Choice D rationale
Fruit-flavored popsicles, while soothing, are not the best choice due to their high sugar content.
Correct Answer is A
Explanation
Choice A rationale
Restlessness in a client with a tracheostomy could indicate respiratory distress or hypoxia. It’s important for the nurse to further assess the client’s vital signs, oxygen saturation, and overall appearance.
Choice B rationale
A SaO2 of 92% on 40% humidified oxygen via tracheostomy collar is within the acceptable range for a client with a tracheostomy. However, it’s important to consider the client’s baseline SaO2 and any changes in their condition.
Choice C rationale
Scattered rhonchi throughout the lung fields could indicate secretions in the airways. However, this finding alone does not necessarily indicate a problem with the tracheostomy.
Choice D rationale
Suctioning of thin clear secretions from a tracheostomy is a routine part of tracheostomy care. This finding does not necessarily indicate a problem with the tracheostomy.
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