CRNI = Foundations of Practice & Quality Assurance Practice Test Exam Actual Q & A 2023/2024
Which of the following are criteria of a QA program?
... [Show More] correct answers structure, process, outcomes
Rationale = Quality programs include the criteria of structure (the framework for delivery of care), process (all activities affecting patient care), outcomes (results of process activities), corrective action (measures taken to improve outcomes) and re-evaluation (monitoring and measuring correction actions).
The nurse is called to start and IV on an adult patient going to surgery. The patient refuses to let the nurse perform the venipuncture. The nurse should do which of the following: correct answers notify the physician = rationale - If the nurse were to start the IV against the patient's wishes, the nurse would be guilty of assault and battery. Risk management notification is not appropriate because there is no liability to decrease if the nurse does not start the IV. Requesting family approval is also not appropriate because they legally could not overrule the decision of a competent adult patient.
An institution's phlebitis rate was determined to be 12%. Upon investigation, it was found that inconsistent prepping procedures were being used to initiate venipunctures. Procedures were revised and the use of IV start kits was begun to standardize care. After 3 months, the phlebitis rate was 7%. The changes instituted are know in QA terms as which of the following: correct answers Corrective action = rationale = In this situation the phlebitis rate was identified as too high, prepping procedures are inconsistent therefore high phlebitis rate. Corrective action is to revise the procedure and change equipment to address the issue.
A hemolytic blood transfusion reaction resulting in death of the patient is an example of which of the following? correct answers Sentinel event = definition = unexpected occurrence resulting in death or injury, or the risk of death or injury
Accountability correct answers being responsible and answerable for actions or inactions of self or others in the context of delegation; the knowledge, skills, judgment, and experience expected of a practitioner
Assault correct answers the attempt of threat to do bodily injury to another
Battery correct answers Actual physical contact that causes harm and physical contact without consent [Show Less]