NURSE 304 EXAM 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NURSE 304 EXAM 1 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 US issue w healthcare - Answers spends twice as much on healthcare as other rich countries yet leaves millions uninsured. Poor people have worse care growing problem throughout developing nations - Answers cost of care downfall of huge advancement PAPG - Answers Providers are becoming more specialized, contributing to gaps in communication and care Populations are aging disease burden is shifting toward chronic conditions. Patients and families are better informed and want personalized care. growing availability of and demand for complicated procedures and expensive treatments. US stands out for low income nations issue - Answers high cost low performance issue is best use of limited resources low income nation issues ATDMN - Answers High adverse event rates, Too few and poorly trained providers, Limited diagnostic tools and equipment, Delays in accessing medications and other treatments, need to effectively treat growing numbers of patients with non-communicable diseases, such as cancer, heart disease, and diabetes patient safety defined as - Answers prevention of errors and adverse effects to patients associated with health care. organizational culture - Answers product of individual and group values, attitudes, competencies, and behaviors related to safety learning systems - Answers measure performance and help teams make improvements why it is essential to improve patient safety. - Answers studies showing how common adverse events occur in the hospital. 1in 10 patients experience an adverse event during their stay. It is important for hospitals to creat a culture where mistakes are used to better the facilit. creating an environment where people feel comfortable raising concerns and asking questions and have opportunities to do so - Answers psycho safety holding individuals responsible for acting in a safe and respectful manner when they are given the training and support to do so - Answers accountability gaining genuine agreement on matters of importance to team members, patients, and families - Answers negotiation promoting teams that develop shared understanding, anticipate needs and problems, and apply standard tools for managing communication and conflict - Answers teamwork/communication read 1 part 4 - Answers Manufacturers redesigned enteral tubing (tubing intended for oral administration) so that it could not be connected to intravenous tubing. - Answers forcing function In the inpatient setting, concentrated electrolytes, which are lethal when administered undiluted, have been relocated from patient care units so that nurses must leave the unit to obtain them. - Answers constraint standardization ... variance thus ... chance of errors - Answers decreases reducing how does standardization .decrease variance thus reducing chance of errors - Answers if a process has a set of rules or a specific checklist, the process will not vary from incident to incident. The absence of this variance reduces the likelihood that someone will make a mistake because they will be following a standardized guideline. the degree to which a set of characteristics fulfills its requirements. It it is measured by how: safe, effective, timely, patient- centered, equitable, and efficient it is - Answers quality this is usually specific to one project/ facility and its purpose is to correct workflow processes, improve efficiencies, reduce variations in care, and address clinical administrative or educational problems. - Answers quality improvement this is asking a relevant clinical question, finding the best evidence to answer it, applying the evidence to practice, and evaluating the evidence based on clinical outcomes. Using evidence and patient values to improve outcomes. - Answers EBP florence nightingale Ignaz Semmelweis Ernest Codman - Answers first nurse used hand washing in delivery of babies for first time surgeon that created hospital standards transitions to healthcare system .......good performance bad performance .....evaluation of performance implementation of... redesign of... .......of quality data what kind of care - Answers rewarding good reprimanding bad improving monitoring rapidly evolving quality healthcare education public reporting patient centered 1992 1994 2010 - Answers quality improvement initiative national surgery quality improvement project patient protection accountable care act patient protection accountable care act - Answers modify care delivered to medicare and medicaid patients modify system by which provider payment is determined objective of the patient protection accountable care act - Answers improving quality while lowering healthcare costs and expanding access patient centered outcomes research institute - Answers penalty based quality improvement provision, which prohibits federal payments to states for Medicaid services 2003 - Answers surgical care improvement program hospital inpatient quality reporting IOM launched ....task force established - Answers quality initiative, joint commission established event policy quality interagency coordination 1966 - Answers Dr. Avedis Donabedian evaluating the quality of medical care evaluating the quality of medical care model - Answers provides bases for current methods used to evaluate healthcare quality peer review orgs given.... - Answers given the authority to implement different solutions. diagnostic related groups reducing (3) - Answers reducing unnecessary admission and readmissions reducing complications mortality rates and monitoring them 1972 - Answers reviewing healthcare delivery inpatient ambulatory setting 1965 - Answers medicare/medicaid medicare/caid (3 parts) - Answers 65 years and older were qualified to receive compulsory hospital insurance (part A) voluntary supplementary medical insurance (part B), Part D - medications established much later in 2006 mandated areas of safety found in joint commission's 2020 safety goals PIMAISS - Answers identify patients correctly improve staff communication and caregivers use medicine safely use alarms safely prevent infection identify patient safety risks prevent mistakes in surgery process measures - Answers Are the parts/steps in the system performing as planned? Are we on track in our efforts to improve the system? For diabetes: Percentage of patients whose hemoglobin A1c level was measured twice in the past year example of - Answers process measures how does system impact the values of patient's health and wellbeing what are impacts on other stakeholders such as payers employees or the community which measure - Answers outcome measures For diabetes: Average hemoglobin A1c level for population of patients with diabetes which measure - Answers outcome measure are the changes designed to improve one part of the system causing new problems - Answers balancing measures For reducing time patients spend on a ventilator after surgery: Make sure reintubation rates are not increasing which measure - Answers balancing measure aim consists of - Answers goal states exactly how good, by when, for whom measures what are they what kind of measures give best feedback - Answers feedback to know if change actually leads to improvement quantitative measures can often provide best feedback changes (3) - Answers how're you going to achieve your aim, where do new ideas come from, spark creative thinking key elements of an effective aim statement (3) - Answers specific population time-specific measurable skills to improve clinical interactions with patients 7 - Answers empathy supportive tone w body language and attention ask what matters to you shared decision making put patients in charge of information