Author Question: The quality assurance officer notes that one particular nursing unit has received a ... (Read 42 times)

charchew · **on:** Jun 25, 2018

The quality assurance officer notes that one particular nursing unit has received a higher-than-usual number of negative client responses about aspects of the nursing care during the previous quarter.

Based on this data, which benchmarking issue should the quality assurance officer pay particular attention during the review process?
A) Structure
B) Process
C) Outcome
D) Competency

Question 2

A client newly diagnosed with diabetes mellitus tells the nurse that the prescribed diet does not provide enough variation of choice. Which response by the nurse is most appropriate?

A) I will bring you a different menu.
B) I will ask my manager to talk with the dietician.
C) Let's look at your diet and see what type of variety we can find.
D) I will notify the dietary department to change your diet.

k.lashomb · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Process evaluation focuses on how the care was given in regard to relevance, appropriateness, completeness, and timeliness. Process standards focus on the manner in which the nurse uses the nursing process. Competency is not one of the components of quality assurance evaluation. Structure evaluation focuses on the setting in which the care is given. Outcome evaluation focuses on demonstrable changes in the client's health status as a result of nursing care.

Answer to Question 2

Answer: C

It is against most states' nurse practice acts for the nurse to order a diet for the client. The nurse is allowed to assist the client to choose appropriate foods as ordered by the physician. The nurse cannot notify the dietary department or enlist the assistance of a manager to change the diet with a healthcare provider prescription. Providing the client with another menu will not help the client choose foods within the prescribed diet.