NU471 Week 3 EAQ 2 Evolve Elsevier Quality
Improvement 30 Questions And Answers
Which activity mentioned by the nurse is an example of a performance improvement measure?
o Installing new nurse call bells beside every bed in the health care facility
o Evaluating the effectiveness of client-teaching programs conducted before discharge
o Initiating new strategies to speed up the process of obtaining consent forms from clients
o Analyzing the new technique for counting sponges and instruments in the operating room
o Analyzing the new technique for counting sponges and instruments in the operating room
· Performance improvement focuses on analyzing and evaluating the current performance of health care
workers to bring about a qualitative change. In the given situation, a new technique for performing sponge
and instrument counts in the operating room is being analyzed to help understand the degree of qualitative
change in the system. This is an example of a performance improvement. Quality improvement focuses on the
continuous study and improvement of the processes of providing health care services to clients. Installing new
call bells, conducting client teaching programs before discharge, and speeding up the process of obtaining
consent forms from clients are examples of quality improvements.
Which assessment(s) would the nurse perform while assisting an older adult with her or his living
arrangements? Select all that apply.
o Financial status
o Meaningful activities and interest
o Environmental hazards and support systems
o Long-range plans such as wills and advance directives
o Access to public transportation and community activities
o Financial status
o Environmental hazards and support systems
o Access to public transportation and community activities
· When assisting an older adult with her or his living arrangements, the nurse would assess the client’s
financial status, environmental hazards, support systems, and access to public transportation and community
activities. When an older adult is planning for retirement, the nurse would assess the client’s meaningful
activities and interest and long-range plans including wills and advance directives.
In which order would the nurse prioritize statements when teaching the client the supraglottic method of
swallowing?
o “Swallow twice.”
o “Hold your breath.”
, o “Clear your throat."
o “Take a deep breath.”
o “Place yourself in an upright position.”
o “Place a half to 1 teaspoon of food into your mouth.”
o “Place yourself in an upright position.”
o “Clear your throat."
o “Take a deep breath.”
o “Place a half to 1 teaspoon of food into your mouth.”
o “Hold your breath.”
o “Swallow twice.”
· The order of steps to be followed in instructing the client in the supraglottic method of swallowing is first to
place the client in an upright position, second to tell the client to clear the throat, and then to take a deep
breath. The fourth step is for the client to place a half or one teaspoon of food into the mouth. The client should
hold his or her breath and then swallow twice. This method exaggerates the normal protective mechanisms
with cessation of respiration during the swallow.
Which client in the emergency department would the nurse assess first?
o Client with chest pressure and ST segment elevation on the electrocardiogram
o Client who reports a sharp chest pain with deep inspiration for the past week
o Client who has history of heart failure with ascites and bilateral 4+ ankle swelling
o Client with palpitations and paroxysmal atrial fibrillation at a rate of 136 beats/minute
o Client with chest pressure and ST segment elevation on the electrocardiogram
· The client with chest pressure and ST segment elevation on the electrocardiogram will need emergency
treatment for ST segment elevation myocardial infarction (STEMI), including transport to the cardiac
catheterization laboratory for percutaneous coronary intervention within 90 minutes, and should be seen first.
The client with sharp pain with deep inspiration has symptoms consistent with pericarditis or pleural effusion
and does need rapid assessment and treatment, but is not at risk for life-threatening complications. The client
with heart failure and ascites and ankle swelling has symptoms of right ventricular failure that are not life-
threatening. The client with palpitations and rapid atrial fibrillation will need assessment and evaluation, but
the client experiencing myocardial infarction has a more life-threatening diagnosis.
The nurse manager asks the nurse, "How would you implement clinical decision-making in a group of
clients?" Which answer(s) provided by the nurse show(s) effective critical thinking? Select all that apply.
o "I will avoid involving clients as decision-makers and participants in care."
o "I will discuss complex cases with other members of the health care team."
o "I will identify the nursing diagnoses and collaborative problems of each client."
o "I will consider the time it takes to care for clients whose problems have higher priority."
Improvement 30 Questions And Answers
Which activity mentioned by the nurse is an example of a performance improvement measure?
o Installing new nurse call bells beside every bed in the health care facility
o Evaluating the effectiveness of client-teaching programs conducted before discharge
o Initiating new strategies to speed up the process of obtaining consent forms from clients
o Analyzing the new technique for counting sponges and instruments in the operating room
o Analyzing the new technique for counting sponges and instruments in the operating room
· Performance improvement focuses on analyzing and evaluating the current performance of health care
workers to bring about a qualitative change. In the given situation, a new technique for performing sponge
and instrument counts in the operating room is being analyzed to help understand the degree of qualitative
change in the system. This is an example of a performance improvement. Quality improvement focuses on the
continuous study and improvement of the processes of providing health care services to clients. Installing new
call bells, conducting client teaching programs before discharge, and speeding up the process of obtaining
consent forms from clients are examples of quality improvements.
Which assessment(s) would the nurse perform while assisting an older adult with her or his living
arrangements? Select all that apply.
o Financial status
o Meaningful activities and interest
o Environmental hazards and support systems
o Long-range plans such as wills and advance directives
o Access to public transportation and community activities
o Financial status
o Environmental hazards and support systems
o Access to public transportation and community activities
· When assisting an older adult with her or his living arrangements, the nurse would assess the client’s
financial status, environmental hazards, support systems, and access to public transportation and community
activities. When an older adult is planning for retirement, the nurse would assess the client’s meaningful
activities and interest and long-range plans including wills and advance directives.
In which order would the nurse prioritize statements when teaching the client the supraglottic method of
swallowing?
o “Swallow twice.”
o “Hold your breath.”
, o “Clear your throat."
o “Take a deep breath.”
o “Place yourself in an upright position.”
o “Place a half to 1 teaspoon of food into your mouth.”
o “Place yourself in an upright position.”
o “Clear your throat."
o “Take a deep breath.”
o “Place a half to 1 teaspoon of food into your mouth.”
o “Hold your breath.”
o “Swallow twice.”
· The order of steps to be followed in instructing the client in the supraglottic method of swallowing is first to
place the client in an upright position, second to tell the client to clear the throat, and then to take a deep
breath. The fourth step is for the client to place a half or one teaspoon of food into the mouth. The client should
hold his or her breath and then swallow twice. This method exaggerates the normal protective mechanisms
with cessation of respiration during the swallow.
Which client in the emergency department would the nurse assess first?
o Client with chest pressure and ST segment elevation on the electrocardiogram
o Client who reports a sharp chest pain with deep inspiration for the past week
o Client who has history of heart failure with ascites and bilateral 4+ ankle swelling
o Client with palpitations and paroxysmal atrial fibrillation at a rate of 136 beats/minute
o Client with chest pressure and ST segment elevation on the electrocardiogram
· The client with chest pressure and ST segment elevation on the electrocardiogram will need emergency
treatment for ST segment elevation myocardial infarction (STEMI), including transport to the cardiac
catheterization laboratory for percutaneous coronary intervention within 90 minutes, and should be seen first.
The client with sharp pain with deep inspiration has symptoms consistent with pericarditis or pleural effusion
and does need rapid assessment and treatment, but is not at risk for life-threatening complications. The client
with heart failure and ascites and ankle swelling has symptoms of right ventricular failure that are not life-
threatening. The client with palpitations and rapid atrial fibrillation will need assessment and evaluation, but
the client experiencing myocardial infarction has a more life-threatening diagnosis.
The nurse manager asks the nurse, "How would you implement clinical decision-making in a group of
clients?" Which answer(s) provided by the nurse show(s) effective critical thinking? Select all that apply.
o "I will avoid involving clients as decision-makers and participants in care."
o "I will discuss complex cases with other members of the health care team."
o "I will identify the nursing diagnoses and collaborative problems of each client."
o "I will consider the time it takes to care for clients whose problems have higher priority."
