NUR 4590 Final Exam Questions and verified
Answers
Q:
*The development of new practices in response to new evidence is called:* a.
altered direction.
Clinical judgment b. organizational flux.
Clinical decision-making c. planned change.
d. status revision.
Rapid Cycle Change: is used in health care to improve patient safety and quality. Rapid Cycle Changes or
those that are emergent are put into place to improve patient care, with the emphasis on patient safety
and quality goals. Staff should not be educated that the changes are made based upon regulatory
requirements or the avoidance of litigation. Misconceptions or inaccurate information can create
resistance to change.
Q:
*A medical-surgical unit utilizes a group of nurses and patient care assistants to determine ways to
reduce the number of falls in the unit. They conduct Internet research to locate best practice
interventions. They create fall risk alerts in the unit, and they implement hourly rounding to assess the
need for toileting. After putting these small changes into place, they will evaluate the data to
determine effectiveness. This project is an example of:* a. Rapid response teams.
b. Failure Modes and Effects Analysis.
c. Root Cause Analysis.
d. Rapid Cycle Change.
Change Agent:The change agent is a person or thing that produces a particular effect or change. The
change agent can be a person who functions as a change facilitator.
*The chief nursing officer (CNO) of a hospital system works with senior leadership for approval to initiate
an electronic health system. He recruits a nursing informaticist and a chief medical informatics officer to
begin the process of planning the education and rollout of the new electronic system. The CNO could be
viewed as the:* a. resister.
b. innovator.
c. change agent.
d. strategist.
Shared Governance: an organizational structure that promotes empowerment and autonomous decision
making at the point of care, accountability that is shared among all parties in a decision, and
organizational processes that promote an egalitarian environment in decision-making processes.
,Q*A client becomes confused after surgery. He is in a room farthest away from the nurses' station. The
client tries to get out of bed several times during the shift. The nurse informs the physician and obtains
an order for soft restraints. In addition, she moves the client close to the station and assigns a sitter to
watch him. Which of the following did the nurse utilize? (Select all that apply.)* a.
b.
c. Autocratic decision
d. Financial decision
e. Unjustified restraint use
Planned Change: a decision to make a deliberate effort to improve a system.
:
*A long-term care facility has been busy for several months with patients who have a very high acuity.
Nurses have been working double shifts. The nurses have been given the task of determining whether
they would like to implement an on-call program and determine guidelines for implementation, if most
nurses believe that it is the best solution. This example depicts which type of decision-making tool?* a.
Pilot project
b. Simulation
c. Shared governance
d. Data analytics
Six Sigma: a quality and decision support technique that uses data to build process improvement models.
The goal is to eliminate defects in safety and quality in health care delivery. Essentially Six Sigma is a
variant of the plan-do-study-act (PDSA) cycle promoted by the Institute for Healthcare Improvement.
Q:
*Effective managers utilize a wide array of data in making decision. Which of these techniques is used
to build process improvement models?* a. Incrementalism
b. Scenario planning
c. Six Sigma
d. Budgetary model
Social awareness: an intuitive skill of empathy and expressiveness in being sensitive and aware of the
emotions and moods of others.
Q:
*Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness when
dealing with others in the workplace. This requires sensitivity and awareness of the emotions and moods
of others and is known as:*
a. social awareness.
b. self-awareness.
c. self-management.
d. relationship management.
, Laggards: group of people who will take the longest to adapt to a change.
Q:
*Individual members of a group will adapt to change at different rates. Which of the following groups
would take the longest to accept change?* a. Early adopters
b. Late majority
c. Innovators
d. Laggards
Innovation: is the use of a new idea or method.
Q:
*The use of a new idea or method is the definition of:* a.
change.
b. innovation.
c. resistance.
d. stereotyping
Variable staffing: units are staffed below maximum workload conditions and staff is then supplemented
when needed.
Q:
*The staffing method used when units are staffed below maximum workload conditions and staff is then
supplemented when needed is called:* a. Fixed staffing.
b. Variable staffing.
c. Strategic staffing.
d. Staffing by acuity
Team STEPPS: was initially developed to address communication issues between nurses and providers
during critical patient events.
Q:
*A communication system developed originally to address communication patterns in critical situations
is:*
a. VERA framework.
b. NVC model.
c. Crucial conversations.
d. TeamSTEPPS.
VERA Framework: for communication was developed to meet a need for nursing students who were at a
loss to communicate with persons with communication difficulties.
