NUR 3112 EXAM 1 QUESTIONS WITH VERIFIED
ACCURATE ANSWERS
Patient Centered Care - Answers - Communication, compassion, culture, patient
education, empowerment, respect
- Patient is the source of control
- Full partner in providing compassionate and coordinated care
- Respect for patient's preferences, values and needs
Quality and Safety Core Competencies - Answers - - Patient-Centered Care
- Teamwork and Collaboration
- Evidence-Based Practice (EBP)
SBAR Communication - Answers - Approach to decreasing communication barriers.
Focuses on a standard way to state the Situation, Background, Assessment, and
Recommendation.
S in SBAR - Answers - SITUATION
Describe what is happening at the time (this is the attention getter, the I need you to
convince you to listen to me)
B in SBAR - Answers - BACKGROUND
Relevant background info that relates to situation (the information behind the situation
(admitted for...)
A in SBAR - Answers - ASSESSMENT
Analysis of problem or patient need based on data. This is what I think it is (for example,
I think that his blood pressure may have dropped because he may still be bleeding..)
R in SBAR - Answers - RECOMMENDATION
State what is needed/desired (for example, I want to go ahead and give the patient a
leader of fluids and I want you to come down and see the patient)
The Joint Commission - Answers - The Joint Commission is an independent not-for-
profit organization that accredits and certifies more than 19,000 health-care
organizations in the U.S.
Accreditation and certification by TJC are recognized as the standard of patient care
effectiveness and safety and foster continuous process improvement. Aspects of
patient-centered care are incorporated into the accreditation, including data related to
patient participation in the plan of care and visitation rights.
,The vision statement focuses on promoting safe, high-quality, and best value health
care across all heath-care settings.
Agency for Healthcare Research & Quality (AHRQ) - Answers - A federal agency
established to improve the quality, safety, efficiency, and effectiveness of health care for
Americans.
- Use hospital administrative data
- Inpatient mortality for specific procedures/conditions
- Utilization of procedures (rates of procedures)
- Volume of procedures
Ex: looks at how frequently there are complications with a certain procedure
Ex: if you treat someone for pneumonia does our hospital treat the person in the range
period successfully
Medicare - Answers - Medicare is the government health insurance program that covers
medical expenses for people aged 65 and over. It provides for care in the hospital,
provider visits, and limited home-care assistance. Many people are not aware that
Medicare does not cover nursing home care and that the coverage for home care does
not extend past a few month. After this period, patients and their families must develop
a plan using a combination of family and privately hired help.
Medicaid - Answers - Medicaid is the government insurance program for those whose
incomes are below a certain level at which they are unable to afford the health care they
need. Medicaid provides for nursing home care or care at an assisted living facility. It
also provides for a nursing attendant in the home for 8 or more hours a day if the patient
has his or her own home and a caregiver who has assumed responsibility for
supervision of his or her affairs.
National Database of Nursing Quality Indicators (NDNQI) - Answers - - Specific to
nursing
- Collects & evaluates unit-specific nurse-sensitive data
- Provides unit-level comparative data
- Examples: Pressure ulcers, number of falls
It compares similar facilities and can be broken down further to look at specific units
Quality & Safety Education for Nurses (QSEN) - Answers - Initiative designed to
prepare nurses with the required knowledge, skills, and attitudes to foster continuous
improvement of quality and safety in healthcare settings.
Based upon the Institute of Medicine's competencies, the QSEN initiative developed
competencies for both pre-licensure and graduate nursing students.
,The Standards of Nursing Practice - Answers - The Standards of Nursing Practice was
published in 2015 by the ANA to guide nursing practice. The scope of nursing practice
describes the who, what, where, when, why and how of nursing practice.
Self-Determination - Answers - Almost all ethical dilemmas in nursing involve the right to
self-determination of the patient and relate to the patient's rights to make his or her own
decision about treatment.
Nursing Practice Act - Answers - The nurse practice act is state laws that make sure
nurses provide professional and competent care and establishes the state board of
nursing (BON)
Nursing Professional Scope of Practice - Answers - In 2015, the Nursing Scope and
Standards of Practice (3rd Ed.) was published to guide nursing practice. The scope of
nursing practice describes the who, what, when, where, why and how of nursing
practice. Nursing today is practiced in many different settings requiring knowledge and
skills in the biological, physical, social and behavioral sciences. Registered nurses are
licensed by the state in which they practice and work collaboratively with other health-
care professionals.
Beneficence - Answers - Ask the questions of who benefits from the action(s) taken by
others.
Autonomy - Answers - Examines the individual's personal right to make decisions
concerning himself or herself and provides acknowledgement and respect for the
individual person's choices.
Justice - Answers - Examines who will be vulnerable in any actions taken. Questions of
equitability are taken into account with the decision making.
Fidelity - Answers - Requires the nurse to be accountable for commitments made to
others and to self. It also includes the responsibilities that the nurse has to the
profession of nursing by virtue of being a member.
