A new graduate is asked to serve on the hospital's quality ...

[Charlie]

A new graduate is asked to serve on the hospital's quality improvement (QI) committee. The nurse understands that the first step in quality improvement is to:
 
  a. Collect data to determine whether stan-dards are being met.
  b. Implement a plan to correct the problem.
  c. Identify the standard.
  d. Determine whether the findings warrant correction.

Question 2

As a nurse manager, you notice that Maria, a Hispanic nurse aide, is visibly upset.
 
  When you ask her if something is wrong, she becomes tearful and says, Why is it that when John and I work together in giving patients care, he jokes about my being a little fat Mexican? The nurse man-ager's best response is, Do you think he: a. Is sensitive to your culture?
  b. Wants to learn more about you?
  c. Has been hurt and wants to hurt others?
  d. Is stereotyping you without thinking?

[mmpiza]

Answer to Question 1

C
Before further action (data collection, decision making related to correction, and implementation of a plan) can occur, it is necessary to identify the standards against which data collection and decision making will occur. Institutions may or may not adopt standards that are already estab-lished by organizations such as the ANA.

Answer to Question 2

D
Prejudices enable us to make sense of the situations in which we find ourselves, yet they also constrain understanding and limit the capacity to come to new or different ways of understanding. It is this contradiction that makes prejudice paradoxical. (Spence, 2004, p. 163). Prejudices enable us to predict behaviors and make sense of situations but constrain our understanding and development of new insights.

[Charlie]

Excellent

[Chelseyj.hasty]

TYSM