Answers
Q:
*The development of new practices in response to new evidence is called:* a.
altered direction.
Clinical judgment b. organizational flux.
Clinical decision-making c. planned change.
d. status revision.
Rapid Cycle Change: is used in health care to improve patient safety and quality. Rapid Cycle Changes or
those that are emergent are put into place to improve patient care, with the emphasis on patient safety
and quality goals. Staff should not be educated that the changes are made based upon regulatory
requirements or the avoidance of litigation. Misconceptions or inaccurate information can create
resistance to change.
Q:
*A medical-surgical unit utilizes a group of nurses and patient care assistants to determine ways to
reduce the number of falls in the unit. They conduct Internet research to locate best practice
interventions. They create fall risk alerts in the unit, and they implement hourly rounding to assess the
need for toileting. After putting these small changes into place, they will evaluate the data to
determine effectiveness. This project is an example of:* a. Rapid response teams.
b. Failure Modes and Effects Analysis.
c. Root Cause Analysis.
d. Rapid Cycle Change.
Change Agent:The change agent is a person or thing that produces a particular effect or change. The
change agent can be a person who functions as a change facilitator.
*The chief nursing officer (CNO) of a hospital system works with senior leadership for approval to initiate
an electronic health system. He recruits a nursing informaticist and a chief medical informatics officer to
begin the process of planning the education and rollout of the new electronic system. The CNO could be
viewed as the:* a. resister.
b. innovator.
c. change agent.
d. strategist.
Shared Governance: an organizational structure that promotes empowerment and autonomous decision
making at the point of care, accountability that is shared among all parties in a decision, and
organizational processes that promote an egalitarian environment in decision-making processes.
,Q*A client becomes confused after surgery. He is in a room farthest away from the nurses' station. The
client tries to get out of bed several times during the shift. The nurse informs the physician and obtains
an order for soft restraints. In addition, she moves the client close to the station and assigns a sitter to
watch him. Which of the following did the nurse utilize? (Select all that apply.)* a.
b.
c. Autocratic decision
d. Financial decision
e. Unjustified restraint use
Planned Change: a decision to make a deliberate effort to improve a system.
:
*A long-term care facility has been busy for several months with patients who have a very high acuity.
Nurses have been working double shifts. The nurses have been given the task of determining whether
they would like to implement an on-call program and determine guidelines for implementation, if most
nurses believe that it is the best solution. This example depicts which type of decision-making tool?* a.
Pilot project
b. Simulation
c. Shared governance
d. Data analytics
Six Sigma: a quality and decision support technique that uses data to build process improvement models.
The goal is to eliminate defects in safety and quality in health care delivery. Essentially Six Sigma is a
variant of the plan-do-study-act (PDSA) cycle promoted by the Institute for Healthcare Improvement.
Q:
*Effective managers utilize a wide array of data in making decision. Which of these techniques is used
to build process improvement models?* a. Incrementalism
b. Scenario planning
c. Six Sigma
d. Budgetary model
Social awareness: an intuitive skill of empathy and expressiveness in being sensitive and aware of the
emotions and moods of others.
Q:
*Good leaders need to be able to demonstrate an intuitive skill of empathy and expressiveness when
dealing with others in the workplace. This requires sensitivity and awareness of the emotions and moods
of others and is known as:*
a. social awareness.
b. self-awareness.
c. self-management.
d. relationship management.
, Laggards: group of people who will take the longest to adapt to a change.
Q:
*Individual members of a group will adapt to change at different rates. Which of the following groups
would take the longest to accept change?* a. Early adopters
b. Late majority
c. Innovators
d. Laggards
Innovation: is the use of a new idea or method.
Q:
*The use of a new idea or method is the definition of:* a.
change.
b. innovation.
c. resistance.
d. stereotyping
Variable staffing: units are staffed below maximum workload conditions and staff is then supplemented
when needed.
Q:
*The staffing method used when units are staffed below maximum workload conditions and staff is then
supplemented when needed is called:* a. Fixed staffing.
b. Variable staffing.
c. Strategic staffing.
d. Staffing by acuity
Team STEPPS: was initially developed to address communication issues between nurses and providers
during critical patient events.
Q:
*A communication system developed originally to address communication patterns in critical situations
is:*
a. VERA framework.
b. NVC model.
c. Crucial conversations.
d. TeamSTEPPS.
VERA Framework: for communication was developed to meet a need for nursing students who were at a
loss to communicate with persons with communication difficulties.
