NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
Chapterb 1:b Overviewb ofb Professionalb Nursingb Conceptsb forb Medical-b Surgicalb Nursing
1. Abnursebwishesbtobprovidebclient-
centered b carebinballbinteractions. bWhich bactionb bybthebnursebbestbdemonstratesbthisb concept?
a. Assessesb forb culturalb influencesb affecting b healthb care
b.b Ensuresb thatb allb theb clientsb basicb needsb arebmet
c.bTellsbthebclientb&bfamilybaboutballbupcoming btests
d.bThoroughlyborientsbthebclientb&bfamilybtobth
ebroom
ANS:b Ab-b Competency binb client-
focusedb carebisbdemonstrated b whenbtheb nurseb focusesbonbcommunication,bculture,b respect,b compassion, b clientb
educationb &b empowerment.b Byb assessing b theb effectb ofb theb client’sb culturebonbhealth bcare,bthisbnursebisbpractici
ngb client-
focusedbcare.bProviding bforbbasicbneedsbdoesb notbdemonstrate bthisbcompetence.bSimplybtellingbthebclientbabout
b allbupcoming b tests b is b not bproviding b empowering b education.
Orienting btheb clientb&bfamilybtobthebroombisbanbimportantbsafetybmeasure,bbutbnotbdirectlybrelated btobdemonstr
ating b client-centered b care.
2. Ab nurseb isb caringb forb ab postoperativeb clientb onb theb surgicalb unit.b Theb client’sb bloodb pressureb wasb 142/76b m
mbHgb30bminutesbagob&bnowbisb88/50 b mmb Hg.bWhatbactionbbybtheb nurseb isbbest?
a. Callbthe bRapidbResponsebTeam. b.bDocumentb& bcontinuebtobmonitor.
c.bNotifybthebprimarybcarebprovider. d.bRepeatb bloodbpressurebmeasurement b inb15b minutes.
ANS:bAb–
bThe bpurpose bof bthe bRapid bResponse bTeam b(RRT) bis btobintervene bwhen bclients bare bdeteriorating bbefore bthey bsu
fferbeitherbrespiratory borbcardiacbarrest.bSincebthebclientbhasbmanifested babsignificantbchange,bthebnursebshould
b callb the b RRT. b Changes b in bblood b pressure, b mental bstatus, bheart b rate b& b pain bare bparticularly b significant.
Documentation bisbvital,bbutbthebnursebmustbdobmorebthanbdocument.bThebprimarybcarebproviderbshouldbb
ebnotified,bbutbthisbisbnotbthebpriority boverbcallingbthebRRT.bThebclient’sbbloodbpressurebshouldbbebreasses
sedbfrequently, b butb theb priorityb isbgetting b theb rapidb careb tob theb client.
3. Abnursebisborienting babnewbclient b&bfamilybtobthebinpatient bunit.bWhatbinfobdoesbthebnursebgiveb tobhelp bt
hebclientbpromoteb hisb orb herb ownb safety?
a. Encourageb theb clientb &b familyb tob beb activeb partners.
b.bHavebthebclientbmonitorbhand bhygienebinbcaregivers.
c.bOfferbthebfamilybthebopportunity btobstaybwithbthebclient.
d.bTellbthebclientb tobalwaysbwearbhisborbhe
rbarmband.
ANS:b Ab-
b Each b action b could b be b important b for b the b client b or bfamily b tob perform. bHowever, bencouraging b the b client b tob
beb acti
veb inb hisb orb herb health b careb asb ab partnerb isb theb mostb critical.b Theb otherb actionsb areb veryb limitedb inb scopeb&b dob
notb provideb theb broadb protectionb being b activeb &b involved b does.
4. Abnewbnursebisbworking bwith babpreceptorbonbanbinpatient bmedical-
surgicalbunit.bThebpreceptorbadvisesbthebstudentb thatb which bisbtheb prioritybwhenb working b asb abprofessionalb
nurse?
a. Attending btobholisticbclientbneedsb. bEnsuring bclientbsafety c.bNotbmaking bmedicationberrors
d.bProvidingbclient-focusedb care
ANS:b Bb–
b All bactions b are b appropriate b for bthe b professional b nurse. bHowever, b ensuring bclient b safety b is bthe bpriority. bUp btob9
8,000bdeathsbresult beachbyearbfromberrorsbinbhospitalbcare,baccording btobtheb2000 bInstitutebofbMedicinebreport.
b Many b more b clients bhave b suffered b injuries b& b less b serious b outcomes. b Every b nurse bhas b the b responsibility b tob
guard
b the b client’s b safety.
5. Abclientbisbgoingbtob bebadmitted bforbabscheduled bsurgicalbprocedure.bWhich bactionbdoesbthebnurseb explainb
isbtheb mostb importantb thing b theb clientb canbdob tobprotectb againstb errors?
, NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
a. Bringbablistbofballbmedicationsb&bwhatbtheybarebfor.
b.bKeep bthebdoctorsbphonebnumberbbybtheb telephone.
c.bMakeb sureb allbprovidersb washbhandsbbeforeb entering b theb room.
d.bWritebdownbthebnamebofbeac
hbcaregiverb whob comesbinbtheb room.
ANS:b Ab–
b Medication berrors bare bthe bmost bcommon btype bof bhealth bcare bmistake. bThe bJoint bCommissions bSpeak b
Upbcam
paignbencouragesbclientsbtobhelpbensurebtheirbsafety.bOnebrecommendation bisbforbclientsbtobknowballbtheirb me
dicationsb&b whybtheyb takebthem.bThisb willb helpb preventb medb errors.
6. Which bactionbbybthebnursebworking bwithbabclientbbestbdemonstrates brespectbforbautonomy?
a. Asksb ifbthebclientbhasb questionsbbeforeb signing b ab consent
b.bGivesbthebclientbaccuratebinformation bwhen bquestioned
c.bKeepsbtheb promisesbmadebtob theb clientb &bfamily
d.bTreatsbthebclientb fairlybcomparedbtob othe
rbclients
ANS:b Ab–b Autonomybisbself-
determination. bThebclientbshouldbmakebdecisionsbregarding bcare.bWhenbthebnurse bobtainsb absignatureb onbtheb c
onsentbform,bassessing b ifbthebclientb stillb hasbquestionsbisbvital,bbecauseb withoutb fullbinformationbthebclientbcann
otbpracticebautonomy.bGivingbaccuratebinformationbisbpracticing bwithbveracity.
Keepingbpromisesbisbupholding bfidelity. bTreatingbthebclientbfairlybisbproviding bsocialbjustice.
, NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
7. Abstudentbnursebasksbthebfacultybtobexplainbbestbpracticesbwhenbcommunicating bwith babpersonbfrombtheb
lesbian,bgay,bbisexual,btransgender b&bqueer/questioning b(LGBTQ)bcommunity.bWhatbanswerbbybthebfacultybi
sbmostb accurate?
a. Avoidbembarrassing bthebclientbbybasking bquestions.
b.bDon’tbmakebassumptionsbaboutbtheirbhealth bneeds.
c.bMostbLGBTQbpeoplebdobnotbwantbtobsharebinformation.
d.bNobdifferencesbexistbinbcommunicatingbwit
hbthisbpopulation.
ANS:b Bb-
bMany bmembers bof bthe b LGBTQ bcommunity bhave bfaced bdiscrimination bfrom bhealth bcare bproviders b& bmay b bebrelu
ctantbtobseekbhealth bcare.bThebnursebshouldbneverb makebassumptionsbaboutbthebneedsbofbmembersbofbthisbpopu
lation.bRather,brespectfulbquestions bare bappropriate. bIfbapproached bwithbsensitivity, bthebclientbwith banybhealth b c
areb needb isb moreb likelyb tob answerbhonestly.
8. Abnursebisbcalling bthebon-
callbphysicianbaboutbabclientbwhobhadbabhysterectomy b2bdaysbagob&bhasbpainbthatbisbunrelieved b bybthebprescrib
edbnarcoticbpainbmedication. bWhich bstatementbisbpartbofbthebSBARbformatbfor bcommunication?
a. A:bIbwouldblikebyoubtoborderbabdifferent bpainbmedication.
b.b B:bThisb clientbhasballergiesbtobmorphineb &b codeine.
c.bR:bDr.bSmith bdoesn’tblikebnonsteroidalbanti-inflammatory bmeds.
d.bS:bThisbclientbhadbabvagina
lbhysterectomy b 2b daysb ago.
