A health care organization is using the quality concepts of lean thinking and decentralization as part of their redesign efforts
Which initiatives would this organization undertake? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Any changes to processes in the facility will be approved at the vice president level.
2. Nurses who have made over five medication errors in the last 12 months will be terminated.
3. Outcome data will be analyzed to identify successful interventions.
4. The primary focus will be on a few major initiatives.
5. Previous quality improvement efforts may or may not be discarded.
3,5
Rationale 1: Decentralization empowers staff to implement process improvements.
Rationale 2: Lean thinking focuses on the system rather than on individuals.
Rationale 3: In lean thinking, the concentration is on interventions that improve outcomes.
Rationale 4: This redesign strategy is called "big-dot focus" and may or may not reflect lean thinking.
Rationale 5: Decentralization provides a quality improvement infrastructure that disregards only previous efforts that have not proven effective.
Global Rationale:
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The nurse is caring for the patient with a history of addiction. The nurse notes that although the patient is in severe pain, the patient's requests for pain medication have been ignored
Which ethical principle is the nurse exercising when advocating for appropriate pain relief? 1. Justice 2. Autonomy 3. Beneficence 4. Nonmaleficence
Impaired vision may result from a deficiency of:
a. pyridoxine (vitamin B6). c. potassium. b. retinol (vitamin A). d. cyanocobalamin (vitamin B12).
The nurse is beginning to take a sexual history from the client. List the answer choices in chronological order of how the nurse should proceed. Your answer should be a four digit number
1 . Ask specific questions about the client's current sexual practices. 2 . Ask the client mostly open-ended questions. 3 . Have the client fill out a comprehensive questionnaire. 4 . Explain that the history is obtained from all clients and will be confidential.
A nurse in a physician's office has noted on several occasions that one of the physicians frequently obtains controlled-drug prescription forms for prescription writing
The physician reports that his wife has chronic back pain and requires pain medication. One day the nurse enters the physician's office and sees him take a pill out of a bottle. The doctor mentions that he suffers from migraines and that his wife's pain medication alleviates the pain. What type of nurse-physician ethical situation is illustrated in this scenario? A) Unprofessional, incompetent, unethical, or illegal physician practice B) Disagreements about the proposed medical regimen C) Conflicts regarding the scope of the nurse's role D) Claims of loyalty