NR 465 Final Exam questions with accurate answers
Apology following an adverse event Ans✓✓✓ 1. Care for the patient
2. Communicate with the patient
3. Report the event with appropriate parties
4. Document (facts only) in medical record
Benchamarking- outcome Ans✓✓✓ -Reflects the impact of health care
services or interventions on the health status of patients
-Represents the "gold standard" in measuring quality
Benchmarking Ans✓✓✓ · A method to measure quality and/or safety
comparing current results or outputs with an accepted standard
· Can look at structure, process, or outcome
Benchmarking- process Ans✓✓✓ -Process measures indicate what a
provider does to maintain or improve health, either for healthy people or
for those diagnosed with a healthcare condition
-Can inform consumers about medical care they may expect to receive
for a given condition or disease. The majority of health care quality
measures used for public reporting are process measures
Benchmarking- structure Ans✓✓✓ Structural measures give consumers
a sense of a health care provider's capacity, systems, and processes to
provide high-quality care
,Boards of Nursing Ans✓✓✓ - Administer the rules of the Nurse
Practice Act
- Authority to regulate standards
- With the expanded role of nursing, it is important to clarify the
distinction between nursing & medicine
Centers for Medicare & Medicaid Services (CMS) Ans✓✓✓ o Rulings
in 2007 and 2011 to deny reimbursement to hospitals if a sentinel event
occurs
o Followed by private insurers
Channels of Communication- Non-verbal Ans✓✓✓ · Sets of behaviors
· Conveys messages without words
· Unconscious
· More difficult to control
Channels of Communication- Verbal Ans✓✓✓ · Uses words
· Written
· Spoken
· Language is mutually understood
· Able to control the communication
Communication Direction- Diagonal Ans✓✓✓ - At the same level of
power, but have different functions on the unit
, - Something happens on the ICU and everyone gathers to discuss the
matter; nurses, RT, OT, PT, etc.
Communication Direction- Downward Ans✓✓✓ - Starts at the CEO
and moves down throughout the rest of the organization for everyone
else to hear
Communication Direction- Lateral & Horitzontal Ans✓✓✓ - Two
nurses discuss a matter (at the same level of power)
Communication Direction- Upward Ans✓✓✓ - A nurse is concerned
about something and talks to her manager about it
Communication Process Ans✓✓✓ - Sender
- Receiver
- Message
- Mode of Transmission (verbal-written-nonverbal)
- Internal Climate (values-feelings-stress)
- External Climate (organizational culture-timing-power/status)
Considerations for Delegation Ans✓✓✓ · Predictability of outcome= if
patient's response to an activity cannot be known with some certainty it
should not be delegation
· Potential for harm= how much risk is involved to the patient due to this
task
Apology following an adverse event Ans✓✓✓ 1. Care for the patient
2. Communicate with the patient
3. Report the event with appropriate parties
4. Document (facts only) in medical record
Benchamarking- outcome Ans✓✓✓ -Reflects the impact of health care
services or interventions on the health status of patients
-Represents the "gold standard" in measuring quality
Benchmarking Ans✓✓✓ · A method to measure quality and/or safety
comparing current results or outputs with an accepted standard
· Can look at structure, process, or outcome
Benchmarking- process Ans✓✓✓ -Process measures indicate what a
provider does to maintain or improve health, either for healthy people or
for those diagnosed with a healthcare condition
-Can inform consumers about medical care they may expect to receive
for a given condition or disease. The majority of health care quality
measures used for public reporting are process measures
Benchmarking- structure Ans✓✓✓ Structural measures give consumers
a sense of a health care provider's capacity, systems, and processes to
provide high-quality care
,Boards of Nursing Ans✓✓✓ - Administer the rules of the Nurse
Practice Act
- Authority to regulate standards
- With the expanded role of nursing, it is important to clarify the
distinction between nursing & medicine
Centers for Medicare & Medicaid Services (CMS) Ans✓✓✓ o Rulings
in 2007 and 2011 to deny reimbursement to hospitals if a sentinel event
occurs
o Followed by private insurers
Channels of Communication- Non-verbal Ans✓✓✓ · Sets of behaviors
· Conveys messages without words
· Unconscious
· More difficult to control
Channels of Communication- Verbal Ans✓✓✓ · Uses words
· Written
· Spoken
· Language is mutually understood
· Able to control the communication
Communication Direction- Diagonal Ans✓✓✓ - At the same level of
power, but have different functions on the unit
, - Something happens on the ICU and everyone gathers to discuss the
matter; nurses, RT, OT, PT, etc.
Communication Direction- Downward Ans✓✓✓ - Starts at the CEO
and moves down throughout the rest of the organization for everyone
else to hear
Communication Direction- Lateral & Horitzontal Ans✓✓✓ - Two
nurses discuss a matter (at the same level of power)
Communication Direction- Upward Ans✓✓✓ - A nurse is concerned
about something and talks to her manager about it
Communication Process Ans✓✓✓ - Sender
- Receiver
- Message
- Mode of Transmission (verbal-written-nonverbal)
- Internal Climate (values-feelings-stress)
- External Climate (organizational culture-timing-power/status)
Considerations for Delegation Ans✓✓✓ · Predictability of outcome= if
patient's response to an activity cannot be known with some certainty it
should not be delegation
· Potential for harm= how much risk is involved to the patient due to this
task