ANS:b Bb–
b SBAR b is ba brecommended bform bof bcommunication b& bthe bacronym bstands bfor bSituation, bBackground, bAssessme
ntb&bRecommendation. bAppropriate bbackground binformationbincludes ballergies btobmedicationsbthebon-
callbphysicianbmightborder.bSituation bdescribesbwhatbisbhappening brightbnowbthatbmustbbebcommunicated; btheb
b
client’sbsurgery b 2bdaysb agob wouldb beb considered bbackground. b Assessmentb wouldbincludeb anbanalysisbofb thebclie
nt’sbproblem;basking bforbabdifferent bpainbmedicationbisbabrecommendation. bRecommendation bisbabstatementbofb
whatbisbneeded b orb whatb outcomebisbdesired;b thisbinformationbaboutbtheb surgeon’sbpreference b mightbbeb betterbp
lacedbinb background.
9. Ab nurseb workingb onb ab cardiac b unitb delegated b taking b vitalbsignsb tob anb experienced b unlicensed b assistivebpers
onnelb(UAP).bFourbhoursblater,bthebnursebnotesbthebclient’s bblood bpressurebisbmuch bhigherbthanbprevious breadi
ngsb&btheb client’sbmentalb statusbhasb changed.b Whatbactionb bybtheb nurseb wouldb mostb likelybhavebprevented bthis
b negative b outcome?
a. Determining bifbthebUAPbknewbhowbtobtake bbloodbpressure b.bDouble-
checking bthebUAPbbybtaking banotherbbloodbpressure
c.bProviding bmorebappropriatebsupervisionbofbthebUAP
d.bTaking bthebbloodbpressurebinstead bo
fbdelegating b the b task
ANS:b Cb –
b Supervision b is b one b of b the b five b rights b of b delegation b & b includes b directing, b evaluating b & b following b up b on b
delegate
dbtasks.bThebnurseb shouldbeitherbhaveb askedbtheb UAPbaboutbtheb vitalbsignsborbinstructed bthebUAPbtobreportbthe
mbrightbaway.bAnbexperienced bUAPbshouldbknowbhowbtobtakebvitalbsignsb&bthebnursebshouldbnotbhavebtobassess
b this bat bthis bpoint. b Double-
checking bthebworkb defeatsbthebpurposebofbdelegation. bVitalbsigns barebwithinbtheb scope b ofbpracticeb forbab UAPb &b
arebpermissible b tob delegate.bTheb onlyb appropriateb answer b isb thatb theb nursebdidb notb provideb adequateb instructi
onb tob theb UAP.
10. Abnurseb isbtalking b withb ab clientb whob isb movingb tobabnewb stateb &b needsb tob findb abnewb doctorb &b hospitalbther
e.bWhatb adviceb bybtheb nurseb isb best?
a.bAskbthebhospitalsbtherebaboutbstandard bnurse-clientbratios.
b.b Chooseb theb hospitalbthatbhasb theb newes
tbtechnology.
c.bFindbabhospitalbthatbisbaccredited bbybThebJointbCommission.
, NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
d.bUsebabfacilitybaffiliated bwith babmedicalbo
rbnursing bschool.
ANS:b Cb–
b Accreditation bby bThe bJoint b Commission b(TJC) bor b other baccrediting bbody bgives bassurance b that b the bfacility bhas b a
b focus b on b safety. b Nurse-
clientbratiosbdifferbbybunitbtypeb&bchangeb overb time.bNewbtechnologybdoesntbnecessarily bmeanb thebhospitalb isbs
afe.bAffiliation bwithb abhealth bprofessions bschoolbhasbseveralbadvantages, bbut bsafetyb isb mostb important.
11. Abnewlybgraduated bnursebinbthebhospitalbstatesb that,bsincebshebisbsobnew,bshebcannotbparticipate binbqualit
ybimprovementb(QI)bprojects.b Whatb responseb byb thebprecepting b nurse b isb best?
a.bAllbstaffbnursesbarebrequired btobparticipate binbqualitybimprovement.
b.bEvenbbeing bnewbyoubcanbimplemen
tbactivitiesbdesigned b tob improveb care.
c.bIt’sbeasybtobidentifybwhatbindicatorsbshouldb bebusedbtobmeasurebqualitybd.bYoubshould baskbtob bebassigned btob
thebresearch b &b qualityb committee.
