What is the primary purpose of The Joint Commission (TJC) when visiting a health-care facility.
To provide funding for new health-care technologies.
To improve the safety and quality of care that health-care organizations provide to the public.
To replace state health department inspections.
To act as an insurance company by offering reimbursement to hospitals.
The Correct Answer is B
Choice A rationale
TJC's function is not to act as a funding agency for technology acquisition. Its mission focuses on establishing standards, monitoring compliance, and ensuring ongoing performance improvement. While new technology can enhance care, TJC's role is to evaluate how existing or new technologies are safely and effectively implemented within the context of patient care and quality standards.
Choice B rationale
The primary purpose of TJC is to continuously improve health care for the public by evaluating health-care organizations and inspiring them to excel in providing safe and effective care. TJC accreditation symbolizes a commitment to meeting rigorous performance standards, which translates directly into better safety and quality outcomes for patients.
Choice C rationale
TJC is an independent, private organization, and its accreditation survey does not replace the regulatory functions of state health departments or other governmental bodies. However, TJC accreditation allows a health-care facility to be "deemed" compliant with certain Medicare Conditions of Participation, which streamlines the oversight process and is a common prerequisite for operation.
Choice D rationale
TJC is not an insurance company and does not provide direct reimbursement or function as a payer. While TJC accreditation is necessary for a hospital to be eligible for Medicare and Medicaid reimbursement (a financial consequence), this eligibility is a regulatory function of the Centers for Medicare and Medicaid Services (CMS), not TJC's primary purpose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Standing next to the client when speaking is generally less effective than facing them directly. Optimal sound transmission and lip-reading are facilitated by the speaker being directly in front of the client, allowing visual cues to supplement the auditory input. This positioning enhances the client's ability to process speech through both visual and auditory pathways, minimizing communication ambiguity.
Choice B rationale
Providing instructions printed in Braille is an accommodation for clients with visual impairments, not primarily for those with a hearing deficit. While a client may have both impairments, the most immediate and specific action for a hearing deficit involves enhancing auditory reception and clarity or providing visual supplements like written text, not a specialized tactile system like Braille.
Choice C rationale
Repeating phrases the client misunderstands may not be sufficient or effective because the client might still not hear or process the information clearly due to the nature of their hearing deficit. Instead of mere repetition, the nurse should rephrase the statement using different words, speak slower, or employ written communication to ensure comprehension and overcome acoustic difficulties.
Choice D rationale
Guiding the client away from background noise is a critical environmental modification that significantly improves the signal-to-noise ratio. By reducing competing sounds, the nurse ensures the client's hearing acuity is maximally focused on the nurse's voice. This adherence to acoustic principles directly enhances the client's ability to perceive and decode speech sounds.
Correct Answer is C
Explanation
Choice A rationale
Irrigation and complex dressing changes for pressure injuries involve assessment of the wound bed, identification of infection signs, and the application of sterile technique. These are complex, non-standardized tasks that require nursing judgment and specialized knowledge of wound healing and microbiology, and therefore must be performed by a licensed nurse, not assistive personnel (AP).
Choice B rationale
Reinforcing teaching involves evaluating the client's learning progress and answering specific questions, which requires critical thinking and an understanding of pathophysiology and therapeutic rationale.
AP can assist with setting up the spirometer or reminding the client, but initial or reinforcement teaching is a nursing responsibility that cannot be delegated due to the required educational component.
Choice C rationale
Obtaining a daily weight is a standardized procedure that involves minimal risk and requires no independent clinical decision-making or sterile technique. AP are trained to use a calibrated scale and accurately record the measurement, which is a fundamental data collection task within the scope of their practice, essential for managing conditions like heart failure.
Choice D rationale
Administration of medication, including oral PRN pain medication, is a task that requires specialized knowledge of pharmacology, potential side effects, and assessment of the client's pain level and response. This is a licensed nursing function according to most nurse practice acts and cannot be delegated to AP, who lack the requisite education and legal authorization for this intervention.
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