EAQ- Analysis Flashcards
Which point would the nurse consider while preparing strategies to improve the quality of health care provided by the nursing team in the hospital? Select all that apply. One, some, or all responses may be correct.
Death of a client after end-stage lung cancer
Death due to nosocomial infection
A near-fall from the bed
A rash developed after receiving a medication
Death due to nosocomial infection
The root cause analysis (RCA) tool is used when a medical error results in death or serious harm to the client. Nosocomial or hospital-acquired infections usually occur due to the failure to maintain asepsis while providing care to the client. The RCA tool would be used to analyze the cause in this case. Death is an expected and normal consequence of end-stage lung cancer. This tool would not be used to assess the cause of death for this client. The client was rescued while falling off the bed. This is an instance of a near-miss event, which was not analyzed using the RCA tool. Skin rashes may be a normal side effect of a medication and is not caused by a medical error. This case would not be analyzed using the RCA tool.
The root cause analysis (RCA) tool is used when a medical error results in __________________ to the client.
death or serious harm
Which skill in critical thinking requires the nurse to be orderly in data collection?
Analysis
Inference
Evaluation
Interpretation
Interpretation
Interpretation is involved in the orderly collection of data. When information about a client is collected with an open mind, then the skill called analysis is being used. When the data collected about the client helps in solving an existing problem, then the skill called inference is being used. Evaluation is used when the results of nursing actions are determined.
Evaluation is used when the results of nursing actions are ____________.
determined
Which role is a component of cognitive science in health informatics?
Uses computer application for creating, describing, and transforming health information
Understands how culture and social changes in an organization affect information technology
Provides a structure for analysis of complex human performance in technology-based settings
Uses statistics and mathematical applications for storing and retrieving health care information
Provides a structure for analysis of complex human performance in technology-based settings
Which critical thinking skill in nursing practice requires the nurse to possess knowledge and experience for choosing care strategies for clients?
Analysis
Inference
Explanation
Interpretation
Explanation - requires knowledge and experience for choosing strategies for care for clients.
Analysis is a critical thinking skill that requires open-mindedness while looking at the client’s information. The skill of inference is associated with noticing relationships in the findings. Interpretation is associated with ordered data collection.
The skill of ___________ is associated with noticing relationships in the findings
inference
Which objective is the most important prerequisite for measuring health care quality delivered in the hospital?
To implement the root cause analysis tool
To review all the incident reports documented
To collect all the medical records of the hospital
To prepare nurse performance evaluation forms
To collect all the medical records of the hospital
The most important prerequisite for assessing the quality of a health care delivery system is to collect the medical records of the clients admitted and discharged from the hospital. The process of care provided to the clients and the outcomes of care are the most important determiners of health care quality. The root cause analysis tool only helps find the cause of sentinel events that have occurred in the hospital. The incident reports document the adverse events that have occurred in a hospital due to medical errors. These alone do not predict the health care quality provided in a health care system. The nurse performance evaluation forms should be prepared to assess the clinical skills and knowledge of the nurses working in the health care system.
Which critical thinking skill will help a student nurse avoid making assumptions about clients?
Analysis
Inference
Evaluation
Explanation
Analysis
Use of analysis allows the student nurse to be open-minded while looking at the client’s information and to avoid making assumptions. Inference skills focus on the meaning of the findings and its significance. Evaluation involves looking at all situations objectively and using criteria to determine the results of nursing actions. Explanation is the act of supporting your findings and conclusions as well as using knowledge and experience to choose strategies to use in the care of clients.
The research nurse is conducting genomic analyses of clients with acquired immune deficiency syndrome (AIDS) to identify new biomarkers for AIDS. Which computational method would the nurse use for these analyses?
Nursing informatics
Public health informatics
Translational bioinformatics
Consumer health informatics
Translational bioinformatics
Translational bioinformatics optimizes the biomedical data and genomic data into predictive health. The nurse would use translational bioinformatics for a genomic analysis and to identify new biomarkers for AIDS. Nursing informatics helps use computer and information science to manage client data. It does not help analyze and use genomic data for developing new medications and screening methods. Public health informatics helps develop tools for conducting biosurveillance. Consumer health informatics analyzes consumer needs and helps the health care provider provide effective care according to the client’s perspective.
Which ability can be inferred when a professional is said to have ethical sensitivity?
Recognizes ethical dilemmas
Takes a morally correct action
Justifies a well-reasoned action
Thinks critically to rank ethical obligations
Recognizes ethical dilemmas
Having ethical sensitivity helps the nurse recognize if there is an ethical dilemma or issue. Ethical decision-making helps the nurse take morally correct action through reasoning and justification. The ability to think critically to rank ethical obligations is called ethical reflection and analysis.
Having ethical sensitivity helps the nurse recognize if there is an ________________.
ethical dilemma or issue
The nurse is explaining the nursing process to a student nurse. Which step of the nursing process would include interpretation of data collected about the client?
Evaluation
Assessment
Implementation
Diagnosis
Assessment
An actual or potential client health problem is based on the analysis and interpretation of the data previously collected during the assessment phase of the nursing process. Gathering data is included in the client’s assessment. Nursing interventions are based on the earlier steps of the nursing process. The plan of care includes nursing actions to meet client needs. The needs first must be identified before nursing actions are planned. Diagnosis is formulation of a problem based on the gathering and interpretation of data collected about the client.
Which purpose describes the failure mode effective analysis?
Prevent medical errors in a hospital
Analyze the cause of sentinel events in a hospital
Analyze the efficacy of the care provided in the hospital
Evaluate the cause of client dissatisfaction with regard to care
Prevent medical errors in a hospital
The failure mode effective analysis is a tool designed to prevent medical errors and system failures within a health care system. It analyzes the potential failure modes and the causes of system failures, finds solutions to the problem, and evaluates the effectiveness of those solutions. The root cause analysis tool is used to analyze the cause of sentinel errors in a hospital. The efficacy of the care provided and analysis of client satisfaction are not the components of failure mode effective analysis.
A client in a coma due to severe hemolytic transfusion reaction and a depressed client who committed suicide are types of _________ events.
sentinel
