The nursing manager is comparing data on average length of client hospital stay for a total hip replacement between two hospitals in order to promote quality improvement. This comparison is an example of which process or step?
1. A process standard
2. An outcome standard
3. Benchmarking
4. An indicator
Answer: 3
Rationale: Benchmarking is the comparison of data with other reliable sources internally and externally with the goal of quality improvement. An outcome standard involves the end results of care given. An indicator is a tool used to measure the performance of structure, process, and outcome standards. Process standards are those connected with the actual delivery of care.
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What does the nurse use the diaphragm of the stethoscope to best assess?
a. Carotid sounds b. Lung sounds c. Vascular sounds d. Low-pitched sounds
A soldier serving in the Middle East was in a convoy when an improvised explosive device (IED) killed three fellow soldiers in the vehicle in front of hers
Five weeks later, she began to report intrusive thoughts of missiles screaming toward her and exploding, and loud sounds began to trigger an involuntary re-experiencing of the IED explosion. Three months later, she reported continuing sleep impairment, nightmares, social withdrawal, disrupted relationships, and flashbacks. This soldier's presentation most suggests: a. acute stress disorder. b. pathological grief reaction. c. posttraumatic stress disorder. d. panic disorder with agoraphobia.
Marvin is a healthy, active 36-year-old who belongs to a martial arts club. Once a week he takes lessons in Judo, and on the weekends, he participates in local competitions
At his last competition, Marvin was paired with a skilled participant from another club. His rival threw him to the mats, and as Marvin struggled, came down hard to pin him down. Marvin heard a snap, followed by instant pain in his left forearm. Radiographs at the local hospital confirmed he suffered a transverse fracture of the distal aspect of his left ulna. What are the typical signs and symptoms of a fracture? Why shortly after the injury does the pain temporarily subside? How does a hematoma form, and what function does it serve in the process of healing a fracture? Marvin was told he would be seeing a physiotherapist as his healing progressed. What are the muscular and joint changes that occur during immobilization and the ways Marvin and his physiotherapist can work to address these changes?
A school nurse is conducting a class on safety for a group of school-age children. Which statement indicates that the children may need further teaching?
a. "My sister and I know two different ways to get out of the house." b. "I can dial 911 if there is a fire or a burglar in the house." c. "My mother has told us that if we have a fire, we have to meet at the neighbor's house." d. "If there is a fire I will have to go back in for my cat Fluffy because she will be scared."