Which health care situations reflect the philosophy of quality ...

[shenderson6]

Which health care situations reflect the philosophy of quality management as designed by Deming? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. A nurse asks visitors to leave because it is after visiting hours.
  2. At 2:00 p.m. the nurse orders a lunch tray for a client who has just been removed from NPO status.
  3. A nurse tells the manager that a housekeeper's work is not up to standards.
  4. A nurse volunteers to take a Spanish language class to be able to communicate with clients.
  5. A nurse who has not made a medication error in two years asks for a salary increase.

Question 2

A 70-year-old client develops a catheter-induced urinary tract infection. Which statement by the nurse would indicate to the nurse manager a need for additional understanding of this situation?
 
  1. I wonder if there was a break of sterility when this catheter was inserted.
  2. Thankfully we can treat this with an antibiotic.
  3. This could potentially cost the hospital a lot of money.
  4. I will talk to my unlicensed assistants about proper urinary catheter care.

[shailee]

Answer to Question 1

2,3,4
Rationale 1: The philosophy of quality management is focus on the needs of the consumer. If there is no reason for the visitors to leave other than it after visiting hours, this is not focused on client need.
Rationale 2: Even though 2:00 p.m. is after lunchtime, this nurse is focused on the client's needs. This is an example of quality management.
Rationale 3: Quality management empowers the employee to evaluate quality.
Rationale 4: This nurse has seen a need and is working to improve the quality of service. This is quality management.
Rationale 5: Salary increases can be tied to quality improvement initiatives, but just asking for an increase is not quality management.
Global Rationale:

Answer to Question 2

2
Rationale 1: Wondering about a break in sterility indicates that the nurse is concerned about the process that might have contributed to this infection.
Rationale 2: The nurse who focuses on taking care of the results of a potential medical mistake is not accepting the seriousness of the situation.
Rationale 3: The Centers for Medicare and Medicaid Services no longer cover the costs incurred by medical mistakes. This urinary tract infection could cost the hospital the cost of treatment, including increased length of stay.
Rationale 4: The nurse has identified that improper care may result in poor outcomes for the client.
Global Rationale: