A nurse working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process?
Review current literature regarding client falls
Implement a fall prevention plan
Identify clients who are at risk for falls
Notify staff of the increased fall rate
The Correct Answer is C
a. While reviewing current literature is an important step in the quality improvement process, it should not be the first action taken after problem identification.
b. Implementing a fall prevention plan is an important step but should be based on a thorough assessment of clients at risk for falls, which should be done first.
c. Identifying clients who are at risk for falls is the first step in addressing the issue of increased falls, as it allows for targeted interventions and prevention strategies.
d. Notifying staff of the increased fall rate may be necessary but should not be the first action taken. Identifying clients at risk for falls should be prioritized to implement preventive measures.
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Related Questions
Correct Answer is B
Explanation
a. A system for tracking client information: While important for managing patients during a disaster, it may not be the highest priority resource in response to a bioterrorism event where protection against exposure to hazardous materials is paramount.
b. A sufficient supply of personal protective equipment: In a bioterrorism event, such as exposure to biological agents, personal protective equipment (PPE) is critical to prevent the spread of pathogens and protect healthcare workers and patients from contamination.
c. A mental health specialist on the response team: Mental health support is important for both staff and patients during and after a disaster, but it may not be the highest priority resource in the immediate response to a bioterrorism event.
d. A network for communication between staff members and families: Communication is essential during any disaster response, but ensuring an adequate supply of personal protective equipment takes precedence in the face of potential exposure to biological agents.
Correct Answer is D
Explanation
A. A client refusing care from assistive personnel of the opposite gender is important and must be handled to respect the client's preferences, but it does not immediately impact the overall functioning of the unit or client safety. This situation can be addressed after the staffing issue.
B. No transport assistance being available for a client to go to physical therapy is a logistical issue that can be resolved with alternative arrangements, such as rescheduling the therapy or finding different personnel for transport. It is not a critical priority compared to staffing shortages.
C. A heated disagreement between two nurses over a scheduling issue is a team dynamic problem that requires attention, but it is not urgent enough to affect patient safety or unit operations in the immediate term. Resolving staffing shortages takes precedence.
D. Addressing the absence of three staff members is critical as it directly affects patient care and safety. A shortage in staff can lead to unsafe working conditions, delays in client care, and an increased risk of errors. Ensuring adequate staffing is the highest priority in this situation
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