The nurse recognizes that which advisory bodies aim to improve the quality, safety, efficiency,
and effectiveness of health care?
Select all that apply. One, some, or all responses may be correct.
1. The Joint Commission (TJC)
2. Institute of Medicine (IOM)
3. National Quality Forum (NQF)
4. National Center for Nursing Quality (NCNQ)
5. Centers for Medicare & Medicaid Services (CMS)
6. Association for Healthcare Research and Quality (AHRQ)
RAT: Institute of Medicine (IOM), National Quality Forum (NQF), National Center for Nursing
Quality (NCNQ), and Association for Healthcare Research and Quality (AHRQ) are the advisory
bodies. They aim to improve the quality, safety, efficiency, and effectiveness of health care.
The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) are the
regulatory bodies that aim to improve the quality of care.
A group of nurses are assessing the quality of health care provided in a women's health
hospital. Which would the nurse consider when performing this assessment?
Select all that apply. One, some, or all responses may be correct.
1. The number of employees working in the hospital
2. The number of clients admitted in the hospital per day
3. The satisfaction of the client with regard to the treatment provided
4. The safety measures taken while using the equipment in the hospital
5. The implementation of recent evidence-based treatment approaches in the hospital
RAT: The main role of the hospital is to provide good-quality health care to clients. Various
factors determine the quality of the health care organization. Client satisfaction is one of the
important factors that determine health care quality. The better the treatment facilities, the
greater the client satisfaction. The safe use of equipment in the hospitals is very important.
The failure to ensure the safety of the client may result in health complications in the client,
and this indicates poor health quality. Treatment strategies that are based on evidence
ensure the good prognosis of the client. The implementation of recent evidence-based
treatment approaches in the hospital is also an important factor for determining quality. The
number of employees does not determine the quality of the care provided. The skills of the
employees affect the quality of health care. The number of clients admitted per day is also
dependent on many factors. It does not determine the quality of health care.
, Which risk factor(s) regarding fall prevention and safety for older adults would the nurse
manager include in a presentation to a group of nurses?
Select all that apply. One, some, or all responses may be correct.
1. Medications
2. Visual changes
3. Urinary retention
4. Decreased appetite
5. Orthostatic hypotension
RAT: Factors that place older adults at risk for falls include the effects of medications, changes
in vision, and orthostatic hypotension. Urinary incontinence, not retention, places an older
adult at risk for falls. Decreased appetite does not lead to falls.
The registered nurse (RN) is teaching a nursing student about the process of medication
reconciliation for a client who was admitted in a health care setting. Which statement made by
the nursing student indicates the need for further teaching?
1. "I would check the new medication prescription against the current list of medicines."
2. "I would avoid asking about the client's over-the-counter medications."
3. "I would obtain a comprehensive and current list of the client's medications."
4. "I would avoid distractions and go slowly when reconciling the client's medications."
RAT: During medication reconciliation, the nurse would ask about all over-the-counter
medications the client may be taking. The nurse would compare the new medication
prescription with the current list to ensure accuracy. Comprehensive and current lists of the
client's medications should be obtained to make sure that there is not a risk of negative
medication interactions. The nurse would eliminate distractions and go slowly when
reconciling the client's medications to avoid errors.
The nurse completes medication reconciliation in preparation for discharge of a client
recovering from osteomyelitis and a ruptured Achilles tendon. For which medication would the
nurse contact the primary health care provider?
1. Gentamicin
2. Levofloxacin
3. Acetaminophen
4. Cyclobenzaprine
RAT: Tendon rupture (especially the Achilles tendon) can occur with use of the
fluoroquinolones (e.g., ciprofloxacin, levofloxacin). Aminoglycosides such as gentamicin do
not cause rupture of the Achilles tendon; instead, gentamicin can cause ototoxicity and