A new LPN/LVN asks the LPN/LVN charge nurse what continuous ...

[dejastew]

A new LPN/LVN asks the LPN/LVN charge nurse what continuous quality improvement (CQI) is all about. The charge nurse should explain that the focus of CQI in a health care agency is
 
  a. saving time.
  b. better patient care outcomes.
  c. making money for the health care agency.
  d. reducing stress for employees.

Question 2

In which situation would the LPN/LVN charge nurse be in violation of OBRA provisions?
 
  a. Letting the unit secretary, who has completed 30 hours of instruction in a CNA program, bathe and ambulate a resident
  b. Allowing a son to feed his father, who is a resident on the unit
  c. Scheduling a nursing assistant to attend a 2-hour in-service training session
  d. Notifying the RN supervisor that a nursing assistant needs additional training in administration of tap water enemas

[nguyenhoanhat]

Answer to Question 1

ANS: B
The focus of CQI is quality of care, as indicated by patient outcomes. CQI does not focus on saving time, agency profit, or stress reduction.

Answer to Question 2

ANS: A
OBRA regulations call for all nursing assistants to be certified. Permitting an uncertified employee to perform the duties of a CNA violates OBRA regulations. Allowing a son to feed his father is permissible. Scheduling a nursing assistant to attend a 2-hour in-service training session and notifying the RN supervisor that a nursing assistant needs additional training are appropriate.