A nurse is looking after an unconscious client with a living will. The client’s family inquires if they can modify life-saving measures now that the client is unconscious. What should the nurse say in response?

Choice A Reason

The availability and accessibility of blood glucometers are important for ensuring that patients can have their blood glucose levels monitored effectively. However, this aspect is more related to the process and structure of care rather than the outcomes. Outcome audits focus on the results of care provided to patients, such as health improvements or complications.

Choice B Reason

The quality of nursing care provided is a broad concept that can encompass various aspects of patient care, including both processes and outcomes. While it is crucial to assess the quality of nursing care, outcome audits specifically measure the results of care, such as patient health status and complications. Therefore, while quality of care is important, it is not the specific focus of an outcome audit.

Choice C Reason

Nurse-to-patient ratios are a structural measure that impacts the delivery of care. Adequate staffing levels are essential for providing high-quality care and ensuring patient safety. However, this measure is related to the resources available and the organization of care rather than the direct outcomes of patient care. Outcome audits aim to evaluate the effectiveness of care by looking at the results achieved.

Choice D Reason

The incidence of central line-associated bloodstream infections (CLABSIs) is a specific outcome measure that reflects the quality and safety of patient care. CLABSIs are serious infections that can occur when bacteria or viruses enter the bloodstream through a central line. Monitoring the incidence of these infections helps assess the effectiveness of infection control practices and the overall quality of care provided. This measure directly relates to patient outcomes and is a key focus of outcome audits.

Choice A Reason

“Be impeccable with your word” is one of the four agreements outlined by Don Miguel Ruiz. This agreement emphasizes the importance of speaking with integrity and saying only what you mean. It encourages individuals to avoid using words to speak against themselves or gossip about others. This principle is foundational for fostering trust and respect in personal and professional relationships.

Choice B Reason

“Do not make assumptions” is another key agreement in the book. This agreement advises against making assumptions about others’ thoughts, feelings, or actions. Instead, it encourages clear communication to avoid misunderstandings and conflicts. By seeking clarity and asking questions, individuals can prevent unnecessary stress and improve their interactions with others.

Choice C Reason

“Take all work matters personally” is NOT one of the four agreements. In fact, one of the actual agreements is “Don’t take anything personally.” This agreement teaches that nothing others do is because of you; it is a reflection of their own reality. By not taking things personally, individuals can avoid unnecessary suffering and maintain their emotional well-being.

Choice D Reason

“Always do your best” is the fourth agreement in the book. This agreement encourages individuals to always strive to do their best, regardless of the circumstances. It acknowledges that one’s best can vary from moment to moment, but consistently putting in effort leads to personal growth and fulfillment. This principle helps individuals to avoid self-judgment and regret.