ANS:b Bb –
b The b preceptor b should b try b tob reassure b the b nurse b that b implementing b QIb measures bis b not b out b of b line b for b a bnewly b l
icensedb nurse.bSimplybstating b thatb allb nursesbarebrequired b tobparticipatebdoesb notb help btheb nursebunderstand bh
owbthatbisbpossibleb&bisbdismissive. bIdentifying bindicatorsbofbqualitybisbnotbanbeasy,bquickbprocessb&
b b b b b b b b
Chapterb 1:b Overviewb ofb Professionalb Nursingb Conceptsb forb Medical-b Surgicalb Nursing
1. Abnursebwishesbtobprovidebclient-
centered b carebinballbinteractions. bWhich bactionb bybthebnursebbestbdemonstratesbthisb concept?
a. Assessesb forb culturalb influencesb affecting b healthb care
b.b Ensuresb thatb allb theb clientsb basicb needsb arebmet
c.bTellsbthebclientb&bfamilybaboutballbupcoming btests
d.bThoroughlyborientsbthebclientb&bfamilybtobth
ebroom
ANS:b Ab-b Competency binb client-
focusedb carebisbdemonstrated b whenbtheb nurseb focusesbonbcommunication,bculture,b respect,b compassion, b clientb
educationb &b empowerment.b Byb assessing b theb effectb ofb theb client’sb culturebonbhealth bcare,bthisbnursebisbpractici
ngb client-
focusedbcare.bProviding bforbbasicbneedsbdoesb notbdemonstrate bthisbcompetence.bSimplybtellingbthebclientbabout
b allbupcoming b tests b is b not bproviding b empowering b education.
Orienting btheb clientb&bfamilybtobthebroombisbanbimportantbsafetybmeasure,bbutbnotbdirectlybrelated btobdemonstr
ating b client-centered b care.
2. Ab nurseb isb caringb forb ab postoperativeb clientb onb theb surgicalb unit.b Theb client’sb bloodb pressureb wasb 142/76b m
mbHgb30bminutesbagob&bnowbisb88/50 b mmb Hg.bWhatbactionbbybtheb nurseb isbbest?
a. Callbthe bRapidbResponsebTeam. b.bDocumentb& bcontinuebtobmonitor.
c.bNotifybthebprimarybcarebprovider. d.bRepeatb bloodbpressurebmeasurement b inb15b minutes.
ANS:bAb–
bThe bpurpose bof bthe bRapid bResponse bTeam b(RRT) bis btobintervene bwhen bclients bare bdeteriorating bbefore bthey bsu
fferbeitherbrespiratory borbcardiacbarrest.bSincebthebclientbhasbmanifested babsignificantbchange,bthebnursebshould
b callb the b RRT. b Changes b in bblood b pressure, b mental bstatus, bheart b rate b& b pain bare bparticularly b significant.
Documentation bisbvital,bbutbthebnursebmustbdobmorebthanbdocument.bThebprimarybcarebproviderbshouldbb
ebnotified,bbutbthisbisbnotbthebpriority boverbcallingbthebRRT.bThebclient’sbbloodbpressurebshouldbbebreasses
sedbfrequently, b butb theb priorityb isbgetting b theb rapidb careb tob theb client.
3. Abnursebisborienting babnewbclient b&bfamilybtobthebinpatient bunit.bWhatbinfobdoesbthebnursebgiveb tobhelp bt
hebclientbpromoteb hisb orb herb ownb safety?
a. Encourageb theb clientb &b familyb tob beb activeb partners.
b.bHavebthebclientbmonitorbhand bhygienebinbcaregivers.
c.bOfferbthebfamilybthebopportunity btobstaybwithbthebclient.
d.bTellbthebclientb tobalwaysbwearbhisborbhe
rbarmband.
ANS:b Ab-
b Each b action b could b be b important b for b the b client b or bfamily b tob perform. bHowever, bencouraging b the b client b tob
beb acti
veb inb hisb orb herb health b careb asb ab partnerb isb theb mostb critical.b Theb otherb actionsb areb veryb limitedb inb scopeb&b dob
notb provideb theb broadb protectionb being b activeb &b involved b does.
4. Abnewbnursebisbworking bwith babpreceptorbonbanbinpatient bmedical-
surgicalbunit.bThebpreceptorbadvisesbthebstudentb thatb which bisbtheb prioritybwhenb working b asb abprofessionalb
nurse?
a. Attending btobholisticbclientbneedsb. bEnsuring bclientbsafety c.bNotbmaking bmedicationberrors
d.bProvidingbclient-focusedb care
ANS:b Bb–
b All bactions b are b appropriate b for bthe b professional b nurse. bHowever, b ensuring bclient b safety b is bthe bpriority. bUp btob9
8,000bdeathsbresult beachbyearbfromberrorsbinbhospitalbcare,baccording btobtheb2000 bInstitutebofbMedicinebreport.
b Many b more b clients bhave b suffered b injuries b& b less b serious b outcomes. b Every b nurse bhas b the b responsibility b tob
guard
b the b client’s b safety.
