A nurse is participating in a performance improvement program. Which of the following actions should the nurse take to evaluate the effectiveness of the program?

"Define the problem."

"Identify data collection methods."

"Perform chart audits."

"Review the facility's policy and procedure manual."

Answer and Explanation

The Correct Answer is C

A. "Define the problem.": While defining the problem is important in the early stages of performance improvement, evaluating effectiveness requires looking at data or outcomes, not just the initial identification of the issue.

B. "Identify data collection methods.": Identifying data collection methods is part of the planning phase, but evaluating the effectiveness involves reviewing actual data to see if the goals of the program were achieved.

C. "Perform chart audits.": This is correct. Performing chart audits allows the nurse to assess if the desired improvements have been implemented and whether the performance outcomes are being met. Chart audits are a common method for evaluating the effectiveness of a performance improvement program.

D. "Review the facility's policy and procedure manual.": While reviewing policies is important for understanding standards of care, it does not directly evaluate the effectiveness of a performance improvement program. Data from actual practice, such as chart audits, would be more relevant for evaluation.

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Correct Answer is B

Explanation

A. Reporting the incident to the charge nurse is incorrect as the first step. While this action may be necessary if the issue continues, the immediate step should be to intervene directly to stop the conversation and prevent further breach of confidentiality.

B. Telling the staff members to stop their discussion is correct. The nurse should immediately address the situation by asking the APs to stop discussing the client’s medical history in the hallway to protect client confidentiality. This is the most immediate and effective action in ensuring the client’s privacy is respected.

C. Participating in an in-service about client confidentiality is incorrect as the first step. While in-service education on client confidentiality is important, it is not an immediate action to address a current breach of confidentiality.

D. Speaking to the staff members in private about client confidentiality is incorrect. While private conversation is important to address the issue further, the first action is to stop the conversation immediately to prevent any further privacy violations.

A. "I'll take him back to the nursery, so you can get some rest." B. "If I turn him on his side, maybe he'll go back to sleep." C. "Babies need to cry soon after they are born to develop their lungs." D. "Let me show you how to swaddle and cuddle him, then you try."

Correct Answer is D

Explanation

A. Taking the newborn back to the nursery is incorrect. While rest is important for the mother, removing the baby does not help build her confidence or teach her how to respond to her infant’s needs. Supporting her in learning newborn care is more beneficial.

B. Turning the baby on his side to help him sleep is incorrect. The safest sleep position for a newborn is on the back, according to safe sleep guidelines. Additionally, this response does not address the mother's feelings of inadequacy.

C. Explaining that babies cry to develop their lungs is incorrect. While crying is normal for newborns, this response dismisses the client’s concern rather than providing reassurance and support.

D. Showing the mother how to swaddle and cuddle the baby, then letting her try is correct. This approach provides practical guidance and empowers the mother, helping her build confidence in her ability to care for her newborn.

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A nurse is participating in a performance improvement program. Which of the following actions should the nurse take to evaluate the effectiveness of the program?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse overhears two assistive personnel discussing a client's medical history in the hallway. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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