A nursing instructor is asked to prepare an educational program on incidents that have occurred on a specific care area.
Which is the most cost-effective approach for the instructor to use in collecting information to support the educational program?
Ask the nurse manager to provide specific data regarding patient incidents.
Access a quality assurance website to obtain information about common incidents.
Meet with risk management to review incident reports for the care area.
Complete a database search through the electronic medical record.
The Correct Answer is C
Choice A rationale
While the nurse manager has oversight, requesting specific incident data from them is a less direct and less comprehensive method than reviewing the primary source documents. This approach relies on the manager's potentially summarized or filtered information, which might omit crucial scientific details necessary for a thorough root cause analysis and effective educational program development. This is not the most cost-effective in terms of acquiring robust, original data.
Choice B rationale
Quality assurance websites offer generalized information on common incidents, lacking the specificity and localized context essential for an educational program focused on a specific care area and its unique incidents. This external, broad data does not provide the primary source documentation required to scientifically analyze the actual errors, contributing factors, and system failures specific to the unit.
Choice C rationale
Risk management maintains the original, primary source incident reports (also known as safety or variance reports) which are mandatory legal documents detailing the event, patient outcome, and contributing factors specific to the care area. Accessing these records is the most scientifically cost-effective method as it provides direct, unfiltered, and relevant empirical evidence needed for an in-depth, targeted educational program.
Choice D rationale
A database search of the electronic medical record (EMR) for incidents is inefficient because the EMR primarily documents patient care and clinical findings (e.g., vital signs, medications, assessments). Incident reports are separate, mandated administrative documents focused on deviation from standard care, making the EMR a secondary, incomplete source for incident analysis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Elderly is a demographic qualifier, not an official NANDA-I modifier, which are used to refine the meaning of the nursing diagnosis label. NANDA-I utilizes specific, scientifically derived modifiers (e.g., Deficient, Imbalanced, Ineffective) to precisely describe the state of the human response and its related factors in a standardized way.
Choice B rationale
The phrase Potential for is an older, non-NANDA-I term. Current NANDA-I uses the standardized label Risk for to denote a high vulnerability to an undesired human response. Risk for is a diagnostic concept, not a modifier itself, and indicates a diagnostic type that requires specific risk factors.
Choice C rationale
Deficient is a scientifically appropriate, officially approved NANDA-I modifier used to specify the extent or magnitude of the problem in a two-part diagnostic statement (e.g., Deficient Knowledge). It objectively describes an inadequate quantity, quality, or amount of a specific attribute, thereby standardizing the description of the patient's human response.
Choice D rationale
Room number is a logistical and administrative data point that has no scientific relevance to the patient's human response to health conditions, which is the focus of a nursing diagnosis. NANDA-I modifiers must refine the clinical meaning of the diagnostic concept, not provide a physical location.
Correct Answer is B
Explanation
Choice A rationale
Global aphasia is the most severe form, characterized by profound impairment in both understanding language (receptive) and producing language (expressive). The described pattern of repetitive words and meaningless sounds is a feature of expressive deficits but is generally less complex than the complete, widespread inability to communicate associated with global aphasia.
Choice B rationale
Expressive (Broca's) aphasia is characterized by difficulty in producing speech, including non-fluent, effortful, or limited verbal output. The observed pattern of frequent repetition of one or two words (stereotypy) combined with meaningless sounds (jargon) is a classic manifestation of this type, where the patient struggles to articulate complete, grammatically correct sentences.
Choice C rationale
Broca aphasia is the anatomical name often used interchangeably with Expressive aphasia, which results from damage to the Broca's area in the frontal lobe. This type primarily affects the motor aspects of speech production, causing telegraphic speech, word-finding difficulty, and the observed repetitive, non-fluent pattern, even though comprehension usually remains relatively intact.
Choice D rationale
Receptive (Wernicke's) aphasia is marked by a severe deficit in language comprehension, where the patient struggles to understand spoken or written words. Their speech is typically fluent but often nonsensical (jargon or neologisms) and lacks content, contrasting with the non-fluent, repetitive, and sound-based speech pattern described in the scenario.
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