5. Abclientbisbgoingbtob bebadmitted bforbabscheduled bsurgicalbprocedure.bWhich bactionbdoesbthebnurseb explainb
isbtheb mostb importantb thing b theb clientb canbdob tobprotectb againstb errors?
, NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
a. Bringbablistbofballbmedicationsb&bwhatbtheybarebfor.
b.bKeep bthebdoctorsbphonebnumberbbybtheb telephone.
c.bMakeb sureb allbprovidersb washbhandsbbeforeb entering b theb room.
d.bWritebdownbthebnamebofbeac
hbcaregiverb whob comesbinbtheb room.
ANS:b Ab–
b Medication berrors bare bthe bmost bcommon btype bof bhealth bcare bmistake. bThe bJoint bCommissions bSpeak b
Upbcam
paignbencouragesbclientsbtobhelpbensurebtheirbsafety.bOnebrecommendation bisbforbclientsbtobknowballbtheirb me
dicationsb&b whybtheyb takebthem.bThisb willb helpb preventb medb errors.
6. Which bactionbbybthebnursebworking bwithbabclientbbestbdemonstrates brespectbforbautonomy?
a. Asksb ifbthebclientbhasb questionsbbeforeb signing b ab consent
b.bGivesbthebclientbaccuratebinformation bwhen bquestioned
c.bKeepsbtheb promisesbmadebtob theb clientb &bfamily
d.bTreatsbthebclientb fairlybcomparedbtob othe
rbclients
ANS:b Ab–b Autonomybisbself-
determination. bThebclientbshouldbmakebdecisionsbregarding bcare.bWhenbthebnurse bobtainsb absignatureb onbtheb c
onsentbform,bassessing b ifbthebclientb stillb hasbquestionsbisbvital,bbecauseb withoutb fullbinformationbthebclientbcann
otbpracticebautonomy.bGivingbaccuratebinformationbisbpracticing bwithbveracity.
Keepingbpromisesbisbupholding bfidelity. bTreatingbthebclientbfairlybisbproviding bsocialbjustice.
, NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
7. Abstudentbnursebasksbthebfacultybtobexplainbbestbpracticesbwhenbcommunicating bwith babpersonbfrombtheb
lesbian,bgay,bbisexual,btransgender b&bqueer/questioning b(LGBTQ)bcommunity.bWhatbanswerbbybthebfacultybi
sbmostb accurate?
a. Avoidbembarrassing bthebclientbbybasking bquestions.
b.bDon’tbmakebassumptionsbaboutbtheirbhealth bneeds.
c.bMostbLGBTQbpeoplebdobnotbwantbtobsharebinformation.
d.bNobdifferencesbexistbinbcommunicatingbwit
hbthisbpopulation.
ANS:b Bb-
bMany bmembers bof bthe b LGBTQ bcommunity bhave bfaced bdiscrimination bfrom bhealth bcare bproviders b& bmay b bebrelu
ctantbtobseekbhealth bcare.bThebnursebshouldbneverb makebassumptionsbaboutbthebneedsbofbmembersbofbthisbpopu
lation.bRather,brespectfulbquestions bare bappropriate. bIfbapproached bwithbsensitivity, bthebclientbwith banybhealth b c
areb needb isb moreb likelyb tob answerbhonestly.
8. Abnursebisbcalling bthebon-
callbphysicianbaboutbabclientbwhobhadbabhysterectomy b2bdaysbagob&bhasbpainbthatbisbunrelieved b bybthebprescrib
edbnarcoticbpainbmedication. bWhich bstatementbisbpartbofbthebSBARbformatbfor bcommunication?
a. A:bIbwouldblikebyoubtoborderbabdifferent bpainbmedication.
b.b B:bThisb clientbhasballergiesbtobmorphineb &b codeine.
c.bR:bDr.bSmith bdoesn’tblikebnonsteroidalbanti-inflammatory bmeds.
d.bS:bThisbclientbhadbabvagina
lbhysterectomy b 2b daysb ago.
