The patient with a urinary tract infection is being assessed using a critical pathway. When a projected outcome is not met by a predetermined date it is determined that a/an:
omission exists
failure exists
variance exists
error exists
The Correct Answer is C
A. Omission exists: An omission means something was left out, but that does not fully explain why the projected outcome was not met.
B. Failure exists: The term failure is not a standard term in critical pathways. The situation could be due to various factors beyond "failure."
C. Variance exists: A variance occurs when the patient’s progress deviates from the expected outcome within a critical pathway. This can be positive (faster recovery) or negative (delay in progress).
D. Error exists: A variance is not necessarily an error, as some patients may require longer recovery times due to medical conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Implementation: Implementation occurs after interventions have been planned and involves carrying out those interventions.
B. Evaluation: Evaluation occurs after implementation to assess if the intervention was effective.
C. Planning: The planning phase involves choosing the best interventions based on patient assessment and nursing diagnosis.
D. Assessment: Assessment is gathering information about the patient, not deciding on interventions.
Correct Answer is C
Explanation
A. Ensure subjective documentation: JCAHO (Joint Commission on Accreditation of Healthcare Organizations) promotes objective documentation to ensure accuracy and reliability in patient care records.
B. Make sure that all nurses use the same charting system: JCAHO does not mandate a uniform charting system, as institutions may use different electronic health record (EHR) systems.
C. Ensure quality patient care: JCAHO’s primary role is to establish and enforce standards to improve patient safety and healthcare quality.
D. Make sure insurance companies get paid correctly: JCAHO’s focus is on patient care quality, not financial reimbursement.
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