A nurse is assisting with teaching a class about categories of nurse sensitive quality indicators. The nurse should instruct the class that which of the following is included in the outcome category?
Use of restraints
Client admissions
Hospital readmissions
Staffing
The Correct Answer is C
Choice A reason: Use of restraints is not included in the outcome category, but in the process category. The process category measures the nursing interventions and activities that affect the client's health outcomes. Use of restraints is a nursing intervention that can have negative effects on the client's physical and psychological wellbeing, such as injuries, infections, agitation, and depression.
Choice B reason: Client admissions is not included in the outcome category, but in the structure category. The structure category measures the characteristics and resources of the health care setting that affect the quality of care. Client admissions is a characteristic that reflects the volume and complexity of the client population and the demand for nursing services.
Choice C reason: Hospital readmissions is included in the outcome category. The outcome category measures the results and consequences of the nursing care provided to the clients. Hospital readmissions is a result that indicates the effectiveness and continuity of the nursing care. A high rate of hospital readmissions can suggest poor quality of care, inadequate discharge planning, or lack of follow-up care.
Choice D reason: Staffing is not included in the outcome category, but in the structure category. The structure category measures the characteristics and resources of the health care setting that affect the quality of care. Staffing is a resource that reflects the quantity and quality of the nursing staff, such as the number, education, experience, and skill mix of the nurses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This statement is false and should not be included in the educational session. TJC is not a for profit organization, but rather an independent, not-for-profit organization that accredits and certifies more than 21,000 health care organizations and programs in the United States.
Choice B reason: This statement is false and should not be included in the educational session. TJC is not an organization that monitors insurance claims, but rather an organization that evaluates health care organizations and inspires them to excel in providing safe and effective care of the highest quality and value.
Choice C reason: This statement is false and should not be included in the educational session. TJC does not provide licensure for health care providers, but rather accreditation and certification for health care organizations and programs. Licensure is the process by which a governmental authority grants permission to individuals or entities to engage in a regulated activity or profession.
Choice D reason: This statement is true and should be included in the educational session. TJC provides accreditation to facilities, which is a voluntary process that involves an external review of an organization's compliance with certain standards and criteria. Accreditation is recognized nationwide as a symbol of quality that reflects an organization's commitment to meeting certain performance standards.
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect because protecting a client’s personal health information is not an example of client advocacy, but a legal and ethical obligation of the nurse. The nurse should follow the principles of confidentiality and privacy, and only share the client’s information with authorized persons or entities, or with the client’s consent.
Choice B reason: This statement is incorrect because keeping a promise to return to a client’s room is not an example of client advocacy, but a professional and courteous behavior of the nurse. The nurse should be honest, reliable, and respectful to the client, and follow through with their commitments and expectations.
Choice C reason: This statement is incorrect because accepting responsibility for their own actions is not an example of client advocacy, but a personal and professional accountability of the nurse. The nurse should be aware of their scope of practice, standards of care, and code of ethics, and act accordingly. The nurse should also admit their mistakes, report errors, and seek help when needed.
Choice D reason: This statement is correct because communicating a client’s wishes to their provider is an example of client advocacy. The nurse should act as a liaison between the client and the provider, and ensure that the client’s needs, preferences, and values are respected and considered in the decision-making process. The nurse should also support the client’s right to self-determination and informed consent.
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