Author Question: A client asks the nurse about the quality improvement program in the hospital because of news ... (Read 61 times)

genevieve1028 · **on:** Jul 22, 2018

A client asks the nurse about the quality improvement program in the hospital because of news articles about the need to contain costs in health care. The client asks how a quality improvement program can contain cost of care.

The best response by the nurse is: 1. High RN-to-client ratios result in decreased length of stay..
2. Medication errors decrease the cost of care..
3. Promoting safety increases the cost of care..
4. Use of computers increases the number of law suits..

Question 2

The nurse critically evaluates various models of grief used for terminally ill clients and their families. What should the nurse recognize when applying these models to individual cases?

1. The Kbler-Ross model is primarily used to describe anticipatory grief.
2. No clear timetables exist, nor are there clear-cut stages of grief.
3. The models serve as clear and definitive predictors of grief behaviors.
4. There is strong research proving that these models are not useful for many dying clients.

stallen · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

1. High RN-to-client ratios result in decreased length of stay..

Rationale:
Studies have shown that increasing the RN-to-client ratio can decrease overall cost because the length of stay is reduced with RN care as well as mortality rates. Medication errors increase cost due to harm to the client and increased length of stay. Promoting safety is a cost-containment measure because it decreases injury to the client and the consequent risk of lawsuits. Computers increase efficiency and reduce cost as a result. Lawsuits do not increase because of computer use; they increase when computers are used improperly.

Answer to Question 2

2. No clear timetables exist, nor are there clear-cut stages of grief.

Rationale:
Although the models of grief are useful in guiding nursing care of clients who are experiencing loss, there are no clear-cut stages of grief, nor are there exact timetables. Kbler-Ross describes all stages of grief and grieving. None of the models are clear or definitive predictors of grief behaviors. No research exists that proves these models are not useful.