A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by a process audit?

Correct Answer: C

Rationale: Step 1: Process audits focus on evaluating the procedures and processes involved in providing care. Step 2: Quality of nursing care provided is directly related to the processes and procedures followed by nursing staff. Step 3: By conducting a process audit, the committee can assess if the established procedures are being followed to ensure quality care. Step 4: Availability of resources and nursing staff ratios are important but are more related to structural or outcome audits. Step 5: Length of facility stay for a cohort of clients is an outcome measure and not directly related to the process of providing care. Summary: The correct answer is C because process audits assess the quality of care provided through evaluating the procedures followed, while the other choices are not directly related to the processes of care provision.

Correct Answer: C

Rationale: The correct answer is C because talking with the clients who reported concerns allows the charge nurse to gather direct feedback and specific details about the LPN's behavior, which can help in understanding the situation better and addressing the issues effectively. By speaking with the clients, the charge nurse can assess the validity of the complaints and take appropriate action, such as providing additional training or supervision to the LPN. Reviewing the personnel file (A) may provide background information but does not address the current complaints directly. Discussing with other nurses (B) may lead to gossip or bias without evidence from the clients. Reassigning client care (D) without addressing the root cause is not a sustainable solution.

Correct Answer: C

Rationale: The correct answer is C: Explain the risk the client faces if she leaves the facility. Rationale: 1. Warfarin is a blood thinner that requires close monitoring of the INR to prevent complications like bleeding. 2. An INR of 3.5 is above the therapeutic range, putting the client at risk for bleeding. 3. It is crucial for the nurse to educate the client about the potential consequences of leaving against medical advice. 4. By explaining the risks, the nurse can help the client make an informed decision about their health. 5. This action demonstrates the nurse's duty to ensure the client's safety and well-being. Summary of other choices: A: Forcing the client to sign an AMA form does not address the client's concerns or provide necessary education about the risks. B: Threatening the client with insurance consequences is coercive and does not prioritize the client's health. D: Involving security is not appropriate in this situation and does not address the client

Correct Answer: B

Rationale: The correct answer is B because reducing the incidence of foot amputations is a specific and measurable goal in managing diabetes. This goal directly addresses a serious complication of diabetes and reflects the program's effectiveness in improving outcomes. Choices A, C, and D do not focus on measurable outcomes related to diabetes management, making them less relevant goals for the program. Providing proper foot care (choice A) is important but does not guarantee improved outcomes. Reserving a facility (choice C) and distributing materials (choice D) are logistical details rather than program goals.

Correct Answer: D

Rationale: The correct answer is D because the nurse should first communicate with the AP to understand the reasons for refusal. By asking about concerns, the nurse can address any issues and provide clarification or support. This approach promotes open communication, teamwork, and problem-solving. Taking the specimen to the lab (A) may not address underlying concerns. Reporting to the charge nurse (B) or completing an incident report (C) should be done after understanding the AP's perspective to prevent unnecessary escalation.