A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Incidence of catheter-induced urinary tract infections.

Nursing staff ratios.

Availability of resources, such as fire extinguishers.

Quality of nursing care provided.

Answer and Explanation

The Correct Answer is A

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

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Correct Answer is C

Explanation

A. Establishing a journal club: A journal club provides a collaborative environment for staff to review and discuss current research, promoting evidence-based practice.
B. Encouraging staff to join a professional association: Professional associations often offer resources, education, and networking opportunities that support evidence-based practice.
C. Instituting mandatory writing assignments discussing a chosen best-practice article: Mandatory writing assignments can be seen as punitive and may not be well-received by staff, potentially leading to resistance rather than engagement.
D. Creating an incentive program for staff to pursue a specialty certification: Offering incentives for specialty certification encourages professional development and can enhance evidence-based practice among staff.

A. "I need to speak with you about unit expectations regarding delegating and completing tasks." B. "You have been very inconsiderate of others by not completing your share of the work." C. "If you don't do your share of the work, I will have to inform the nurse manager." D. "Several staff members have commented that you don't do your fair share of the work."

Correct Answer is A

Explanation

A. "I need to speak with you about unit expectations regarding delegating and completing tasks.": This statement is direct, focuses on the issue at hand, and sets the stage for a constructive conversation about expectations and responsibilities.
B. "You have been very inconsiderate of others by not completing your share of the work.": This statement is accusatory and may lead to defensiveness rather than resolving the conflict.
C. "If you don't do your share of the work, I will have to inform the nurse manager.": This statement is threatening and does not foster a collaborative approach to problem-solving.
D. "Several staff members have commented that you don't do your fair share of the work.": This statement may lead to feelings of isolation and defensiveness, rather than addressing the behavior constructively.

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A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

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Naxlex Comprehensive Predictor Exams

To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

Correct Answer is C

Explanation

A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?

Correct Answer is A

Explanation

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