Two medical?surgical nursing directors are evaluating the efficiency and effectiveness of the current nursing care delivery model
Which of the following factors would the directors include in the evaluation of the current model of care? Select all that apply. 1. Quality patient care
2. Patient satisfaction
3. Nursing job satisfaction
4. Cost-effectiveness
5. Design of nursing unit
6. Availability of labor pool
1. Quality patient care
2. Patient satisfaction
3. Nursing job satisfaction
4. Cost-effectiveness
Rationale:
Quality patient care. The efficiency and effectiveness of any system usually is evaluated by measuring four factors: quality patient care, patient satisfaction, nursing job satisfaction, and cost-effectiveness. Patient satisfaction. The efficiency and effectiveness of any system usually is evaluated by measuring four factors: quality patient care, patient satisfaction, nursing job satisfaction, and cost-effectiveness. Nursing job satisfaction. The efficiency and effectiveness of any system usually is evaluated by measuring four factors: quality patient care, patient satisfaction, nursing job satisfaction, and cost-effectiveness. Cost-effectiveness. The efficiency and effectiveness of any system usually is evaluated by measuring four factors: quality patient care, patient satisfaction, nursing job satisfaction, and cost-effectiveness. Design of the nursing units. The intent of the unit design is to reduce the time licensed nurses spend performing non-nursing tasks. The American Institute of Architects published design standards that promote the safety of clients and staff. Availability of labor pool. The availability of the labor pool is an important variable to consider when selecting a nursing care delivery system.
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Identify future directions for gerontological nursing research as suggested by Wykle and Tappen. (Select all that apply.)
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A client's membranes spontaneously ruptured as evidenced by a gush of clear fluid with a contraction. The nurse would immediately:
A) check the fetal heart rate B) perform a vaginal exam C) notify the physician immediately D) change the linen saver pad to promote dryness
The perinatal nurse is called to assess an infant who is 4 hours post-birth. A blue tinge to the lips, gums and tongue is noted. Follow-up for this infant may include:
Select all answers that apply. A) echocardiogram. B) oxygen therapy. C) ultrasound. D) monitoring of vital signs.
A client and her husband used in vitro fertilization to become pregnant
The unused sperm was frozen so the couple could have more children later. The husband is killed while in combat, and the client journals her choices and the possible ramifications. She comes to the fertility clinic after looking at the situation from many perspectives and after considering many alternatives. She asks that the sperm be destroyed because her husband's faith prohibited remarrying, and allowing another person to use the sperm would conflict with her late husband's beliefs. The nurse realizes that: a. the client is in the second step of ethical decision making and that the client's value system is influencing her choices of alternative actions. b. a logical line of reasoning has led to validation of the decision to destroy the husband's sperm. c. the client has not been able to navigate the complicated issues inherent in this situation. d. a rational decision was reached that was based on reflection and on the value systems of the wife and the husband.