Author Question: Nurse Z has been assigned to care for Mrs. D, a trauma patient with bilateral femoral spiral ... (Read 37 times)

savannahhooper · **on:** Jul 8, 2018

Nurse Z has been assigned to care for Mrs. D, a trauma patient with bilateral femoral spiral fractures and a torn spleen, which was removed two days ago.

Mrs. D confides to Nurse Z that she agreed to an advance directive when she entered the hospital, but now she is not so sure this is what she wants. Mrs. D asks if this is normal for her to feel this way. Which element of the University of Colorado Hospital Model should Nurse Z consider first in this situation?
a. clinical expertise c. patient preferences
b. benchmarking data d. quality improvement and risk data

Question 2

PDSA is:

a. a national quality improvement campaign
b. process, demonstrate, supervise, and analyze
c. an acronym for an EBP model
d. part of the 100,000 Lives Campaign

orangecrush · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

C
Of the nine possible elements utilized in the University of Colorado Hospital Model, patient preferences would be the most appropriate in this situation, as it includes discussion, documentation, and implementation of the patient's wishes regarding advance directives, pain management, etc. Even though having Nurse Z consult the patient's health care practitioner (clinical expertise) is also indicated, the primary need for this patient is to have her questions answered and some discussion of her concern.

Answer to Question 2

C
The acronym PDSA refers to the process used by the Model for Improvement, which is an EBP (evidence-based practice) model. PDSA stands for: Plan-Do-Study-Act process.