Which health care situations reflect the philosophy of quality management as designed by Deming? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. A nurse asks visitors to leave because it is after visiting hours.
2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from NPO status.
3. A nurse tells the manager that a housekeeper's work is not up to standards.
4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
5. A nurse who has not made a medication error in two years asks for a salary increase.
2,3,4
Rationale 1: The philosophy of quality management is focus on the needs of the consumer. If there is no reason for the visitors to leave other than it after visiting hours, this is not focused on client need.
Rationale 2: Even though 2:00 p.m. is after "lunchtime," this nurse is focused on the client's needs. This is an example of quality management.
Rationale 3: Quality management empowers the employee to evaluate quality.
Rationale 4: This nurse has seen a need and is working to improve the quality of service. This is quality management.
Rationale 5: Salary increases can be tied to quality improvement initiatives, but just asking for an increase is not quality management.
Global Rationale:
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Which of the following would be an example of a child born with congenital insensitivity to pain? A child who
A) develops pins-and-needles sensation after jumping out of a tree. B) fell off a skate board and fractured ankle but did not feel any pain and just noted swelling in foot. C) skinned knee from a bike accident but only told parents when it started burning. D) cries every time the wind blows because it hurts his face and ears.
The nurse assists the client to a sitting position on the side of the bed. Place the nursing interventions in order beginning with the initial nursing action
1. Drop client's legs over side of bed to sit up. 2. Roll client onto one side with flexed knees. 3. Place the client's bed in the lowest position. 4. Raise head of client's bed to upright position.
Which statement made by a client indicates an understanding of the function of the large intestine?
A. "The large intestine contains host flora that manufacture vitamin E." B. "The large intestine absorbs most of the nutrients from food." C. "The large intestine absorbs water and eliminates stool." D. "Food travels through the large intestine for 3 to 6 hours."
Select the correct volume of a drug required to administer a dosage of 5 mg/kg for a patient who weighs 88 pounds and is 12 years old. The drug is available as a 1-g tablet, which will be mixed in enough water to make 100 ml of final solution (W/V).
A. 12 ml B. 42 ml C. 20 ml D. 37 ml