BSN425 exam 3 QUESTIONS WELL
ANSWERED ALREADY PASSED
Affordable Care Act (ACA) - correct answer ✔✔signed March 23, 2010
Promise of providing adequate and affordable care to Americans on the horizon.
Tighter budgets and staffing
Affects nurses: understaffed, use ED as clinic and less payment
Good b/c: many more openings outside of hospital, opening up jobs other than acute care, more NP
Throughput - correct answer ✔✔A performance measure related to moving patients into and out of
health care systems.
Steps (3): input (all of your employees), Throughput (patient stay), and output (how well they do outside
of the hospital)
EX: if emergency departments are on divergence, the number or readmissions and how long they wait in
ED
Benchmarking - correct answer ✔✔Compares an organizations data with similar organizations
comparing their performance.
Identifies weakness
Leapfrog groups compare hospitals
EX: wait time in ED at one hospital vs. others
TCAB quality management (transforming care at the bedside) - correct answer ✔✔Beside nurse more
involved in research.
Four main points: safe and reliable care, vitality and team work, patient center care, value added care
process
What's been created: rapid response, communication model, nutritional plans
,SIMPLY: take nurses at the bedsides opinions/research and make care better
budgets - correct answer ✔✔all hospitals have cost center number, where you get paid from.
overtime is 1.5 over your hourly wage, for overtime you have to work 4 additional hours on top of your
3, twelve hour shift. Nurses impact budget: clocking in and out on time, taking breaks, wasteful w/
supplies
shared governance - correct answer ✔✔movement as an attempt to empower nurses (really draws in a
nurse)
creates an environment where nurses have ownership of his/her ownership
hallmark: participative decision making and is a standard for magnet certification
EX: the manager in a shared governance organization takes the role of a facilitator RATHER than a
supervisor/boss
transactional therory - correct answer ✔✔theory;
maintaining the equilibrium, expecting something back.
Ex: the charge nurse asking nurse to pick up shift
transformation theory - correct answer ✔✔chief nursing officer goes beyond transactional, pushing
people to do better. Pushing your followers.
** this decreases burnout and makes a happier work environment
SIMPLY: transactional is the now, transformation is in the future
ex: transactional: day to day, Transformation: shared vision for future
McGregor's Theory X - correct answer ✔✔motivational theory; the idea that what the manager believes
about his/her employees affects employees motivation and work performance
Lazy w/ constant supervision and direction: Manger will treat them as lazy and will provide constant
super vision and direction. These people are NOT motivated and fearful of manager
,McGregor's Theory Y - correct answer ✔✔motivational theory; the idea that what the manager believes
about his/her employees affects employees motivation and work performance
manager believes employee enjoys their work and willing to work hard, employee will be motivated to
do a great job
situational theory - correct answer ✔✔expansion of fielders theory
Leadership is dependent on the leader and their relationship with their followers, the task and the
leader's interpersonal skills, and if there is favorable work situation.
Want employee motivated and willing to do the task
Incident reports - correct answer ✔✔You must report incidents, peer review is valuable tool for incidents
SHOULD NOT punish employees, these reports provide evidence that systems need to be revised
Traditional (oldest) - correct answer ✔✔Generations of nurses in workplace:
values loyalty and respect
Formal and always follow the chain of
command without question
baby boomers - correct answer ✔✔Generations of nurses in workplace:
value professionalism and personal growth
expect their work is making a difference
Enjoy group problem solving and decision making
, generation X - correct answer ✔✔strive to balance work with family life
believe that they are not rewarded for all of their responsibilities
"get to the point" kind of people
generation Y (millennials) - correct answer ✔✔"savvy" (ability to make good judgements)
expect immediate access to information electronically
primary care - correct answer ✔✔type of healthcare organization
patient's first encounter with healthcare system
Ex: physician's office, ED, public health clinical, or retail medicine
retail medicine - correct answer ✔✔walk in clinical that provides convenient services for low acuity
illnesses without scheduled appts.
acute care hospitals - correct answer ✔✔type of healthcare organization:
hospitals are usually classified by length of stay and type of service
ex: teaching hospital
teaching hospital - correct answer ✔✔hospital associated with a medical school that maintains house
staff of residents on call 24 hours a day
home health care - correct answer ✔✔type of healthcare organization:
intermittent, temporary delivery of healthcare in the home by skilled or unskilled providers and they also
provide hospice care
ANSWERED ALREADY PASSED
Affordable Care Act (ACA) - correct answer ✔✔signed March 23, 2010
Promise of providing adequate and affordable care to Americans on the horizon.
