Contemporary Issues in Nursing

Questions 113

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Contemporary Issues in Nursing Questions

Question 1 of 5

The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:

Correct Answer: C

Rationale: The correct answer is C: Pareto chart. A Pareto chart is a quality tool used to prioritize issues by identifying the most significant factors contributing to a problem. In this case, the Pareto chart is appropriate because it helps visually show that inadequate hand washing is the primary cause of IV site infections, as it accounts for 80% of all infections. The chart allows the staff to focus their efforts on addressing this key issue first, which is crucial for effectively reducing the overall infection rate. Incorrect choices: A: Cause-and-effect diagram - This tool is used to identify and analyze potential causes of a problem, but it does not prioritize them in the same way a Pareto chart does. B: Run chart - A run chart is used to track data over time to identify trends and patterns, but it does not prioritize the causes of a problem like a Pareto chart. D: Flowchart - Flowcharts are used to map out a process or workflow, but they do not prioritize issues

Question 2 of 5

A new mother is experiencing pain after delivering an infant with Down syndrome. The staff nurse states, "I don't think she is really hurting. Let the next shift give the pain medication." The team leader notices the staff nurse looks agitated and anxious and asks about any concerns in providing care to this new mom. The staff nurse admits having a stillborn infant with Down syndrome. This is an example of which component of communication?

Correct Answer: B

Rationale: The correct answer is B: Past experiences. In this scenario, the staff nurse's past experience of having a stillborn infant with Down syndrome is influencing her perception and behavior towards the new mother. This past experience is shaping her emotions, thoughts, and actions, demonstrating how personal experiences can impact communication in healthcare settings. This highlights the importance of self-awareness and reflection to understand how past experiences can influence interactions with patients. Incorrect choices: A: Personal perception - While personal perception plays a role in communication, the key factor in this scenario is the staff nurse's past experience, not just her perception. C: Filtration - Filtration refers to the process of selectively interpreting information. In this case, the staff nurse's behavior is more influenced by her past experience rather than selective filtering of information. D: Preconceived idea - While the staff nurse may have preconceived ideas about individuals with Down syndrome due to her past experience, the primary focus is on her past experience itself rather

Question 3 of 5

A physician has installed a computer-based patient records system. An outside care provider who requests medical information must obtain the patient's signed consent and then is assigned a password to gain access to the medical information. A monthly audit is conducted to determine for whom and for what purpose patient records have been accessed. This protection is referred to as:

Correct Answer: C

Rationale: The correct answer is C: security. The scenario describes measures to protect the patient records system from unauthorized access, such as requiring consent, assigning passwords, and conducting audits. Security specifically refers to safeguarding information from unauthorized access, ensuring data integrity and availability. Privacy (A) is about controlling access to personal information, while confidentiality (B) is about keeping information private. Data capture (D) refers to the process of collecting data, not protecting it from unauthorized access. In this case, the focus is on security measures implemented to protect patient records, making it the most appropriate choice.

Question 4 of 5

A nurse is interested in learning how reminiscence therapy can improve memory in cognitively intact persons over the age of 65 years. Findings from three groups are compared. Group 1 receives music therapy, Group 2 receives life review therapy, and Group 3 does not receive therapy, but data are collected from all three groups and compared. Group 3 is known as the:

Correct Answer: D

Rationale: The correct answer is D: control group. In this study design, Group 3 serves as the control group to compare the effects of music therapy and life review therapy on memory. The control group does not receive any intervention, allowing researchers to isolate the impact of the therapies. This helps determine if any observed improvements in memory are due to the therapies and not other factors. A pilot study (A) is a small-scale preliminary investigation, not a comparison group. A survey (B) is a data collection method, not a comparison group. A needs assessment (C) is used to determine needs, not a comparison group. Thus, the control group is essential in research to establish causal relationships.

Question 5 of 5

The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:

Correct Answer: C

Rationale: The correct answer is C: Pareto chart. A Pareto chart is a quality tool used to prioritize issues by identifying the most significant factors contributing to a problem. In this case, the Pareto chart is appropriate because it helps visually show that inadequate hand washing is the primary cause of IV site infections, as it accounts for 80% of all infections. The chart allows the staff to focus their efforts on addressing this key issue first, which is crucial for effectively reducing the overall infection rate. Incorrect choices: A: Cause-and-effect diagram - This tool is used to identify and analyze potential causes of a problem, but it does not prioritize them in the same way a Pareto chart does. B: Run chart - A run chart is used to track data over time to identify trends and patterns, but it does not prioritize the causes of a problem like a Pareto chart. D: Flowchart - Flowcharts are used to map out a process or workflow, but they do not prioritize issues

Similar Questions

The number of IV site infections has more than doubled on a nursing unit. The staff determine common causes include the site is cleaned using inconsistent methods, dressing frequently becomes wet when patient showers, IV tubing is not changed every 48 hours per protocol, and inadequate hand washing of RN prior to insertion. A bar graph demonstrates the frequency in descending order, with 80% of infections being attributed to inadequate hand washing. The quality tool used is a:
An RN with a diploma preparation wants to participate in decisions about health care and decides the first step is to obtain a BSN. The nurse enrolls in a nursing program offering self-scheduling and a self-paced curriculum. This nurse is taking advantage of:
A nurse researcher who is seeking funding for a study should identify _ of funding agencies.
Organizations measure the effectiveness of their budgets by examining actual revenues and expenditures versus:
A nurse who wishes to practice in another state: (select all that apply)

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