TEST BANK For Yoder-Wise’s Leading And Managing In
Canadian Nursing, 2nd Edition, Patricia S. Yoder-Wise, Verified
Chapters 1 - 32, Complete Newest Version
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross
Hospital reduces the number of its nursing managers. Within a year, the number of
adverse events on the units has doubled. This may be attributable to
a.
the overload of work for staff nurses.
b.
inability of staff at the bedside to make good choices.
c.
a change in reporting systems.
d.
fewer clinical leaders and advocates for necessary resources. - ANSWER:fewer
clinical leaders and advocates for necessary resources.
Traditional approaches to ensuring patient safety have focused on
a.
assigning blame.
b.
finding solutions to systems issues.
c.
instituting best practices in response to errors.
d.
hiding errors from potential litigation. - ANSWER:Assigning blame
What is the primary purpose of nursing standards?
a. To inform performance appraisals at the unit level
b. To identify the desired level of performance
c. To inform the courts in relation to negligence and malpractice cases
d. To educate other health care professionals about the role of the nurse -
ANSWER:To identify the desired level of performance
During review of back injuries, it is determined that mechanical lifts and transfer
belts are not being properly used. In addressing this concern, the unit manager
a.
meets individually with nurses who are observed to be using the lifts incorrectly to
review the correct procedure.
b.
consults with the staff about the review to determine how best to proceed.
c.
blames the system for inadequate funding for resources.
d.
,reviews the system of reporting adverse events to ensure that appropriate reporting
is occurring. - ANSWER:consults with the staff about the review to determine how
best to proceed.
The nursing manager changed the current model of implementing nursing rounds of
patients each day at 1200 hours to implementing interdisciplinary rounds of patients
at 1000 hours. This change reflects
a.
a patient-centred care initiative.
b.
delegation of responsibility from nursing to other health care professionals.
c.
lack of consultation among the nursing staff.
d.
an inappropriate time to complete patient rounds and will probably not work. -
ANSWER:a patient-centred care initiative.
Which of the following represents an activity that supports patient-centred care?
a.
Posting of visiting hours on the entrance way to each hospital unit
b.
Regular staff surveys to monitor organizational satisfaction
c.
Reserved parking spots at the main hospital entrance for physicians
d.
Creating e-health stations on each inpatient unit - ANSWER:Creating e-health
stations on each inpatient unit
After consulting with practice environments about quality and safety concerns in
health care, the Dean of Health Programs at a Canadian university develops
a.
a nursing program that emphasizes the development of a strong disciplinary identity.
b.
programming that stresses discipline-based research.
c.
partnerships with health care professionals to develop software for reporting of
adverse events.
d.
an interdisciplinary program for nurses, pharmacists, and medical practitioners that
emphasizes collaborative learning teams. - ANSWER:an interdisciplinary program for
nurses, pharmacists, and medical practitioners that emphasizes collaborative
learning teams.
In designing a high-quality, safe health care environment, the primary emphasis
needs to be on
a.
evidence-informed practice.
,b.
informatics.
c.
staffing.
d.
the patient. - ANSWER:the patient.
As a patient care advocate, you regularly coach patients in how to stay safe in health
care by educating them about
a.
the need to understand and record all medications being taken.
b.
bringing their own linens and other personal items to the hospital.
c.
washing hands frequently while in a health care environment and using a hand
sanitizer.
d.
following closely the directions and orders of health care providers. - ANSWER:a.
the need to understand and record all medications being taken.
What is the focus in a culture of safety?
a.
Employee safety
b.
Investigating who is making health care errors
c.
Effective systems and team work
d.
Professional nursing standards and ethical codes - ANSWER:c.
Effective systems and team work
Which attribute is a common feature of a culture of safety?
a.
Voluntary reporting of incidents
b.
Organization behaviour
c.
Individual-focused policies
d.
A nonpunitive approach to adverse event reporting and analysis - ANSWER:d.
A nonpunitive approach to adverse event reporting and analysis
Which of the following depicts a nursing-sensitive outcome?
a.
Programming that increases individual nurse competency to offer smoking cessation
programs
b.
, Implementation of informatics at the patient's bedside
c.
Staff-manager conferences to reviewed reporting of adverse events
d.
Patient council meetings to review food, recreation, and nurse-patient relations -
ANSWER:a.
Programming that increases individual nurse competency to offer smoking cessation
programs
Having team "huddles" each day on the nursing unit is a reflection of
a.
nurses' need to socialize.
b.
creating a culture of safety.
c.
ensuring distribution of equal workloads.
d.
the manager`s need to talk with staff nurses on a daily basis. - ANSWER:b.
creating a culture of safety.
Approximately what percentage of Canadian hospital admissions can be expected to
include an adverse event?
a.
5
b.
7.5
c.
10
d.
12.5 - ANSWER:b.
7.5
Having access to information, evidence, and research is an important driver for
quality and
a.
nurse safety.
b.
patient safety.
c.
organizational policy development.
d.
patient-centred care. - ANSWER:b.
patient safety.
Which of the following represents a potential use of nurse-sensitive outcomes?
a.
