When giving a lecture regarding outcomes, the nurse educator explains that an important report issued by the ANA concerning outcomes is which of the following?
a. Crossing the Quality Chasm
b. To Err Is Human
c. Nursing Report Card for Acute Care Settings
d. Keeping Patients Safe
C
The American Nurses Association's 1995 report entitled a "Nursing Report Card for Acute Care
Settings" listed indicators for patient-centered outcomes, structures of care, and care processes.
"Crossing the Quality Chasm," "To Err Is Human," and "Keeping Patients Safe" are all reports
concerning patient safety and quality care from the Institute of Medicine (IOM).
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The nurse is caring for a patient who says, "I have to go to the bank. The voices are telling me to go there." Which of the following responses by the nurse is best?
a. "I want to help you focus away from the voices. I am real, they are not." b. "I will call you a cab later. Right now, it is time for therapy." c. "Why do you think the voices are telling you to go to the bank?" d. "Do you need money?"
An older adult who used a propane heater to warm his apartment has been admitted to the emergency department with suspected carbon monoxide poisoning. The emergency department nurse can most accurately gauge the patient's status by which of the following assessments?
A) Anterior and posterior lung auscultation B) Assessment of oxygen saturation by pulse oximetry C) Analysis of carboxyhemoglobin levels D) Analysis of hemoglobin, hematocrit, and red blood cell levels
The patient is an older adult who is receiving treatment for myasthenia gravis. How will the drug dosage have to be adjusted as the patient ages?
a. The dosage will have to be gradually increased. b. The dosage will have to be titrated upwards based on the patient's symptoms. c. The dosage will have to be gradually decreased. d. The dosage will have to be maintained at a consistent level.
The nurse notices that family members appear upset shortly after learning about the patient's poor prognosis from the physician. What would be the action on the part of the nurse that best conveys being with the family?
1. Tell the family you can see they would prefer to be by themselves. 2. Maintain a cheerful, upbeat attitude in the face of the family's distress. 3. Make eye contact and ask the family what is troubling them. 4. Ask the family if they want to talk to their minister.