As a nurse manager on a urology unit, you note that there has been a marked increase in medication errors on the unit. Which of the following actions would be consistent with the Na-tional Database of Nursing Quality Indicators (NDNQI) measures?

a. Staff are consulted regarding improve-ments in interprofessional approaches to patient care.
b. Nursing staff are asked for input regarding the purchase of new medication carts.
c. A recognition program is developed to acknowledge nurses who have provided safe and exemplary care utilizing skills in the staffing mix to optimize the delivery of patient care.
d. Recent changes in staffing mixes are ex-amined to determine if the timing of changes coincides with the increase in er-rors.


D
The NDNQI measures are specifically concerned with patient safety and aspects of quality of care that may be affected by changes in the delivery of care or staffing resources. The quality indicators address staff mix and nursing hours for acute-care settings, as well as other care com-ponents. The NDNQI project is designed to assist healthcare organizations in identifying links between nursing care and patient outcomes.

Nursing

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The Kingdon Model for Political Processes identifies streams that affect agenda development and policy formation. Which of the following streams identifies viable approaches to solving particular problems?

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Nursing

Which of the following goals is most appropriate for a preoperative client with a nursing diagno-sis of deficient knowledge regarding preoperative requirements related to lack of exposure to in-formation?

1. Client will understand the need for scheduled surgery before leaving the provid-er's office. 2. Client will understand the preoperative routines of surgical care before leaving provider's office. 3. Client will present for drawing of preoperative laboratory blood at least 48 hours before scheduled surgery. 4. Client will be able to successfully accomplish the preoperative bowel preparation by morning of scheduled surgery.

Nursing