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C157 for WGU-Essentials of Advanced
Nursing Practice Exam Study Guide.
Root Cause Analysis - answer✔Examining and learning from a single event, often catastrophic.
Using flowcharts and fishbone diagrams. Flow charts can also help the team design new
processes.
QSEN stands for - answer✔Quality and Safety Education for Nurses
QSEN and Systems thinking objective - answer✔To move away from blaming individuals for
adverse events and work to correct our systems and processes.
QSEN indicates that MSNs should promote systems that - answer✔reduce reliance on memory
to make care safer. Examples: Checklists, worksheets, standard order sets, standardized
timeliness, adding fields for documentation in records. These are reminders or prompts.
Psychological Safety or Culture of Safety - answer✔By reducing the emphasis on blame and
shame, staff feel safe to report errors. Increased incident reports should result in more
opportunities for organization learning.
An increased number of incident reports do not mean increased number of incidences. -
answer✔This may be an indicator of psychological safety.
Advanced Practice Role Key ideas: - answer✔Support engagement of team members:
Participate, Facilitate, Collaborate and Negotiate. Effective communication and leadership.
Conflict resolution, shared decision making with patients. Shared governance with nurses and
other staff. Patient centered care. Culture of safety and to think big.
Culture of safety - answer✔learn about human error and create better systems.
Think BIG - answer✔process from start to finish. Not just your part. Improving care for all, not
just those in your department or hospital.
Essentials of Masters Ed in Nursing - answer✔Key Standard. Used to design MSN curriculum.
Used by university surveyors to determine whether accreditation standards have been met.
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MSN - answer✔Should have a deeper understanding of nursing or an expanded range of nursing
knowledge compared to BSN or associate prepared nurses.
Inter-Professional Collaboration - answer✔Health professionals work together in small groups
providing care. Examples: oncology, OR, end of life or primary care.
Inter-Professional Collaboration team - answer✔Although most patient care is done by the team
of people, training is often focused on individual responsibilities and does not prepare for the
complex settings. Team members are education in their health profession solo and likely have
little knowledge of their team members' skill sets.
Act of collaboration in an inter-professional team might be best exemplified by -
answer✔defining patient goals individually and then coming together as a team to select the
most important ones. Care is too complex today for a single discipline to direct all caregivers
represented on the team.
The advanced nursing role centers on acting with high level of integrity by - answer✔giving
power and respect to each team member's voice. Integrating individual differences. Resolving
competing interests in order to safeguard each person's contribution.
2000 IOM report, To Err is Human - answer✔Suggested that health professionals should be
educated in teams using evidenced-based methods such as simulation and checklists.
Results of educated in teams using evidenced-based methods such as simulation and checklists. -
answer✔People make fewer errors when they work in effective teams. Processes must be
planned and standardized. Team members know their role and that of others. Teams members
can look out for one another, noticing errors before they become an accident.
Effective inter-professional teams - answer✔members come to trust each other's judgments and
attend to one another's safety concerns.
Emotional Intelligence - answer✔the awareness of the role emotion plays in personal
relationships and the purposeful use of emotions to communicate, build rapport and motivate self
and others.
Change Agents - answer✔People with high emotional intelligence are more effective on teams
and can help make change transitions easier.
A nurse who is a member of an QI team notices that another member rarely speaks during
meetings. What is the responsibility of the nurse to this team member? - answer✔Encourage the
team member's participation in meetings.
Patient Centered Care - answer✔Begins by identifying the target of an intervention and then the
level of practice.