Nursing Chapter 9 Using Pathways The Best Way Assess The

subject Type Homework Help
subject Pages 9
subject Words 2675
subject Authors Anita Finkelman

Unlock document.

This document is partially blurred.
Unlock all pages and 1 million more documents.
Get Access
15) Which description of a clinical pathway provided by a nursing student would indicate the
best understanding of the concept?
1. Clinical pathways are tools to measure patient outcomes.
2. Clinical pathways are the same as nursing care plans.
3. Clinical pathways are developed to use in acute care settings and guide the nursing care of
patients as they are admitted, treated, and discharged.
4. Clinical pathways guide the patient and interprofessional team in managing patient care and
recovery within a designated time frame.
16) The staff nurse has been asked to work on a committee whose task is to develop clinical
pathways for the facility. What is the purpose of these pathways?
1. To provide quality healthcare with the efficient use of resources while controlling costs
2. To provide practice guidelines for the general treatment of a specific diagnosis
3. To reduce patient length of stay
17) The healthcare providers in an organization have chosen not to adopt the use of clinical
pathways. What are reasons to justify this decision? Select all that apply.
1. Clinical pathways development and implementation takes time and can be costly.
2. The pathway content has to be evaluated each time it is used.
3. Some believe that clinical pathways result in excessive paperwork and redundant
4. There is fear that pathways will be used in evaluating staff performance.
5. The use of clinical pathways has not been proven to make a difference in patient care.
18) During a meeting to discuss the adoption of clinical pathways a nurse expresses concerns
about legal problems associated with their use. Which options reflect provider responses to the
use of clinical pathways that can result in legal problems? Select all that apply.
1. Nurses document most of the variances.
2. The provider does not follow the clinical pathway and does not document the variance.
3. Negligent care is provided, even though the pathway was followed.
4. The pathway does not represent evidence-based care.
19) The organization has noted an increase in negative patient variances related to medication
administration. What steps should be taken by the organization? Select all that apply.
1. Look for reasons for the variances.
2. Identify those at fault for the variances.
3. Document the variances in the medical records of the patients involved.
4. Try to find a resolution for the variances.
5. Rewrite the clinical pathways.
20) Which statement is true regarding implementation of clinical pathways?
1. Pathways replace physician orders.
2. Pathways cannot be used for patients with more than one illness or condition.
3. Using pathways is the best way to assess length of stay (LOS).
4. Disclaimers may be used with clinical pathways to convey that treatment is standardized.
21) Which example represents a negative patient variance?
1. A patient develops hospital-acquired pneumonia due to noncompliance with respiratory
2. The nurse administers a mislabeled medication.
3. A CBC was drawn on a patient instead of an ABG.
4. Difficulties were experienced in placing an older adult into long-term care.
22) Which option best explains the purpose of practice guidelines?
1. To ensure optimal care
2. To assist with treatment decision making and to evaluate care
3. To reduce malpractice lawsuits
4. To define treatment
23) Differentiate between disease management programs and clinical guidelines by choosing the
option that describes disease management programs.
1. The major goal is to prepare the patient to understand the disease and to increase self-
management of the disease.
2. They establish standards that focus on health maintenance.
3. They have been adopted to control costs.
4. They are also called medical review criteria.
24) The nurse is following a clinical pathway for a patient who has undergone hip replacement
surgery. The nurse notices that the physician orders do not follow the clinical pathway. What
should the nurse do first?
1. Follow the pathway as written.
2. Do as the physician orders, regardless of the clinical pathway.
3. Refuse the orders.
4. Notify the nursing supervisor, and document the variance.
25) Which statement is a common myth about patient-centered care?
1. Patient-centered care requires a team approach.
2. Patient-centered care is not designed to solve all healthcare problems.
3. Patient-centered care can have a negative impact on infection rates.
4. Patient-centered care does not increase care time.
26) Why are variances important?
1. Identify costs of care
2. Identify how documentation tool is ineffective
3. Offer an indication of potential problem
4. Compare cost and quality in healthcare delivery

Trusted by Thousands of

Here are what students say about us.

Copyright ©2022 All rights reserved. | CoursePaper is not sponsored or endorsed by any college or university.