Nonmaleficence - Answers - Examines issues related to who may be harmed by actions
and how any harm can be minimized or averted if harm (even minimal) is an expected
or unforeseen outcome.
Veracity - Answers - Is the requirement to tell the truth. It also requires that intentional
misleading or deception of the patient to influence decisions is not done. Veracity or
truth telling and truthful communication are part of making sure harm is averted or
minimized.
Confidentiality - Answers - Requires that information is not shared beyond those who
have a need to know.
, The Nursing Process (Definition) - Answers - A systematic patient-centered, goal-
oriented method of caring that provides a framework for nursing practice.
Components of the Nursing Process - Answers - ADPIE (Assessment, Diagnosis, Plan,
Implementation, Evaluation)
Three Types of Nursing Diagnoses - Answers - Actual (problem-focused,
Risk, and Health promotion
Actual Diagnosis - Answers - A clinical judgement concerning an undesirable human
response to a health condition/life process that exists in an individual, family, group, or
community.
Risk Diagnosis - Answers - A clinical judgement concerning the susceptibility of an
individual, family, group, or community for developing an undesirable human response
to health conditions/life processes.
Health Promotion Diagnosis - Answers - A clinical judgement concerning motivation and
desire to increase well-being and to actualize health potential. These responses are
expressed by a readiness to enhance specific health behaviors, and can be used in any
health state. In cases where individuals are unable to express their own readiness to
enhance health behaviors, the nurse may determine that a condition for health
promotions exists and then act on the client's behalf. Health promotion responses may
exist in an individual, family, group or communit
Components of an Actual Diagnosis - Answers - 3 Parts:
1. Patient's problem
2. "Related to" - related factor, at risk populations, associated conditions
3: "As evidenced by (AEB)" - defining characteristics
Example: Excess Fluid volume related to excess sodium intake AEB edema (2+lower
extremities)
Components of an at Risk Diagnosis - Answers - 2 Parts (because it hasn't manifested)
1. Patient's problem
2. "Related to" - related factor, at-risk populations, associated conditions
Example: Risk for falls related to acute illness
Maslow's Hierarchy of Needs - Answers - Helps the nurse prioritize the patient's
problems in order to decide the appropriate order of treatment.
Components of Maslow's Hierarchy of Needs - Answers - - Physiological (breathing,
food, water, sex, sleep, homeostasis, excretion)
- Safety (security of body, employment, resources, mortality, the family
ACCURATE ANSWERS
Patient Centered Care - Answers - Communication, compassion, culture, patient
education, empowerment, respect
- Patient is the source of control
- Full partner in providing compassionate and coordinated care
- Respect for patient's preferences, values and needs
Quality and Safety Core Competencies - Answers - - Patient-Centered Care
- Teamwork and Collaboration
- Evidence-Based Practice (EBP)
SBAR Communication - Answers - Approach to decreasing communication barriers.
Focuses on a standard way to state the Situation, Background, Assessment, and
Recommendation.
S in SBAR - Answers - SITUATION
Describe what is happening at the time (this is the attention getter, the I need you to
convince you to listen to me)
B in SBAR - Answers - BACKGROUND
Relevant background info that relates to situation (the information behind the situation
(admitted for...)
A in SBAR - Answers - ASSESSMENT
Analysis of problem or patient need based on data. This is what I think it is (for example,
I think that his blood pressure may have dropped because he may still be bleeding..)
R in SBAR - Answers - RECOMMENDATION
State what is needed/desired (for example, I want to go ahead and give the patient a
leader of fluids and I want you to come down and see the patient)
The Joint Commission - Answers - The Joint Commission is an independent not-for-
profit organization that accredits and certifies more than 19,000 health-care
organizations in the U.S.
Accreditation and certification by TJC are recognized as the standard of patient care
effectiveness and safety and foster continuous process improvement. Aspects of
patient-centered care are incorporated into the accreditation, including data related to
patient participation in the plan of care and visitation rights.
,The vision statement focuses on promoting safe, high-quality, and best value health
care across all heath-care settings.
Agency for Healthcare Research & Quality (AHRQ) - Answers - A federal agency
established to improve the quality, safety, efficiency, and effectiveness of health care for
Americans.
- Use hospital administrative data
- Inpatient mortality for specific procedures/conditions
- Utilization of procedures (rates of procedures)
- Volume of procedures
Ex: looks at how frequently there are complications with a certain procedure
Ex: if you treat someone for pneumonia does our hospital treat the person in the range
period successfully
Medicare - Answers - Medicare is the government health insurance program that covers
medical expenses for people aged 65 and over. It provides for care in the hospital,
provider visits, and limited home-care assistance. Many people are not aware that
Medicare does not cover nursing home care and that the coverage for home care does
not extend past a few month. After this period, patients and their families must develop
a plan using a combination of family and privately hired help.
