As a nurse manager, you observe that one of your new nurses has delivered exceptional care to a patient’s family. What would be the MOST effective method to recognize the nurse’s performance?

Choice A Reason

Feeling in control of her behavior is an important goal for clients with anorexia nervosa, as it addresses the psychological aspect of the disorder. Anorexia nervosa often involves a significant loss of control over eating behaviors and body image. However, while regaining a sense of control is crucial, it is not the immediate priority when the client is severely underweight and at risk for serious health complications. The primary focus should be on stabilizing the client’s physical health.

Choice B Reason

Making positive statements about improvements in body image is also an important goal, as it can help improve the client’s self-esteem and body perception. However, this goal is more long-term and secondary to addressing the immediate physical health risks associated with severe weight loss. Positive body image can be worked on concurrently with nutritional rehabilitation but should not overshadow the urgent need for weight gain.

Choice C Reason

Identifying changes within the family unit that promote the client’s autonomy is beneficial for long-term recovery. Family dynamics often play a significant role in the development and maintenance of eating disorders. Promoting autonomy and healthy family interactions can support the client’s recovery process. However, similar to the previous goals, this is a secondary priority compared to the immediate need to address the client’s critical nutritional status.

Choice D Reason

Gaining 2 pounds of weight per week is the most immediate and critical goal for a client with anorexia nervosa who is severely underweight. This goal directly addresses the life-threatening physical health risks associated with the disorder, such as malnutrition, electrolyte imbalances, and organ failure. Achieving a safe and steady weight gain is essential for stabilizing the client’s health and providing a foundation for addressing the psychological aspects of the disorder.

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.