Informing best practices
Canadian Nursing, 2nd Edition, Patricia S. Yoder-Wise, Verified
Chapters 1 - 32, Complete Newest Version
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross
Hospital reduces the number of its nursing managers. Within a year, the number of
adverse events on the units has doubled. This may be attributable to
a.
the overload of work for staff nurses.
b.
inability of staff at the bedside to make good choices.
c.
a change in reporting systems.
d.
fewer clinical leaders and advocates for necessary resources. - ANSWER:fewer
clinical leaders and advocates for necessary resources.
Traditional approaches to ensuring patient safety have focused on
a.
assigning blame.
b.
finding solutions to systems issues.
c.
instituting best practices in response to errors.
d.
hiding errors from potential litigation. - ANSWER:Assigning blame
What is the primary purpose of nursing standards?
a. To inform performance appraisals at the unit level
b. To identify the desired level of performance
c. To inform the courts in relation to negligence and malpractice cases
d. To educate other health care professionals about the role of the nurse -
ANSWER:To identify the desired level of performance
During review of back injuries, it is determined that mechanical lifts and transfer
belts are not being properly used. In addressing this concern, the unit manager
a.
meets individually with nurses who are observed to be using the lifts incorrectly to
review the correct procedure.
b.
consults with the staff about the review to determine how best to proceed.
c.
blames the system for inadequate funding for resources.
d.
,reviews the system of reporting adverse events to ensure that appropriate reporting
is occurring. - ANSWER:consults with the staff about the review to determine how
best to proceed.
The nursing manager changed the current model of implementing nursing rounds of
patients each day at 1200 hours to implementing interdisciplinary rounds of patients
at 1000 hours. This change reflects
a.
a patient-centred care initiative.
b.
delegation of responsibility from nursing to other health care professionals.
c.
lack of consultation among the nursing staff.
d.
an inappropriate time to complete patient rounds and will probably not work. -
ANSWER:a patient-centred care initiative.
Which of the following represents an activity that supports patient-centred care?
a.
Posting of visiting hours on the entrance way to each hospital unit
b.
Regular staff surveys to monitor organizational satisfaction
c.
Reserved parking spots at the main hospital entrance for physicians
d.
Creating e-health stations on each inpatient unit - ANSWER:Creating e-health
stations on each inpatient unit
After consulting with practice environments about quality and safety concerns in
health care, the Dean of Health Programs at a Canadian university develops
a.
a nursing program that emphasizes the development of a strong disciplinary identity.
b.
programming that stresses discipline-based research.
c.
partnerships with health care professionals to develop software for reporting of
adverse events.
d.
an interdisciplinary program for nurses, pharmacists, and medical practitioners that
emphasizes collaborative learning teams. - ANSWER:an interdisciplinary program for
nurses, pharmacists, and medical practitioners that emphasizes collaborative
learning teams.
In designing a high-quality, safe health care environment, the primary emphasis
needs to be on
a.
evidence-informed practice.
,b.
informatics.
c.
staffing.
d.
the patient. - ANSWER:the patient.
As a patient care advocate, you regularly coach patients in how to stay safe in health
care by educating them about
a.
the need to understand and record all medications being taken.
b.
bringing their own linens and other personal items to the hospital.
c.
washing hands frequently while in a health care environment and using a hand
sanitizer.
d.
following closely the directions and orders of health care providers. - ANSWER:a.
the need to understand and record all medications being taken.
What is the focus in a culture of safety?
a.
Employee safety
b.
Investigating who is making health care errors
c.
Effective systems and team work
d.
Professional nursing standards and ethical codes - ANSWER:c.
Effective systems and team work
Which attribute is a common feature of a culture of safety?
a.
Voluntary reporting of incidents
b.
Organization behaviour
c.
Individual-focused policies
d.
A nonpunitive approach to adverse event reporting and analysis - ANSWER:d.
A nonpunitive approach to adverse event reporting and analysis
Which of the following depicts a nursing-sensitive outcome?
a.
Programming that increases individual nurse competency to offer smoking cessation
programs
b.
, Implementation of informatics at the patient's bedside
c.
Staff-manager conferences to reviewed reporting of adverse events
d.
Patient council meetings to review food, recreation, and nurse-patient relations -
ANSWER:a.
Programming that increases individual nurse competency to offer smoking cessation
programs
Having team "huddles" each day on the nursing unit is a reflection of
a.
nurses' need to socialize.
b.
creating a culture of safety.
c.
ensuring distribution of equal workloads.
d.
the manager`s need to talk with staff nurses on a daily basis. - ANSWER:b.
creating a culture of safety.
Approximately what percentage of Canadian hospital admissions can be expected to
include an adverse event?
a.
5
b.
7.5
c.
10
d.
12.5 - ANSWER:b.
7.5
Having access to information, evidence, and research is an important driver for
quality and
a.
nurse safety.
b.
patient safety.
c.
organizational policy development.
d.
patient-centred care. - ANSWER:b.
patient safety.
Which of the following represents a potential use of nurse-sensitive outcomes?
a.
Informing best practices
