In the 2009 study by Dall et al. regarding the economic value of nursing, the researchers examined the relationship between registered nurse staffing levels and nursing-sensitive patient outcomes (NSOs) in acute care hospitals. Which option(s) represent nursing-sensitive indicators like the ones examined by these researchers? Standard Text: Select all that apply
1. Community-acquired pneumonia
2. Failure to rescue
3. Pressure ulcers
4. Traumatic wound infection rate
5. Deep vein thrombosis
2, 3, 5
Rationale 1: This study looked at NSOs. NSOs are occurrences in the hospital that could have been avoided by changes in nursing care. Community-acquired pneumonia is not an NSO.
Rationale 2: Failure to rescue is reflected in in-hospital mortality, which is one of the NSOs examined.
Rationale 3: Pressure ulcers were among the NSOs examined.
Rationale 4: This study looked at NSOs. NSOs are occurrences in the hospital that could have been avoided by changes in nursing care. Traumatic wounds may become infected because of the manner of injury. This is not an NSO.
Rationale 5: Deep vein thrombosis was among the NSOs examined.
Global Rationale:
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A nurse is assigned to a patient who has been a very close family friend for many years. What statement would be most appropriate for the nurse to maintain a therapeutic relationship under these circumstances?
a. "Don't worry about a thing. I will see that extra care is given to you on the other shifts, because you are my friend." b. "You may feel uncomfortable about my caring for you. Although everything that happens here is considered to be confi-dential, would you prefer another care-giver?" c. "This is a very busy unit, but I will make sure that you get lots of attention, and I will come back after my shift to help you." d. "I'm so sorry that you are hospitalized, but I will tell all my friends to take special care of you for me."
A client with Alzheimer's disease is beginning to wander and has been found once to be wandering on a busy street. Which is the BEST intervention to keep the client safe?
a. Keep the client in one room of the home. b. Restrict exercise. c. Install alarms on the doors. d. Restrain the client in a chair when alone.
Which of the following are recommended guidelines for daily care of an indwelling Foley catheter? Select all that apply
A) Perform care of the indwelling Foley catheter before perineal care. B) Use an antiseptic cleaning agent or plain soap and water on a clean washcloth. C) Put on sterile gloves before cleaning the catheter. D) Clean 6 to 8 inches of the catheter, moving from the meatus downward. E) Slightly pull on the catheter during the cleaning motion to dislodge crusts. F) Inspect the meatus for drainage and note the characteristics of the urine.
Recent research into the neurophysiology of schizophrenia has explored the role of neurotransmitters (NTs) other than dopamine. Findings include:
a. expression of the signaling neuropeptide cholecystokinin is increased in schizophrenia b. decreased number of inhibitory neurons for which gamma-aminobutyric acid (GABA) is the predominant NT c. decreased brain activity in the hippocampus d. effects of the excitatory NT glutamine