Medicaid - Answers - Medicaid is the government insurance program for those whose
incomes are below a certain level at which they are unable to afford the health care they
need. Medicaid provides for nursing home care or care at an assisted living facility. It
also provides for a nursing attendant in the home for 8 or more hours a day if the patient
has his or her own home and a caregiver who has assumed responsibility for
supervision of his or her affairs.
National Database of Nursing Quality Indicators (NDNQI) - Answers - - Specific to
nursing
- Collects & evaluates unit-specific nurse-sensitive data
- Provides unit-level comparative data
- Examples: Pressure ulcers, number of falls
It compares similar facilities and can be broken down further to look at specific units
Quality & Safety Education for Nurses (QSEN) - Answers - Initiative designed to
prepare nurses with the required knowledge, skills, and attitudes to foster continuous
improvement of quality and safety in healthcare settings.
Based upon the Institute of Medicine's competencies, the QSEN initiative developed
competencies for both pre-licensure and graduate nursing students.
,The Standards of Nursing Practice - Answers - The Standards of Nursing Practice was
published in 2015 by the ANA to guide nursing practice. The scope of nursing practice
describes the who, what, where, when, why and how of nursing practice.
Self-Determination - Answers - Almost all ethical dilemmas in nursing involve the right to
self-determination of the patient and relate to the patient's rights to make his or her own
decision about treatment.
Nursing Practice Act - Answers - The nurse practice act is state laws that make sure
nurses provide professional and competent care and establishes the state board of
nursing (BON)
Nursing Professional Scope of Practice - Answers - In 2015, the Nursing Scope and
Standards of Practice (3rd Ed.) was published to guide nursing practice. The scope of
nursing practice describes the who, what, when, where, why and how of nursing
practice. Nursing today is practiced in many different settings requiring knowledge and
skills in the biological, physical, social and behavioral sciences. Registered nurses are
licensed by the state in which they practice and work collaboratively with other health-
care professionals.
Beneficence - Answers - Ask the questions of who benefits from the action(s) taken by
others.
Autonomy - Answers - Examines the individual's personal right to make decisions
concerning himself or herself and provides acknowledgement and respect for the
individual person's choices.
Justice - Answers - Examines who will be vulnerable in any actions taken. Questions of
equitability are taken into account with the decision making.
Fidelity - Answers - Requires the nurse to be accountable for commitments made to
others and to self. It also includes the responsibilities that the nurse has to the
profession of nursing by virtue of being a member.
Nonmaleficence - Answers - Examines issues related to who may be harmed by actions
and how any harm can be minimized or averted if harm (even minimal) is an expected
or unforeseen outcome.
Veracity - Answers - Is the requirement to tell the truth. It also requires that intentional
misleading or deception of the patient to influence decisions is not done. Veracity or
truth telling and truthful communication are part of making sure harm is averted or
minimized.
Confidentiality - Answers - Requires that information is not shared beyond those who
have a need to know.
, The Nursing Process (Definition) - Answers - A systematic patient-centered, goal-
oriented method of caring that provides a framework for nursing practice.
Components of the Nursing Process - Answers - ADPIE (Assessment, Diagnosis, Plan,
Implementation, Evaluation)
Three Types of Nursing Diagnoses - Answers - Actual (problem-focused,
Risk, and Health promotion
Actual Diagnosis - Answers - A clinical judgement concerning an undesirable human
response to a health condition/life process that exists in an individual, family, group, or
community.
Risk Diagnosis - Answers - A clinical judgement concerning the susceptibility of an
individual, family, group, or community for developing an undesirable human response
to health conditions/life processes.
Health Promotion Diagnosis - Answers - A clinical judgement concerning motivation and
desire to increase well-being and to actualize health potential. These responses are
expressed by a readiness to enhance specific health behaviors, and can be used in any
health state. In cases where individuals are unable to express their own readiness to
enhance health behaviors, the nurse may determine that a condition for health
promotions exists and then act on the client's behalf. Health promotion responses may
exist in an individual, family, group or communit
Components of an Actual Diagnosis - Answers - 3 Parts:
1. Patient's problem
2. "Related to" - related factor, at risk populations, associated conditions
3: "As evidenced by (AEB)" - defining characteristics
Example: Excess Fluid volume related to excess sodium intake AEB edema (2+lower
extremities)
Components of an at Risk Diagnosis - Answers - 2 Parts (because it hasn't manifested)
1. Patient's problem
2. "Related to" - related factor, at-risk populations, associated conditions
Example: Risk for falls related to acute illness
Maslow's Hierarchy of Needs - Answers - Helps the nurse prioritize the patient's
problems in order to decide the appropriate order of treatment.
Components of Maslow's Hierarchy of Needs - Answers - - Physiological (breathing,
food, water, sex, sleep, homeostasis, excretion)
- Safety (security of body, employment, resources, mortality, the family
