NUR 2058 Dimensions of Nursing Final Exam NCLEX EXAM / NUR2058 Dimensions of Nursing Final Exam: Rasmussen College

NUR 2058 Dimensions of Nursing Final Exam NCLEX EXAM / NUR2058 Dimensions of Nursing Final Exam: Rasmussen College NCLEX: In 2000, the Institute of Medicine’s report To Err Is Human recommended system changes to reduce the high number of people who died each year due to adverse events and medical errors in hospitals. What has been the overall effect of these changes on client mortality? The number of deaths due to adverse events and medical errors has risen. NCLEX: In 2001, the Institute of Medicine (IOM) identified six aims for improving health care in the United States. Which of the following are NOT characteristics the IOM identified? Select all that apply. Affordable Local NCLEX: Which of the following is the best definition of quality as it relates to health care? The degree to which health services increase the likelihood of desired outcomes and reflect current professional knowledge NCLEX: The clinical instructor asks Darla to explain to a postoperative client the importance of using an incentive spirometer to inhale deeply. What Quality and Safety Education for Nurses (QSEN) competency is the instructor assessing? Evidence-based practice NCLEX: Which of the following statements about how education relates to quality and safety in nursing care is true? Select all that apply. 1. Education in quality and safety begins in nursing school. 2. Continuing education allows nurses to update their knowledge and skills to improve quality and safety. 3. Increasing nursing education levels has been shown to improve client outcomes and quality. NCLEX: Richard, an RN, is preparing to receive Mr. Rocha, an elderly client who had a stroke two days ago, from the ICU. From report, Richard learns that Mr. Rocha is awake and oriented, is NPO because of swallowing problems, and is experiencing weakness on his right side. According to The Joint Commission’s National Patient Safety Goals, which of the following is the most important thing Richard should do to prepare for Mr. Rocha’s arrival? Be sure there are signs in the room indicating that Mr. Rocha is NPO and a fall risk. NCLEX: One system of quality improvement that has been tried in health care is ___________, which was originally developed to improve quality in manufacturing but has since been used to identify problems and find effective solutions in health care. Six Sigma Rationale: Six Sigma has been used successfully in hospitals to increase nurse satisfaction and retention by eliminating tedious factors in day-to-day operations, to reduce clients’ length of stay, and to speed up the process for transferring clients from outpatient areas to inpatient rooms. However, in a systematic literature review of 47 articles that met inclusion criteria, studies provided limited data and lacked followup. NCLEX: Root-cause analysis, an essential part of risk management, is conducted after an adverse event. What are the components of root-case analysis? Select all that apply. 2. Tracking the events that led to the error 3. Identifying any faulty systems or processes 4. Developing a plan to prevent further errors NCLEX: Which of the following best describes Leapfrog Group’s approach to improving the quality and safety of health care and making it more affordable? Financially rewarding hospitals that implement significant improvements in quality and safety and offering incentives for consumers who choose high-performing hospitals NCLEX: Yolanda, an RN, says that asking clients for two identifiers—name and birthdate—every time she gives them medication is a waste of time. Isn’t one identifier enough? What response by the charge nurse is most appropriate? It does take a little extra time, but the safety of our clients is worth it. Know the behavior of the persecutor. The goal of their behavior is usually to coerce or intimidate another person into doing something they do not want to do. However, sometimes the goal is to merely humiliate a person or group due to some perceived difference or weakness because it makes them feel better about themselves NCLEX: Mr. Withers, a 70-year-old client with diabetes, lived independently in his own home until he was hospitalized this week for gangrene in his foot. Since his below-the-knee amputation, he has been abusive with hospital staff, calling the nurses names and refusing to shave or wash himself or allow anyone to help him. Which response by the nurse appropriately addresses the emotions Mr. Withers is communicating? “It’s frightening to lose a foot. We are all working hard to help you recover and be independent again.” NCLEX: How does Maslow’s hierarchy of needs help to explain the difficult behavior of a client recently diagnosed with stage 4 cancer? Stage 4 cancer threatens the client’s physiological and safety needs