Improvement in perceived quality of care has been reported in magnet organizations. According to several studies, which of the following is thought to contribute significantly to these quality outcomes and quality of care?

a. nurse's work environment c. performance improvement practices
b. quality assessment practices d. shorter lengths of stay in the hospital


A
Research by Aiken, Havens and Sloane (2000), Friese (2005), and Lake and Friese (2006) noted that health care facilities that have obtained magnet status tend to have environments that are indicative of nurse job satisfaction, prevention of burnout, and an improvement in perceived quality of care.

Nursing

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The nurse is caring for a 24-year-old patient with an antitrypsin deficiency who states that she has never smoked in her life. An antitrypsin deficiency predisposes the patient to what?

A) Pulmonary edema B) Emphysema C) Community-acquired pneumonia D) Empyema

Nursing

A patient is receiving intravenous promethazine [Phenergan] 25 mg for postoperative nausea and vomiting. What is an important nursing action when giving this drug?

a. Giving the dose as an IV push over 3 to 5 minutes b. Infusing the dose with microbore tubing and an infusion pump c. Observing the IV insertion site frequently for patency d. Telling the patient to report dry mouth and sedation

Nursing

A nurse is entering information on the client's electronic health record (EHR) and is called to assist in an emergency situation with regard to another client in the labor and birth suite

The nurse rushes to the scene to assist but leaves the chart open on the computer screen. The emergent client situation is resolved satisfactorily, and the nurse comes back to the computer entry screen to complete charting. At the end of the shift, the nurse manager asks to speak with the nurse and tells her that she is concerned with what happened today on the unit because there was a breach in confidentiality. Which response by the nurse indicates that she understands the nurse manager's concerns? a. The nurse acknowledges that she should have made sure that her client was safe before assisting with the emergency. b. The nurse states that she should have logged out of the EHR prior to attending to the emergency. c. The nurse indicates that the unit was understaffed. d. The nurse indicates that the she changed her password following the clinical emergency to maintain confidentiality.

Nursing

A client asks the nurse why fiber is a carbohydrate that is good for people and high fructose corn syrup as a carbohydrate is not. The nurse explains that:

1. Fiber digests slowly and slows the absorption of sugars. 2. Fiber is a great source of energy. 3. Sugar, in the form of high fructose corn syrup, contributes to weight gain. 4. High fructose corn syrup is only found in soft drink beverages.

Nursing