NURB 450 Final Exam Questions and
Correct Answers
What is magnet status? ✅positive culture that affects nurse and patient outcomes and
creates an environment that attracts qualified RNs who delivery quality care
What is Lewin's Change Theory? ✅1) unfreezing (assessing/bringing awareness to an
issue)
2) moving (planning/implementing)
3) refreezing (evaluating)
What are the driving forces and restraining forces of change? ✅* Driving forces = the
reason why we need change (ex: better outcomes/safety, etc...)
* Restraining forces = barriers to make change (ex: fear of the unknown, negative
attitudes, etc...)
TRUE OR FALSE: Resistance to change should be expected as integral to the whole
change process. ✅TRUE
- rationale: resistance is a natural phenomenon and may be rooted with fear/anxiety
Roger's 5 Stages of Innovation Theory ✅1) Innovators = like to try new things
2) Early adopters = open to try new things, but are more careful
3) Early majority = they accept change more quickly than most, but have some
hesitation
4) Late majority = change, but only when other people have changed
5) Laggards = critical of new ideas, they like tradition, and only accept when they are
forced to accept
An environment that fosters change is one that has... ✅- empowerment
- shared governance
- self-direction
- shared decision-making
What makes quality healthcare? ✅- having the right mix of staff with safe ratios
- efficiency
- effective outcomes
- equitable (same quality of care that doesn't focus on SDOH, etc...)
- patient-centered care
- timely
- safe
Universal Steps in Quality Planning ✅- identify customers/target markets
- discover hidden and unmet customer needs
, - translate these needs into product or service requirements
- develop a service or product that exceeds customers' needs
- develop the processes that will provide the service, or create the product in the most
efficient way
- transfer these designs to the organization and the operating forces to be carried out
What is Six Sigma? ✅a methodology aimed at reducing the number of defects in a
business process
What is Lean enterprise? ✅improves quality/safety by eliminating waste
What is a high reliability organization? ✅Organization that remains safe despite
significant risk or harm and complex problems.
- ex: aviation and nuclear plants
What is the Planetree model? ✅a nonprofit organization that helps medical centers
establish pleasing and empowering surroundings
(helps with person-centered excellence)
What is the PDSA cycle? ✅* Plan: plan a change and develop a test or observation,
including a data collection plan
* Do: try out the change on a small scale
* Study: review and analyze the data, study the results, and identify the application
* Act: refine the change based on what was learned
Sentinel Events ✅a patient safety event that reaches a patient and results in death,
permanent harm, or results in severe temporary harm and interventions required to
sustain life
What is the goal of staffing? ✅Goal = to provide the right number of nursing staff with
the right qualifications to deliver safe, high-quality care
Framework for staffing management: ✅1) budget-based
2) nurse-patient ratios
3) Patient acuity (how critical are they?)
Staffing Management Plan is used to determine staffing through what? ✅forecasted
workload and recommended care standards
Variable staffing ✅units are staffed below maximum workload conditions and staff is
then supplemented when needed.
Private Duty Nursing ✅also referred to as "case nursing" where the patient is the case
Correct Answers
What is magnet status? ✅positive culture that affects nurse and patient outcomes and
creates an environment that attracts qualified RNs who delivery quality care
What is Lewin's Change Theory? ✅1) unfreezing (assessing/bringing awareness to an
issue)
2) moving (planning/implementing)
3) refreezing (evaluating)
What are the driving forces and restraining forces of change? ✅* Driving forces = the
reason why we need change (ex: better outcomes/safety, etc...)
* Restraining forces = barriers to make change (ex: fear of the unknown, negative
attitudes, etc...)
TRUE OR FALSE: Resistance to change should be expected as integral to the whole
change process. ✅TRUE
- rationale: resistance is a natural phenomenon and may be rooted with fear/anxiety
Roger's 5 Stages of Innovation Theory ✅1) Innovators = like to try new things
2) Early adopters = open to try new things, but are more careful
3) Early majority = they accept change more quickly than most, but have some
hesitation
4) Late majority = change, but only when other people have changed
5) Laggards = critical of new ideas, they like tradition, and only accept when they are
forced to accept
An environment that fosters change is one that has... ✅- empowerment
- shared governance
- self-direction
- shared decision-making
What makes quality healthcare? ✅- having the right mix of staff with safe ratios
- efficiency
- effective outcomes
- equitable (same quality of care that doesn't focus on SDOH, etc...)
- patient-centered care
- timely
- safe
Universal Steps in Quality Planning ✅- identify customers/target markets
- discover hidden and unmet customer needs
, - translate these needs into product or service requirements
- develop a service or product that exceeds customers' needs
- develop the processes that will provide the service, or create the product in the most
efficient way
- transfer these designs to the organization and the operating forces to be carried out
What is Six Sigma? ✅a methodology aimed at reducing the number of defects in a
business process
What is Lean enterprise? ✅improves quality/safety by eliminating waste
What is a high reliability organization? ✅Organization that remains safe despite
significant risk or harm and complex problems.
- ex: aviation and nuclear plants
What is the Planetree model? ✅a nonprofit organization that helps medical centers
establish pleasing and empowering surroundings
(helps with person-centered excellence)
What is the PDSA cycle? ✅* Plan: plan a change and develop a test or observation,
including a data collection plan
* Do: try out the change on a small scale
* Study: review and analyze the data, study the results, and identify the application
* Act: refine the change based on what was learned
Sentinel Events ✅a patient safety event that reaches a patient and results in death,
permanent harm, or results in severe temporary harm and interventions required to
sustain life
What is the goal of staffing? ✅Goal = to provide the right number of nursing staff with
the right qualifications to deliver safe, high-quality care
Framework for staffing management: ✅1) budget-based
2) nurse-patient ratios
3) Patient acuity (how critical are they?)
Staffing Management Plan is used to determine staffing through what? ✅forecasted
workload and recommended care standards
Variable staffing ✅units are staffed below maximum workload conditions and staff is
then supplemented when needed.
Private Duty Nursing ✅also referred to as "case nursing" where the patient is the case
