A nursing unit has received a higher than usual number of negative client responses about aspects of the nursing care during the previous quarter
The quality assurance officer evaluating this unit pays particular attention to which component of care? 1. Competency
2. Structure
3. Process
4. Outcome
3. Process
Rationale:
Process evaluation focuses on how the care was given in regard to relevance, appropriateness, completeness, and timeliness. Process standards focus on the manner in which the nurse uses the nursing process. Competency is not one of the components of quality assurance evaluation. Structure evaluation focuses on the setting in which the care is given. Outcome evaluation focuses on demonstrable changes in the client's health status as a result of nursing care.
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A) Perception of current problem B) Employment status C) Current living situation D) Family relationships
The nurse is working in an adolescent medical clinic. What can the nurse anticipate when comparing adolescents in the clinic with chronic conditions to their peers?
1. A high level self-esteem 2. A concern for their parents 3. An altered body image 4. A decreased concern about their appearance
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a. "You and I will have to sit down and discuss this problem." b. "It bothers me to see you exercising. I am afraid you will lose more weight." c. "Let's discuss the relationship between exercise, weight loss, and the effects on your body." d. "According to our agreement, no exercising is permitted until you have gained a specific amount of weight."
The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. This is most likely the result of:
a. poor appetite. b. increased potassium intake. c. reduction of edema. d. restriction to bed rest.