NUR 213 final study guide questions and answers with
solutions 2025
PROFESSIONAL BEHAVIOR/QI - ANSWER professional identity: the set of beliefs, attitudes, and
understanding about the role as a nurse. Developing a professional identity can be further
guided by formal statements in nursing. These include: Nurse Practice Act & ANA Scope and
Standards of Practice
Professionalism - the attributes and behaviors of a nurse as a representative of the healthcare
profession. Professionalism encompasses multiple elements: ethics, self-awareness, leadership,
respect, trust, autonomy, knowledge, competence, profession hood, accountability, advocacy,
collaborative practice, commitment
Commitment - a state of being obligated or emotionally compelled. Organizational commitment
is the strength of an employee's relationship to, sense of belonging to an organization
Work ethic: - the belief and importance in the moral worth of work.
Components of work ethic include:
-High value on hard work and diligence
- Apply self to work tasks
-Try to get the task/job right the first time
-Demonstrates accountability and responsibility
***Different generations will have different approaches to work ethic***
Types of event - ANSWER Breach in care or breach of duty => related to healthcare, occurs when
one deviates from the standard of care.
"Near miss": are caught BEFORE they reach the patient and cause harm.
Adverse events: undesirable events associated with medical care. Adverse events have the
POTENTIAL to become sentinel events.
Sentinel events: often cause serious physical harm, disability, or death to the client as defined
by The Joint Commission.
=> will be reported to Risk Management
=> require IMMEDIATE investigation and response such as performing a Root Cause Analysis.
,***Remember:When any of the events are identified, you must follow the chain of command
for reporting. A health care provider involved in any of these types of events is at RISK of
litigation from the injured party.**
Ethics - ANSWER Components of work ethic include:
- High value on hard work and diligence
- Apply self to work tasks
-Try to get the task/job right the first time
-Demonstrates accountability and responsibility
***Different generations will have different approaches to work ethic***
Job vs. Profession - ANSWER A job - performing activities in exchange for money or payment.
A profession - an occupation that requires specialized training which may also be regulated by a
governing body requiring one to pass an exam to be a part of that profession.
Profession: Nursing as a profession has the following characteristics:
-Requires education
-Requires a body of knowledge
-Provides a specific service
-Has autonomy
-Incorporates a code of ethics
Root Cause Analysis - ANSWER ***Remember: When any of the events are identified, you must
follow the chain of command for reporting. A health care provider involved in any of these types
of events is at RISK of litigation from the injured party***
RCA is a formal process to:
1) define errors
,2) identify risks
3) develop and test prevention strategies
4) implement and adopt those strategies.
Think of it as a problem solving technique that can be performed to investigate incidents to
identify breakdowns in processes and systems to prevent future occurrences.
RCAs are:
-Extremely detailed
-Provides an assessment of systems and processes
-Often carried out by an interdisciplinary team (facilitated by Risk Management)
-Preferably non-punitive
***Hospitals accredited by The Joint Commission are required to perform RCA on all sentinel
events***
General Steps for completing RCA
Step 1: Identify the event to be investigated and gather preliminary information.
Step 2: Select team facilitator and team members
Step 3: Describe what happened. Collect and organize the facts surrounding the event to
understand what happened.
Step 4: Identify the contributing factors
Step 5: Identify the root causes. A thorough analysis of contributing factors leads to
identification of the underlying process and system issues (root causes) of the event.
Step 6: Design and implement changes to eliminate the root causes. The team determines how
best to change processes and systems to reduce or prevent the likelihood of another similar or
harmful event.
Step 7: Measure the success of change(s). Like all improvement projects, the success of
improvement actions is evaluated. The RCA should reduce the risk of future harmful events by
minimizing or eliminating the root causes.