Tighter budgets and staffing
Affects nurses: understaffed, use ED as clinic and less payment
Good b/c: many more openings outside of hospital, opening up jobs other than acute care, more NP
Throughput - correct answer ✔✔A performance measure related to moving patients into and out of
health care systems.
Steps (3): input (all of your employees), Throughput (patient stay), and output (how well they do outside
of the hospital)
EX: if emergency departments are on divergence, the number or readmissions and how long they wait in
ED
Benchmarking - correct answer ✔✔Compares an organizations data with similar organizations
comparing their performance.
Identifies weakness
Leapfrog groups compare hospitals
EX: wait time in ED at one hospital vs. others
TCAB quality management (transforming care at the bedside) - correct answer ✔✔Beside nurse more
involved in research.
Four main points: safe and reliable care, vitality and team work, patient center care, value added care
process
What's been created: rapid response, communication model, nutritional plans
,SIMPLY: take nurses at the bedsides opinions/research and make care better
budgets - correct answer ✔✔all hospitals have cost center number, where you get paid from.
overtime is 1.5 over your hourly wage, for overtime you have to work 4 additional hours on top of your
3, twelve hour shift. Nurses impact budget: clocking in and out on time, taking breaks, wasteful w/
supplies
shared governance - correct answer ✔✔movement as an attempt to empower nurses (really draws in a
nurse)
creates an environment where nurses have ownership of his/her ownership
hallmark: participative decision making and is a standard for magnet certification
EX: the manager in a shared governance organization takes the role of a facilitator RATHER than a
supervisor/boss
transactional therory - correct answer ✔✔theory;
maintaining the equilibrium, expecting something back.
Ex: the charge nurse asking nurse to pick up shift
transformation theory - correct answer ✔✔chief nursing officer goes beyond transactional, pushing
people to do better. Pushing your followers.
** this decreases burnout and makes a happier work environment
SIMPLY: transactional is the now, transformation is in the future
ex: transactional: day to day, Transformation: shared vision for future
McGregor's Theory X - correct answer ✔✔motivational theory; the idea that what the manager believes
about his/her employees affects employees motivation and work performance
Lazy w/ constant supervision and direction: Manger will treat them as lazy and will provide constant
super vision and direction. These people are NOT motivated and fearful of manager
,McGregor's Theory Y - correct answer ✔✔motivational theory; the idea that what the manager believes
about his/her employees affects employees motivation and work performance
manager believes employee enjoys their work and willing to work hard, employee will be motivated to
do a great job
situational theory - correct answer ✔✔expansion of fielders theory
Leadership is dependent on the leader and their relationship with their followers, the task and the
leader's interpersonal skills, and if there is favorable work situation.
Want employee motivated and willing to do the task
Incident reports - correct answer ✔✔You must report incidents, peer review is valuable tool for incidents
SHOULD NOT punish employees, these reports provide evidence that systems need to be revised
Traditional (oldest) - correct answer ✔✔Generations of nurses in workplace:
values loyalty and respect
Formal and always follow the chain of
command without question
baby boomers - correct answer ✔✔Generations of nurses in workplace:
value professionalism and personal growth
expect their work is making a difference
Enjoy group problem solving and decision making
, generation X - correct answer ✔✔strive to balance work with family life
believe that they are not rewarded for all of their responsibilities
"get to the point" kind of people
generation Y (millennials) - correct answer ✔✔"savvy" (ability to make good judgements)
expect immediate access to information electronically
primary care - correct answer ✔✔type of healthcare organization
patient's first encounter with healthcare system
Ex: physician's office, ED, public health clinical, or retail medicine
retail medicine - correct answer ✔✔walk in clinical that provides convenient services for low acuity
illnesses without scheduled appts.
acute care hospitals - correct answer ✔✔type of healthcare organization:
hospitals are usually classified by length of stay and type of service
ex: teaching hospital
teaching hospital - correct answer ✔✔hospital associated with a medical school that maintains house
staff of residents on call 24 hours a day
home health care - correct answer ✔✔type of healthcare organization:
intermittent, temporary delivery of healthcare in the home by skilled or unskilled providers and they also
provide hospice care
