Professional Nursing III - Final Exam Review Questions
With Complete Solutions
(A)ct for PDSA Correct Answers the team decides if the goal
was met, plans further changes, & decides whether the goal is
obtainable based on results of prev. interventions
(D)o for PDSA Correct Answers the plan is implemented on a
small scale to determine if it will be effective
(P)lanning for PDSA Correct Answers individual on the team
defines the goal, collects data, & outlines a strategy to reach the
goal
(S)tudy for PDSA Correct Answers the outcomes of the DO
phase are analyzed & compared to expected outcomes
1st principle in ANA code of ethics Correct Answers the nurse
practices w/ compassion & respect for the inherent dignity,
worth, & unique attributes of every person -- overcoming
implicit biases help achieve this
3 dimensions of high quality care Correct Answers -structure
standards
-process standards
-outcome standards
3 legal duties of EMTALA Correct Answers -appropriate
medical screening exam to determine whether or not an
EMERGENCY MEDICAL CONDITION (EMC) exists
,-if EMC exists, the hospital must stabilize the condition or if
unable to stabilize the pt, must transfer to a facility that is
capable of stabilizing the condition
-hospitals w/ specialized capabilities are required to accept
appropriate transfers of pts who require such services (if has
capacity)
5 pillars of health outcomes for meaningful use Correct
Answers *-improving care coordination
-improving quality, safety, & efficiency & reducing health
disparities
-ensure adequate privacy & security protection for personal
health info
-engaging pts & families in their health
-improving population & public health*
6 aims for improving the healthcare system Correct Answers -
safe
-effective
-equitable
-pt-centered
-timely
-efficient
accepting facility -- can't just call ambulance Correct Answers
According to EMTALA, before transferring pt to other medical
facility to stabilize the condition, you must find an...
accreditation Correct Answers respectability & consumer trust
-- establishes credibility w/ private insurance companies &
,assists organizations w/ meeting qualifications for Medicare &
Medicaid reimbursement
accurate documentation & reporting Correct Answers provide
info to support or refute allegations of malpractice
ACT Correct Answers -a unique Tx model for individuals w/
moderate to severe mental illness that provides patients w/
individualized services w/in the client community
-the majority of mental health services are directly provided
internally by this program in the client's regular env.
ACT Correct Answers aims to meet the same goals as case
management but in a service delivery model that aims to reduce
pt hospitalizations, severity of symptoms while improving
stability and quality of life
ACT Correct Answers allows for less restrictive settings to be
available to care for individuals w/ mental illness
ACT services Correct Answers -medical care
-housing
-social support
-employment
administration of ECT Correct Answers -usually an outpatient
procedure & administered while pt is under anesthesia --
thorough medical exam required prior to clear pt for anesthesia
-muscle relaxants usually given
-pt is ventilated during procedure
-EEG & ECG, O2 sats, & VS monitored during procedure
, -takes 5-10 min.
adult restraints Correct Answers -order needed
-face-to-face evaluation by MD w/in 1 hr, then Q8H
-MD order Q4H
-RN assessment Q1-2H
-1:1 observation for 1st hr
adults 18 or older restraint time Correct Answers 4 hrs
after ECT Correct Answers -mild confusion following
(postictal state) is typical
-VS monitored freq. for several hrs
Agency for Healthcare Research & Quality (AHRQ) Correct
Answers -the lead federal agency charged w/ improving safety
& quality of healthcare for all Americans
-develops the knowledge, tools, & data needed to improve the
healthcare system & help consumers, HCPs, & policymakers
make informed health decisions
AHRQ national quality strategy Correct Answers 3 broad aims:
1. better care
2. healthy ppl/communities
3. affordable care
AHRQ priorities for high-quality care Correct Answers -pt
safety
-person & family-centered care
-care coordination
-effective prevention & Tx
With Complete Solutions
(A)ct for PDSA Correct Answers the team decides if the goal
was met, plans further changes, & decides whether the goal is
obtainable based on results of prev. interventions
(D)o for PDSA Correct Answers the plan is implemented on a
small scale to determine if it will be effective
(P)lanning for PDSA Correct Answers individual on the team
defines the goal, collects data, & outlines a strategy to reach the
goal
(S)tudy for PDSA Correct Answers the outcomes of the DO
phase are analyzed & compared to expected outcomes
1st principle in ANA code of ethics Correct Answers the nurse
practices w/ compassion & respect for the inherent dignity,
worth, & unique attributes of every person -- overcoming
implicit biases help achieve this
3 dimensions of high quality care Correct Answers -structure
standards
-process standards
-outcome standards
3 legal duties of EMTALA Correct Answers -appropriate
medical screening exam to determine whether or not an
EMERGENCY MEDICAL CONDITION (EMC) exists
,-if EMC exists, the hospital must stabilize the condition or if
unable to stabilize the pt, must transfer to a facility that is
capable of stabilizing the condition
-hospitals w/ specialized capabilities are required to accept
appropriate transfers of pts who require such services (if has
capacity)
5 pillars of health outcomes for meaningful use Correct
Answers *-improving care coordination
-improving quality, safety, & efficiency & reducing health
disparities
-ensure adequate privacy & security protection for personal
health info
-engaging pts & families in their health
-improving population & public health*
6 aims for improving the healthcare system Correct Answers -
safe
-effective
-equitable
-pt-centered
-timely
-efficient
accepting facility -- can't just call ambulance Correct Answers
According to EMTALA, before transferring pt to other medical
facility to stabilize the condition, you must find an...
accreditation Correct Answers respectability & consumer trust
-- establishes credibility w/ private insurance companies &
,assists organizations w/ meeting qualifications for Medicare &
Medicaid reimbursement
accurate documentation & reporting Correct Answers provide
info to support or refute allegations of malpractice
ACT Correct Answers -a unique Tx model for individuals w/
moderate to severe mental illness that provides patients w/
individualized services w/in the client community
-the majority of mental health services are directly provided
internally by this program in the client's regular env.
ACT Correct Answers aims to meet the same goals as case
management but in a service delivery model that aims to reduce
pt hospitalizations, severity of symptoms while improving
stability and quality of life
ACT Correct Answers allows for less restrictive settings to be
available to care for individuals w/ mental illness
ACT services Correct Answers -medical care
-housing
-social support
-employment
administration of ECT Correct Answers -usually an outpatient
procedure & administered while pt is under anesthesia --
thorough medical exam required prior to clear pt for anesthesia
-muscle relaxants usually given
-pt is ventilated during procedure
-EEG & ECG, O2 sats, & VS monitored during procedure
, -takes 5-10 min.
adult restraints Correct Answers -order needed
-face-to-face evaluation by MD w/in 1 hr, then Q8H
-MD order Q4H
-RN assessment Q1-2H
-1:1 observation for 1st hr
adults 18 or older restraint time Correct Answers 4 hrs
after ECT Correct Answers -mild confusion following
(postictal state) is typical
-VS monitored freq. for several hrs
Agency for Healthcare Research & Quality (AHRQ) Correct
Answers -the lead federal agency charged w/ improving safety
& quality of healthcare for all Americans
-develops the knowledge, tools, & data needed to improve the
healthcare system & help consumers, HCPs, & policymakers
make informed health decisions
AHRQ national quality strategy Correct Answers 3 broad aims:
1. better care
2. healthy ppl/communities
3. affordable care
AHRQ priorities for high-quality care Correct Answers -pt
safety
-person & family-centered care
-care coordination
-effective prevention & Tx
