A nurse is providing care for a patient who is postoperative day one following a bowel resection for the treatment of colorectal cancer. How can the nurse best exemplify the QSEN competency of quality improvement?
A) By liaising with the members of the interdisciplinary care team
B) By critically appraising the outcomes of care that is provided
C) By integrating the patient's preferences into the plan of care
D) By documenting care in the electronic health record in a timely fashion
Ans: B
Feedback:
Evaluation of outcomes is central to the QSEN competency of quality improvements. Each of the other listed activities is a component of quality nursing care, but none clearly exemplifies quality improvement activities.
You might also like to view...
A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial placenta previa. Which information is most important to document?
A. Patient and partner show no anxiety or helplessness and were given educational support material. B. Patient instructed that bleeding may occur as placenta totally covers the cervical os. C. Patient instructed to tell all health-care providers that vaginal exams are prohibited. D. Patient received information about placenta previa and understood it well.
A patient diagnosed with dementia is watching a crime story on television. Suddenly, the patient begins to yell, "Stop! He's got a gun." What is the nurse's best intervention?
a. Administer a PRN dose of an atypical antipsychotic medication. b. Turn off the television and tell the patient, "You are safe." c. Reassure the patient that there are no guns nearby. d. Provide a snack, and put the patient in bed.
If a nurse needs to rouse a patient to perform a neurological assessment, the nurse may correctly
1. Skip the neurological assessment if the patient appears to be comatose, since she can't hear the nurse or follow instructions. 2. Exert mild pain on the patient (e.g., pressing on a nailbed). 3. Turn up the volume on the radio or television. 4. Gently slap the patient.
The nurse is caring for an obese resident with a pressure ulcer on her coccyx. The patient frequently lies on her back because it is difficult to turn due to her weight. Which intervention most effectively encourages independence?
a. Instruct the staff turn the resident every 2 hours. b. Turn the patient on her side and use pil-lows to stabilize her. c. Arrange for short side rails to be used for positioning. d. Arrange for a trapeze so the patient can assist with positioning.