A nurse is providing care to a client. Prior to exiting the client's room, the nurse ensures the client's bed is locked and their call light is within reach. Which of the following QSEN competencies is the nurse demonstrating?
Quality improvement
Safety
Teamwork and collaboration
Patient-centered care
The Correct Answer is B
A. Quality improvement focuses on the processes and systems within healthcare that enhance patient outcomes and improve care delivery. While the nurse's actions contribute to overall quality of care, this specific scenario does not directly relate to improving a process or system.
B. The nurse is demonstrating the competency of safety by ensuring the client’s bed is locked (preventing falls) and the call light is within reach (allowing the client to request help easily). These actions directly enhance the client's safety and prevent potential harm.
C. Teamwork and collaboration involve working effectively with other healthcare professionals to provide optimal care. While collaboration is essential in nursing, the actions described do not specifically pertain to working with other team members.
D. Patient-centered care focuses on respecting and responding to individual patient preferences, needs, and values. While ensuring the call light is within reach aligns with the principles of patient-centered care, the primary focus of the nurse’s actions is on safety.
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Related Questions
Correct Answer is C
Explanation
A. While water temperature can be a matter of personal preference, it is not necessary to use hot water. In fact, the temperature of the water (whether warm or cold) does not significantly impact the effectiveness of handwashing. The most important factor is to use soap and rub the hands thoroughly for at least 20 seconds.
B. This statement is partially correct but requires clarification. Alcohol-based hand sanitizers should be rubbed on all surfaces of the hands until they are dry, which typically takes about 20 seconds. Ten seconds is insufficient for effective sanitization, so this instruction should be revised.
C. This statement is correct and should definitely be included. When hands are visibly soiled, washing them with soap and water is the most effective way to remove dirt, bacteria, and viruses. Alcohol-based hand sanitizers are not effective when hands are dirty or greasy.
D. Clostridium difficile (C. diff) infections require soap and water for handwashing, as alcohol-based hand sanitizers are ineffective against the spores of C. diff. Therefore, this instruction should not be included.
Correct Answer is D
Explanation
A. Quaternary prevention focuses on preventing unnecessary interventions or overmedicalization. It aims to protect patients from harm and ensure that they receive only the necessary care. Administering insulin does not fit this definition.
B. Primary prevention involves measures taken to prevent the onset of disease or injury before it occurs. This includes health education, vaccinations, and lifestyle changes to prevent diseases. Administering insulin does not fall under this category, as it does not prevent diabetes but rather manages it.
C. Secondary prevention aims to detect and treat diseases early to reduce their impact. This includes screenings and interventions that occur after a disease has developed but before significant symptoms appear. Administering insulin is not a preventive measure in this context.
D. Tertiary prevention involves managing and reducing the impact of an existing disease. It focuses on rehabilitation and maintaining quality of life. Administering insulin to a client with type 1 diabetes is an example of tertiary prevention, as it is part of the management and treatment of a chronic condition to prevent complications.
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