Review 2025 Verified With Rationales
A nurse is providing information to a client who is from the Baby Boomer generation
about a newly prescribed medication. Using the information about generational
preferences, which of the following methods of teaching should the nurse use?
- Send a text message
- Talk with the client in person
- Provide a link to a teaching video or animation
- A formal face to face meeting with written notes
Talk with the client in person
Most clients from the Baby Boomer generation prefer in-person interactions in which
the nurse is engaged and attentive.
A nurse is caring for a client who tells the nurse, ''Something is Wong. I feel like god is
so far away from me and I dont know what to do.'' Which of the following is the client
experiencing?
- Medical futility
- Spiritual distress
- Palliative care
- Caritas process
Spiritual distress
A nurse is caring for a client who states the health care provider recommends
treatment to provide comfort because a cure is not possible. To which of the following
concepts is the provider referring?
,- Palliative care
- Medically futile care
- Potentially inappropriate treatment
- Quality of life
Palliative care
Palliative care involves providing treatments that offer pain relief or enhance the
quality of life, but do not provide a cure.
A nurse is assisting with developing a quality improvement (QI) plan to reduce the
incidence of medication errors in an acute care unit. The nurse should recognize that
which of the following actions is included in the identifying steps of QI process?
- Developing a plan to implement change
- Evaluating the results of the change
- Recognizing a need for change
- Implementing the plan of change
Recognizing a need for change
Recognizing a problem and a need for change is included in the identifying step of the
QI process.
A nurse is assistting on a quality improvement committee to decrease the number of
client falls occurring at night, After identifying the problem, which of the following is
the next step the nurse should take?
- Implement the practice change
,- Evaluate the results of the change
- Complete a literature review
- Communicate the outcomes with others
Complete a literature review
Evidence-based practice indicates the next step the nurse should take is to complete a
literature review using credible sources of evidence.
A nurse is using evidence based practice (EBP) to address the incident of catheter-
associated infections on a surgical unit. According to EBP, which of the following
actions should the nurse take first?
- Identify a clinical problem
- Collect best evidence relevant to the question
- Evaluate studies to determine validity
- Share the findings with others
Identify a clinical problem
According to EBP, the first action the nurse should take is to identify a clinical
problem.
A nurse is caring for a client who has suction equipment in their room. The client asks
the nurse, ''Why do you check my suction equipment every day even though I am not
using it?'' Which of the following statements should the nurse make?
- ''It is part of an outcome audit that is being performed.''
- ''It is part of quality assurance plan of the unit.''
- It is part of a plan developed by your case manager.''
, - ''It is part of a quality improvement program.''
''It is part of quality assurance plan of the unit.''
Quality assurance is a system that focuses on a problem-driven approach to improve
client outcomes and promote a safe physical environment. Routine maintenance
checks are part of the quality assurance process and are performed to ensure
equipment is in proper working order.
A nurse is assisting a quality improvement team that is using the Plan-Do-Study-Act
(PDSA) model to address an increase in pressure injuries on a medical unit. Which of
the following actions should the nurse identify as an example of the ''Do'' step of the
PDSA model?
- Reviewing data collected on clients who received the new protocol
- Developing a plan to initiate a change in client care
- Implementing a new evidence based practice protocol
- Accepting the new protocol in the units policy and procedure guidelines
Implementing a new evidence based practice protocol
The "Do" step of the PDSA model includes implementing the plan.
A nurse is explaining National Patient Safety Goals (NPSGs) to a newly licensed nurse.
The nurse should include that which of the following is a goal addressed in the
NPSGs?
- Improving staff communication
- Improving staff retention
- Increasing client satisfaction