A nurse manager is developing a quality improvement project. The nurse manager should recognize that which of the following tools should be used to measure outcomes?
SBAR Communication tool
Flowcharts
Clinical indicators
Cause-and-effect diagrams
The Correct Answer is C
Rationale:
A. The SBAR communication tool is used for structured communication among health care providers, not for measuring outcomes.
B. Flowcharts are used to map processes and identify where problems may occur, but they do not measure outcomes.
C. Clinical indicators are measurable items that reflect the quality of care provided (e.g., infection rates, fall rates, readmission rates). They are the appropriate tool for evaluating outcomes in quality improvement.
D. Cause-and-effect diagrams (Ishikawa or fishbone diagrams) are used to identify potential causes of a problem, not to measure outcomes.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Administering an initial NG tube feeding requires assessment of tube placement and tolerance, which are nursing responsibilities—not within the AP’s scope.
B. Collecting a urine specimen is a routine, noninvasive task appropriate for delegation to an AP.
C. Checking a client’s pain level involves assessment, which cannot be delegated to an AP—it requires a licensed nurse.
D. Instructing a client about splinting an incision involves teaching, which is the nurse’s role, not the AP’s.
Correct Answer is D
Explanation
Rationale:
A. Requesting orientation is appropriate, but it is not the first step when being floated for a single shift.
B. Referring to the resource nurse for client assignments is helpful, but assignments should first be based on demonstrated competencies.
C. Informing the nursing supervisor of lack of experience may be necessary if unsafe assignments are made, but the first action should be to clarify what tasks and skills the nurse is competent to perform.
D. Clarifying competencies with the charge nurse ensures that client assignments are safe and appropriate to the nurse’s skill set, making this the priority action.
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