A nurse from the quality improvement committee is assigned to review a client?s chart throughout the hospitalization and determines that discharge teaching has not been initiated
This finding is discussed with the primary nurse who will follow through with the teaching. This process is an example of which review or audit method? 1. Peer review
2. Concurrent audit
3. Utilization review
4. Retrospective audit
2
Explanation: 1. A concurrent audit is conducted during the client?s course of care and examines care being
given to achieve a desired outcome and recommends change as needed. A peer review occurs
when practicing nurses determine the standards and criteria that indicate quality care and then
assess performance against these standards. Utilization reviews are based on the appropriate
allocation of resources and are not specifically directed at nursing care. A retrospective audit is
conducted after a client?s discharge and involves examination of a large number of cases.
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Virtual Learning Environments (VLEs) are used more in the classroom as a learning tool for student nurses. Which should the instructor keep in mind when preparing to use the VLE with a new group of students?
A) Allowing learners to practice new skills without fear of harm to themselves or others B) Difficulty navigating in a classroom setting C) Difficulty creating measurable objectives for its use D) Intimidating to contemporary student nurses
The nurse identifies a risk factor in an older man that puts him at risk for developing diverticulosis, which is:
1. eating a low-fiber diet. 2. chronic diarrhea. 3. history of nonsteroidal anti-inflammatory drug (NSAID) use. 4. family history of colon cancer.
An 80-year-old female patient says to the nurse, "I can't hold my water very well so I don't leave the house much.". Which nursing response is appropriate?
1. "There may be some ways to help you hold your water better.". 2. "I understand.". 3. "I guess it's hard getting older.". 4. "I wish there was something we could do to help you.".
A care area has been short staffed for the past month with a heavy client load and high acuity
The nurses have been working extra as well as double shifts and often do not have time to make sure that properly working equipment is cleaned, returned, and stored in the appropriate areas. At what level should this care area be evaluated? 1. Management 2. Structure 3. Process 4. Outcome