The nurse is evaluating outcome standards that were established for a long-term facility one year ago. Which information is most important for the nurse to include in the report?
The average rate of employee turnover during the year.
The rate of client death that occurred during the year.
The number of falls that occurred during the year.
The results of an employee satisfaction survey.
The Correct Answer is C
Choice A reason: Employee turnover affects staffing stability but does not directly reflect client outcomes. It is more relevant to administrative and human resource evaluations.
Choice B reason: The rate of client death may be influenced by the population’s age and health status, making it a less reliable indicator of care quality unless deaths are unexpected or preventable.
Choice C reason: Falls are a key quality indicator in long-term care settings. They reflect safety, supervision, and effectiveness of fall prevention strategies. Tracking fall rates helps identify areas for improvement and aligns with national patient safety goals.
Choice D reason: Employee satisfaction is important for retention and morale but does not directly measure client outcomes. It is a secondary metric in evaluating care standards.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Employee turnover affects staffing stability but does not directly reflect client outcomes. It is more relevant to administrative and human resource evaluations.
Choice B reason: The rate of client death may be influenced by the population’s age and health status, making it a less reliable indicator of care quality unless deaths are unexpected or preventable.
Choice C reason: Falls are a key quality indicator in long-term care settings. They reflect safety, supervision, and effectiveness of fall prevention strategies. Tracking fall rates helps identify areas for improvement and aligns with national patient safety goals.
Choice D reason: Employee satisfaction is important for retention and morale but does not directly measure client outcomes. It is a secondary metric in evaluating care standards.
Correct Answer is A
Explanation
Choice A reason: Shortness of breath in a client with COPD may indicate acute respiratory distress, infection, or exacerbation. This is a potentially life-threatening condition requiring immediate assessment and intervention to prevent hypoxia or respiratory failure. Prioritizing this client aligns with airway-first principles in triage.
Choice B reason: A stage 3 pressure ulcer with pain is concerning but not immediately life-threatening. It requires wound care and pain management, but the condition is stable enough to be addressed after more urgent cases.
Choice C reason: A 3-pound weight gain in congestive heart failure may signal fluid retention and worsening heart failure. While important, it is not as immediately critical as respiratory compromise in COPD.
Choice D reason: Refusal to eat or drink in a terminally ill client may reflect end-of-life progression. While this warrants compassionate care and monitoring, it is not an acute emergency compared to respiratory distress.
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