, Delegation and Prioritization - ANSWER scenario based questions
Scope of practice
UAP
LPN
Health Care systems - ANSWER ABCD
Maslow's Hierarchy of needs
System vs Local
Actual vs Potential
Acute vs Chronic
Maslow's Hierarchy of Needs - ANSWER (level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
Bioterrorism Agents - ANSWER Smallpox (vaccine)
Anthrax (tx with antibiotics)
Plague
Botulinum toxin (antitoxin)
Tularaemia bacteria
Hemorrhagic fever viruses
solutions 2025
PROFESSIONAL BEHAVIOR/QI - ANSWER professional identity: the set of beliefs, attitudes, and
understanding about the role as a nurse. Developing a professional identity can be further
guided by formal statements in nursing. These include: Nurse Practice Act & ANA Scope and
Standards of Practice
Professionalism - the attributes and behaviors of a nurse as a representative of the healthcare
profession. Professionalism encompasses multiple elements: ethics, self-awareness, leadership,
respect, trust, autonomy, knowledge, competence, profession hood, accountability, advocacy,
collaborative practice, commitment
Commitment - a state of being obligated or emotionally compelled. Organizational commitment
is the strength of an employee's relationship to, sense of belonging to an organization
Work ethic: - the belief and importance in the moral worth of work.
Components of work ethic include:
-High value on hard work and diligence
- Apply self to work tasks
-Try to get the task/job right the first time
-Demonstrates accountability and responsibility
***Different generations will have different approaches to work ethic***
Types of event - ANSWER Breach in care or breach of duty => related to healthcare, occurs when
one deviates from the standard of care.
"Near miss": are caught BEFORE they reach the patient and cause harm.
Adverse events: undesirable events associated with medical care. Adverse events have the
POTENTIAL to become sentinel events.
Sentinel events: often cause serious physical harm, disability, or death to the client as defined
by The Joint Commission.
=> will be reported to Risk Management
=> require IMMEDIATE investigation and response such as performing a Root Cause Analysis.
,***Remember:When any of the events are identified, you must follow the chain of command
for reporting. A health care provider involved in any of these types of events is at RISK of
litigation from the injured party.**
Ethics - ANSWER Components of work ethic include:
- High value on hard work and diligence
- Apply self to work tasks
-Try to get the task/job right the first time
-Demonstrates accountability and responsibility
***Different generations will have different approaches to work ethic***
Job vs. Profession - ANSWER A job - performing activities in exchange for money or payment.
A profession - an occupation that requires specialized training which may also be regulated by a
governing body requiring one to pass an exam to be a part of that profession.
Profession: Nursing as a profession has the following characteristics:
-Requires education
-Requires a body of knowledge
-Provides a specific service
-Has autonomy
-Incorporates a code of ethics
Root Cause Analysis - ANSWER ***Remember: When any of the events are identified, you must
follow the chain of command for reporting. A health care provider involved in any of these types
of events is at RISK of litigation from the injured party***
RCA is a formal process to:
1) define errors
,2) identify risks
3) develop and test prevention strategies
4) implement and adopt those strategies.
Think of it as a problem solving technique that can be performed to investigate incidents to
identify breakdowns in processes and systems to prevent future occurrences.
RCAs are:
-Extremely detailed
-Provides an assessment of systems and processes
-Often carried out by an interdisciplinary team (facilitated by Risk Management)
-Preferably non-punitive
***Hospitals accredited by The Joint Commission are required to perform RCA on all sentinel
events***
General Steps for completing RCA
Step 1: Identify the event to be investigated and gather preliminary information.
Step 2: Select team facilitator and team members
Step 3: Describe what happened. Collect and organize the facts surrounding the event to
understand what happened.
Step 4: Identify the contributing factors
Step 5: Identify the root causes. A thorough analysis of contributing factors leads to
identification of the underlying process and system issues (root causes) of the event.
Step 6: Design and implement changes to eliminate the root causes. The team determines how
best to change processes and systems to reduce or prevent the likelihood of another similar or
harmful event.
Step 7: Measure the success of change(s). Like all improvement projects, the success of
improvement actions is evaluated. The RCA should reduce the risk of future harmful events by
minimizing or eliminating the root causes.
, Delegation and Prioritization - ANSWER scenario based questions
Scope of practice
UAP
LPN
Health Care systems - ANSWER ABCD
Maslow's Hierarchy of needs
System vs Local
Actual vs Potential
Acute vs Chronic
Maslow's Hierarchy of Needs - ANSWER (level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
Bioterrorism Agents - ANSWER Smallpox (vaccine)
Anthrax (tx with antibiotics)
Plague
Botulinum toxin (antitoxin)
Tularaemia bacteria
Hemorrhagic fever viruses
