NUR 228 Exam 2 Podcast + Interactive
Module Q's
The Institute of Medicine (IOM) report To Err Is Human: Building a Safer Health System (2000) states
that medical errors were the leading cause of unexpected deaths in the United States in health care
settings. A majority of the errors were caused by: - answerineffective communication.
Which of the following is a recommendation by the Institute of Medicine (IOM) to provide the safest and
best quality care possible? - answerSafety in Care Plan
Barriers to providing safe, efficient, high-quality health care include which of the following? -
answerWork environment, Complex work processes, Environmental barriers
Which of the following United Nations "sustainable development goals" is a focus of the World Health
Organization? - answerZero hunger
Key recommendations for the education of health care workers to prevent errors, as stated in the IOM
report Health Professions Education: A Bridge to Quality (2003), include which of the following? -
answerPatient-centered care, Quality improvement, Informatics
Which is true of the United Nations "sustainable development goals"? - answerThere are 17 total goals.,
Gender equality is a goal.
A nurse cares for obstetrical patients in a rural hospital in a small town, with the closest tertiary hospital
over four hours away. The hospital has been experiencing financial difficulties over the past year, and
the nurse is concerned because over the last year, the fetal monitor stopped working and was never
repaired. The nurse has been instructed to use a Doppler, hand-held ultrasound to assess fetal heart
tones during labor. In addition, the hospital no longer staffs an anesthesiologist after 7 p.m. The nurse is
concerned that it is not safe to provide obstetrical care to laboring women due to the limited resources
and inability to uphold national standards of care. This challenge relates most directly to which
dimension of health care? - answerQuality and safety of patient care
Which attributes are necessary in quality health care, according to the Institute of Medicine (IOM)? -
answerEffective, Safe, Timely
,Which of these are challenges in using modern health care technology? - answerCost, Availability, Social
disparity, Education
The functional nursing care model differs from the primary nursing care model in what way? -
answerFunctional nursing care assigns each team member a role, such as a medication nurse.
How does a health maintenance organization (HMO) differ from a preferred provider organization (PPO)
type of managed care model? - answerThe HMO group model contracts directly with a single medical
group., HMOs have limitations in covered services. Copayment is cheaper than PPO., The PPO model has
higher copayments if using out-of-network providers
Handheld devices to be used at the patient's bedside are becoming increasingly popular in the health
care setting. A disadvantage of this type of technology may include: - answerusing the device for
personal reasons.
The nurse is caring for a patient who has been diagnosed with Type 1 diabetes. The patient states, "I've
been reading a lot about how to treat diabetes without insulin." An appropriate response to the patient
would be: - answerWhy don't we look at the information together?
The increasing complexity of the health care delivery system and higher patient acuities has created
many challenges for nurses. An example of a challenge experienced by nurses today includes: -
answerhigher-acuity patients requiring the use of more complex and technological equipment.
Which type of health care system provides primary, secondary, and tertiary care in one system? -
answerIntegrated
In what nursing delivery model is a nurse assigned to a patient and works with that patient during every
shift? - answerPrimary nursing
What are some ethical challenges created by the health care delivery system? Select all that apply. -
answerDevelopment of health care technology, Increasing cost of health care delivery, Increasing life
span
, True or false: The high cost of physicians has led to more opportunities for nurses to advance their
positions to nurse practitioners and advanced practice RNs. - answerTRUE
Internal factors that have exacerbated the nursing shortage include: - answerrole overload.
A patient is concerned about how to manage her chronic disease process. She states feeling
overwhelmed and unsure where to turn for assistance and resources. The most effective way to assist
the patient at this time would be to: - answerschedule an interdisciplinary health care team meeting.
Ethical challenges created by the current health care delivery systems include: - answerhealth care
coverage based on ability to pay.
A nursing challenge related to the delivery of health care today is: - answerthe nursing shortage.
True or false: A health care system using a preferred provider organization (PPO) would expect to be
able to practice medicine as desired. - answerFALSE
The nurse manager will be training staff on the new electronic health system being installed. She has
heard a lot of grumbling about the new system. Which of the following statements should she consider
as she plans the training? - answerThe TIGER model should be used to create competencies.
The average cost of an employer-sponsored family health insurance plan continues to rise. How are
insurance companies attempting to contain costs? - answerLimiting consumer choice of providers
through HMOs
Which action indicates a change that hospitals have made in response to the ever-increasing costs of
health care? - answerHiring acute-care nurse practitioners (NPs)
Which of the following are reasons for the nursing shortage? Select all that apply. - answerReduced
numbers of persons entering nursing school, Job dissatisfaction, Recruitment problems
True or false: The single greatest health care expense is composed of hospital costs. - answerTRUE
Module Q's
The Institute of Medicine (IOM) report To Err Is Human: Building a Safer Health System (2000) states
that medical errors were the leading cause of unexpected deaths in the United States in health care
settings. A majority of the errors were caused by: - answerineffective communication.