ANS:b Bb–
b SBAR b is ba brecommended bform bof bcommunication b& bthe bacronym bstands bfor bSituation, bBackground, bAssessme
ntb&bRecommendation. bAppropriate bbackground binformationbincludes ballergies btobmedicationsbthebon-
callbphysicianbmightborder.bSituation bdescribesbwhatbisbhappening brightbnowbthatbmustbbebcommunicated; btheb
b
client’sbsurgery b 2bdaysb agob wouldb beb considered bbackground. b Assessmentb wouldbincludeb anbanalysisbofb thebclie
nt’sbproblem;basking bforbabdifferent bpainbmedicationbisbabrecommendation. bRecommendation bisbabstatementbofb
whatbisbneeded b orb whatb outcomebisbdesired;b thisbinformationbaboutbtheb surgeon’sbpreference b mightbbeb betterbp
lacedbinb background.
9. Ab nurseb workingb onb ab cardiac b unitb delegated b taking b vitalbsignsb tob anb experienced b unlicensed b assistivebpers
onnelb(UAP).bFourbhoursblater,bthebnursebnotesbthebclient’s bblood bpressurebisbmuch bhigherbthanbprevious breadi
ngsb&btheb client’sbmentalb statusbhasb changed.b Whatbactionb bybtheb nurseb wouldb mostb likelybhavebprevented bthis
b negative b outcome?
a. Determining bifbthebUAPbknewbhowbtobtake bbloodbpressure b.bDouble-
checking bthebUAPbbybtaking banotherbbloodbpressure
c.bProviding bmorebappropriatebsupervisionbofbthebUAP
d.bTaking bthebbloodbpressurebinstead bo
fbdelegating b the b task
ANS:b Cb –
b Supervision b is b one b of b the b five b rights b of b delegation b & b includes b directing, b evaluating b & b following b up b on b
delegate
dbtasks.bThebnurseb shouldbeitherbhaveb askedbtheb UAPbaboutbtheb vitalbsignsborbinstructed bthebUAPbtobreportbthe
mbrightbaway.bAnbexperienced bUAPbshouldbknowbhowbtobtakebvitalbsignsb&bthebnursebshouldbnotbhavebtobassess
b this bat bthis bpoint. b Double-
checking bthebworkb defeatsbthebpurposebofbdelegation. bVitalbsigns barebwithinbtheb scope b ofbpracticeb forbab UAPb &b
arebpermissible b tob delegate.bTheb onlyb appropriateb answer b isb thatb theb nursebdidb notb provideb adequateb instructi
onb tob theb UAP.
10. Abnurseb isbtalking b withb ab clientb whob isb movingb tobabnewb stateb &b needsb tob findb abnewb doctorb &b hospitalbther
e.bWhatb adviceb bybtheb nurseb isb best?
a.bAskbthebhospitalsbtherebaboutbstandard bnurse-clientbratios.
b.b Chooseb theb hospitalbthatbhasb theb newes
tbtechnology.
c.bFindbabhospitalbthatbisbaccredited bbybThebJointbCommission.
, NUR 303>Exam 1 Med-SURG (All Correctly Answered With Explanations)
b b b b b b b b
d.bUsebabfacilitybaffiliated bwith babmedicalbo
rbnursing bschool.
ANS:b Cb–
b Accreditation bby bThe bJoint b Commission b(TJC) bor b other baccrediting bbody bgives bassurance b that b the bfacility bhas b a
b focus b on b safety. b Nurse-
clientbratiosbdifferbbybunitbtypeb&bchangeb overb time.bNewbtechnologybdoesntbnecessarily bmeanb thebhospitalb isbs
afe.bAffiliation bwithb abhealth bprofessions bschoolbhasbseveralbadvantages, bbut bsafetyb isb mostb important.
11. Abnewlybgraduated bnursebinbthebhospitalbstatesb that,bsincebshebisbsobnew,bshebcannotbparticipate binbqualit
ybimprovementb(QI)bprojects.b Whatb responseb byb thebprecepting b nurse b isb best?
a.bAllbstaffbnursesbarebrequired btobparticipate binbqualitybimprovement.
b.bEvenbbeing bnewbyoubcanbimplemen
tbactivitiesbdesigned b tob improveb care.
c.bIt’sbeasybtobidentifybwhatbindicatorsbshouldb bebusedbtobmeasurebqualitybd.bYoubshould baskbtob bebassigned btob
thebresearch b &b qualityb committee.
ANS:b Bb –
b The b preceptor b should b try b tob reassure b the b nurse b that b implementing b QIb measures bis b not b out b of b line b for b a bnewly b l
icensedb nurse.bSimplybstating b thatb allb nursesbarebrequired b tobparticipatebdoesb notb help btheb nursebunderstand bh
owbthatbisbpossibleb&bisbdismissive. bIdentifying bindicatorsbofbqualitybisbnotbanbeasy,bquickbprocessb&
