Question 1

When reviewing outcome measurement for clinical use,the reviewers must understand that the data:

Accepted Answer

D

Question 2

One of three benefits to using data from patient satisfaction surveys is:

Accepted Answer

Using data from patient satisfaction surveys can lead to an increase in patient involvement in care. This can lead to improved patient outcomes and higher patient satisfaction ratings. The other options listed do not directly relate to the benefits of using patient satisfaction surveys.

Question 3

Data provided by studies on patients with community-acquired pneumonia (CAP)have influenced the standards of practice for those patients.Which order should the nurse anticipate on the standard orders as a result of initiatives developed through clinical studies?

Accepted Answer

Clinical studies have shown that administering antibiotics within 4 hours of arrival at the hospital for patients with CAP is associated with improved outcomes. Obtaining blood cultures and administering oxygen may also be part of the standard orders, but administering antibiotics is the most important intervention. Administration of aspirin may not be appropriate for all patients with CAP, as it depends on individual patient factors such as risk of bleeding.

Question 4

What information obtained from hospital data collection can be used for staffing purposes?

Accepted Answer

Staff competency is data that provide information about provider staffing.Patient satisfaction provides data about patient care.Best practice provides data about research.Use of agency nurses provides data for administrative purposes.

Question 5

What are the benefits to the organization from greater patient satisfaction?

Accepted Answer

When patients are satisfied with their care, they are less likely to sue the organization for malpractice. This can save the organization significant legal expenses and damage to its reputation.

Answer: B
 Higher patient satisfaction is often associated with lower acuity, meaning patients are less likely to require intensive or specialized care. This can lead to more efficient use of resources and reduced costs for the organization.

Answer: D
 Higher patient satisfaction can be associated with fewer call lights, as patients feel their needs are being met and are less likely to demand attention. This can lead to more efficient use of staff time and resources.

Overall, greater patient satisfaction can lead to improved outcomes for the organization, including improved reputation, lower costs, and more efficient use of resources.

Question 6

Which of the following data are most important for the nurse to consider when providing care to patients?

Accepted Answer

Best practice standards of care are evidence-based guidelines that ensure patients receive the most effective and safe care possible.

Question 7

Which order should the nurse anticipate on a standard order for community-acquired pneumonia as a result of evidence-based practice research?

Accepted Answer

Obtaining blood cultures prior to antibiotic administration is important in order to identify the specific pathogen causing the pneumonia and ensure the appropriate antibiotic is administered. Administration of antibiotics ASAP is also important but should be done after blood cultures are obtained. Obtaining blood gases and admitting the patient to an ICU are not standard orders for community-acquired pneumonia.

Question 8

What measure should be taken when patient satisfaction survey results are not as good as expected?

Accepted Answer

Involving staff in decision-making changes for improvement can lead to actionable steps for improvement and buy-in from staff to implement changes. Blaming external factors or individuals may not address the root cause of the issue and does not involve staff in the solution.

Question 9

Which is a priority action by the nurse when a patient is admitted with a diagnosis of acute myocardial infarction?

Accepted Answer

Administration of aspirin on arrival is a priority action in the management of acute myocardial infarction to prevent further clot formation and reduce the risk of complications. Antibiotics and chest radiograph may be needed but are not a priority in the initial management. Beta-blockers may also be given but not necessarily on arrival.

Question 10

The best method for providing information regarding patient satisfaction surveys to the staff is by:

Accepted Answer

Providing a comparison of current results with previous performance results gives context and helps staff understand trends, improvements, or areas needing attention, making the information more actionable.

Question 11

Smoking advice/counseling is considered best practice during the admission of patients for acute myocardial infarction.The nurse understands that the best explanation for this standard is that:

Accepted Answer

The answer of Smoking advice/counseling is considered best practice during...

Question 12

What information obtained from hospital data collection can be used for administrative purposes?

Accepted Answer

Turnover is when a staff member leaves a position and a new staff member is hired for that position.Turnover provides data used for administrative purposes.Options A and D are not appropriate.Option B is provider staffing data.

Question 13

Which hospital data collection result will most likely affect nursing practice?

Accepted Answer

Staffing may be directly affected by outcomes data.Changes in patient acuity is unaffected by data collection and is incorrect.Introduction of the needleless system was an initiative from The Joint Commission.Changes to the interview process are usually not affected by data collected.

Question 14

Core measures identified by The Joint Commission include standard orders regarding care and data collection for:

Accepted Answer

The Joint Commission identifies infection rates as a core measure and recommends standard orders for care and data collection in relation to this issue. The other options listed are not specifically mentioned by The Joint Commission as core measures.

Question 15

One of the best indicators of clinical performance can be attributed to:

Accepted Answer

Patient satisfaction surveys provide direct feedback from the individuals receiving care and can indicate the quality of the care provided. High scores on these surveys can be an indicator of good clinical performance. Yearly census, employee satisfaction surveys, and staff turnover can also provide information but are not as directly tied to clinical performance.

Question 16

What information obtained from hospital data collection can be used for patient improvement?

Accepted Answer

Infection rates are data that provide information about patient care.Employee satisfaction provides data for staffing purposes.Best practice provides data for research purposes.Overtime costs provide data for administrative purposes.

Question 17

Utilization of data collected from the four nursing domains can influence:

Accepted Answer

The answer of Utilization of data collected from the four...

Question 18

Administration of an aspirin on arrival to the emergency department of patients with an acute myocardial infarction (AMI)is considered a best practice standard of care because of the outcomes data collected by the American Heart Association/American College of Cardiology.Which of the following actions by the nurse would require an intervention based on the standards of care practiced by all institutions?

Accepted Answer

Failing to ask about allergies prior to administering aspirin is a violation of the standards of care because it puts the patient at risk for an allergic reaction. It is important to obtain an ECG, cardiac enzymes, and place oxygen per nasal prongs on the patient, but these are not violations of the standards of care.

Question 19

Nurses recognize that the use of beta-blockers within 24 hours of emergency department arrival for a patient with acute myocardial infarction is a standard of care established by health care regulating agencies based on which known action of this medication?

Accepted Answer

Beta-blockers reduce the workload of the heart, which helps to improve oxygen supply and demand balance in patients with acute myocardial infarction. This can prevent further damage to the heart and improve outcomes. Beta-blockers do not act primarily as antihypertensives, they may reduce heart rate, which is a secondary effect. Beta-blockers may also relieve chest pain, but this is not the primary reason for their use in acute myocardial infarction.

Question 20

The standard for best practice recommended by The Joint Commission for acute myocardial infarction includes administration of aspirin on emergency department arrival based on data supporting what medication action?

Accepted Answer

Aspirin is recommended on emergency department arrival for acute myocardial infarction because it prevents platelet aggregation, which helps to prevent further blockage and promote blood flow to the heart.

Quiz 12: Monitoring Outcomes and Use of Data for Improvement