Which of the following is a recommendation by the Institute of Medicine (IOM) to provide the safest and
best quality care possible? - answerSafety in Care Plan
Barriers to providing safe, efficient, high-quality health care include which of the following? -
answerWork environment, Complex work processes, Environmental barriers
Which of the following United Nations "sustainable development goals" is a focus of the World Health
Organization? - answerZero hunger
Key recommendations for the education of health care workers to prevent errors, as stated in the IOM
report Health Professions Education: A Bridge to Quality (2003), include which of the following? -
answerPatient-centered care, Quality improvement, Informatics
Which is true of the United Nations "sustainable development goals"? - answerThere are 17 total goals.,
Gender equality is a goal.
A nurse cares for obstetrical patients in a rural hospital in a small town, with the closest tertiary hospital
over four hours away. The hospital has been experiencing financial difficulties over the past year, and
the nurse is concerned because over the last year, the fetal monitor stopped working and was never
repaired. The nurse has been instructed to use a Doppler, hand-held ultrasound to assess fetal heart
tones during labor. In addition, the hospital no longer staffs an anesthesiologist after 7 p.m. The nurse is
concerned that it is not safe to provide obstetrical care to laboring women due to the limited resources
and inability to uphold national standards of care. This challenge relates most directly to which
dimension of health care? - answerQuality and safety of patient care
Which attributes are necessary in quality health care, according to the Institute of Medicine (IOM)? -
answerEffective, Safe, Timely
,Which of these are challenges in using modern health care technology? - answerCost, Availability, Social
disparity, Education
The functional nursing care model differs from the primary nursing care model in what way? -
answerFunctional nursing care assigns each team member a role, such as a medication nurse.
How does a health maintenance organization (HMO) differ from a preferred provider organization (PPO)
type of managed care model? - answerThe HMO group model contracts directly with a single medical
group., HMOs have limitations in covered services. Copayment is cheaper than PPO., The PPO model has
higher copayments if using out-of-network providers
Handheld devices to be used at the patient's bedside are becoming increasingly popular in the health
care setting. A disadvantage of this type of technology may include: - answerusing the device for
personal reasons.
The nurse is caring for a patient who has been diagnosed with Type 1 diabetes. The patient states, "I've
been reading a lot about how to treat diabetes without insulin." An appropriate response to the patient
would be: - answerWhy don't we look at the information together?
The increasing complexity of the health care delivery system and higher patient acuities has created
many challenges for nurses. An example of a challenge experienced by nurses today includes: -
answerhigher-acuity patients requiring the use of more complex and technological equipment.
Which type of health care system provides primary, secondary, and tertiary care in one system? -
answerIntegrated
In what nursing delivery model is a nurse assigned to a patient and works with that patient during every
shift? - answerPrimary nursing
What are some ethical challenges created by the health care delivery system? Select all that apply. -
answerDevelopment of health care technology, Increasing cost of health care delivery, Increasing life
span
, True or false: The high cost of physicians has led to more opportunities for nurses to advance their
positions to nurse practitioners and advanced practice RNs. - answerTRUE
Internal factors that have exacerbated the nursing shortage include: - answerrole overload.
A patient is concerned about how to manage her chronic disease process. She states feeling
overwhelmed and unsure where to turn for assistance and resources. The most effective way to assist
the patient at this time would be to: - answerschedule an interdisciplinary health care team meeting.
Ethical challenges created by the current health care delivery systems include: - answerhealth care
coverage based on ability to pay.
A nursing challenge related to the delivery of health care today is: - answerthe nursing shortage.
True or false: A health care system using a preferred provider organization (PPO) would expect to be
able to practice medicine as desired. - answerFALSE
The nurse manager will be training staff on the new electronic health system being installed. She has
heard a lot of grumbling about the new system. Which of the following statements should she consider
as she plans the training? - answerThe TIGER model should be used to create competencies.
The average cost of an employer-sponsored family health insurance plan continues to rise. How are
insurance companies attempting to contain costs? - answerLimiting consumer choice of providers
through HMOs
Which action indicates a change that hospitals have made in response to the ever-increasing costs of
health care? - answerHiring acute-care nurse practitioners (NPs)
Which of the following are reasons for the nursing shortage? Select all that apply. - answerReduced
numbers of persons entering nursing school, Job dissatisfaction, Recruitment problems
True or false: The single greatest health care expense is composed of hospital costs. - answerTRUE
