WGU C157 Questions and Answers
100% Pass
How should a director of nursing respond to the national quality goal of improving the quality of
care transitions and communication across care settings? ✔✔Create a task force
...
WGU C157 Questions and Answers
100% Pass
How should a director of nursing respond to the national quality goal of improving the quality of
care transitions and communication across care settings? ✔✔Create a task force comprised of
nursing administration, charge nurses, discharge planners, and staff nurses
A healthcare organization has been collecting data about the quality and safety of the nursing care
provided within the organization.
Consistent with the national priority of ensuring that each person is engaged as a partner in care,
which dataset should the nurse use to substantiate the need for changes in patient care processes?
✔✔A report from a patient/nurse focus group indicating patients do not feel they are adequately
included in making decisions regarding their healthcare
A healthcare organization is collecting data about the quality and safety of the nursing care
provided within the organization.
Consistent with the national priority of promoting effective coordination of care, which dataset
should the nurse use to substantiate the need for changes in patient care processes? ✔✔Patient
readmissions for patients discharged to long-term care facilities, increasing from a readmission
rate of 3% (six months earlier) to a rate of 4% (current)
Which information should the nurse use to justify the implementation of a mobile healthcare clinic
for rural healthcare delivery? ✔✔The organization serves rural communities where much of the
population does not have access to reliable transportation.
An advanced practice nurse for a nursing unit in a hospital has identified the problem of sepsis.
What is the next step in the Plan Do Study Act (PDSA) cycle? ✔✔Implement the Institute for
Health Improvement guidelines for sepsis
An advanced practice nurse for the nursing unit in a hospital identified the problem of increased
sepsis rates related to intravenous lines.
Which step represents the Act component of the Plan Do Study Act (PDSA) cycle for the process
improvement team? ✔✔Review antibiotic therapies of patients throughout the hospital
Which benchmark domains must be considered when evaluating evidence for use in a healthcare
setting innovation? ✔✔Quality, quantity, and consistency
What must a nurse ensure has been considered before implementing an innovation in care provided
to adult patients? ✔✔Patient desires
Which approach should the nurse manager employ to create an environment that encourages
innovations toward evidence-based nursing care? ✔✔Providing nursing staff with resources and
opportunities for the implementation of evidence-based nursing practice
The nurse manager is concerned that nurses may not be following proper hand washing guidelines
and wants to improve practice. The nurse decides to focus on a major area to improve quality and
performance for this skill.
Which area should be addressed to improve hand hygiene practices? ✔✔Leadership
An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than
that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that
involves and needs to measure and communicate the effectiveness of the plan to the hospital
leadership.
An outcome measure reveals the rate of falls has decreased by 3% over a two-month timeframe.
✔✔Nurse manager
An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than
that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that
involves and needs to measure and communicate the effectiveness of the plan to the hospital
leadership.
A balancing measure reveals the rate of falls has decreased, but the rate of call-light usage has
increased ✔✔Unit RN
An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than
that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that
involves and needs to measure and communicate the effectiveness of the plan to the hospital
leadership.
A process measure, whereby each stakeholder is assessed for a history of falls when admitted, and
which reveals that the rate of falls in the first 30 days has started to decrease. ✔✔Patient
The Centers for Disease Control (CDC) have described a central line-associated bloodstream
infection (CLA-BSI) as consisting of:
A laboratory-confirmed bloodstream infection (LCBI) where central line (CL) or umbilical
catheter (UC) was in place for >2 calendar days when all elements of the LCBI infection criterion
were first present together, with day of device placement being Day 1, and a CL or UC was in
place on the date of event or the day before. If the patient is admitted or transferred into a facility
with a central line in place (e.g., tunneled or implanted central line), day of first access is
considered Day 1.
Based on the this criteria, which data should be collected to determine the rate of CLA-BSI in a
healthcare agency? ✔✔The percent of patients with central lines who have positive laboratory
results for infection
A nurse is assigned to call recently-discharged patients and to ask the patients about their
experiences during their hospitalization. On a call, the patient asks the nurse why this information
is needed.
How should the nurse respond to this question ✔✔The answers to these questions help us
determine if we are providing quality care and how we can improve.
During the QI process, organizational data reveals that overall hospital patient satisfaction scores
are 72% for the first quarter and 69% for the second quarter. The organization goal is 80%.
Which action should the advanced practice nurse take according to the PDSA cycle? ✔✔Plan an
evidence-based intervention to address the declining scores
The advanced practice nurse was a member of an interdisciplinary team that planned and
implemented an evidence-based program to decrease patient falls. Evaluation reveals that the
number of falls pre-program was 15 and the number of falls post-program was 10. The goal was
to have a 20% decrease in the number of falls.
How should the advanced practice nurse interpret this data? ✔✔The goal was surpassed with an
improvement of 33%.
An outpatient clinic has started a new education program targeting patients newly diagnosed with
CHF, with a goal of 25% improvement in readmission rates. The advanced practice nurse is
tracking readmission rates at 6 months after initial diagnosis. The baseline rate was 50% and the
remeasurement six months post-implementation was 40%.
Which interpretations of these measures are correct?
Choose two answers. ✔✔The goal was not met.
The education program should continue.
A nurse has been asked to help design an individualized teaching plan for a patient who has been
recently diagnosed with multiple sclerosis.
What information must the nurse obtain in order to accomplish this task? ✔✔The patient's current
level of knowledge about the disease
Clinical leadership in an outpatient clinic is responding to a national quality report and to
recommendations developed to prevent and reduce harm caused by cardiovascular disease. One of
the goals identified is to increase blood pressure control among adults with hypertension.
Which data should be collected to determine the rate of blood pressure control in adults for this
outcome measure? ✔✔The percentage of patients diagnosed with hypertension who had a blood
pressure within normal range during their last visit
A novice nurse tells the master's-prepared nurse that an adult patient has decided to discontinue
chemotherapy for cancer.
What should the master's-prepared nurse do? ✔✔
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