NUR 460 Final Exam Questions With Complete Solutions
5 rights of delegation Correct Answers 1. right task
- must conform to the est. guidelines, agency policies, job
descript of the HCW and adhere to state's nurse practice act.
Generally, reoccur in daily care, do not require nursing
judgment or application of the nursing process, results are
predictable and risk is minimal, use a standard procedure
2. right circumstances
- tasks to UAP that don't require independent judgment. Think
about the patient and equipment and the setting to decide if you
ask a UAP to carry out the task
3. right person
- is this specific person competent to perform certain tasks? Is
there proof in the facility?, i.e. completed orientation or course.
This includes agency nurses
4. right direction and communication
- clearly about each delegated task. Makes sure there is
verification of understanding
5. right supervision and evaluation
- guide, supervise, evaluate how the person carries out the tasks.
If expectations not met, step in. Give and ask for feedback
accountability Correct Answers being responsible and
answerable for actions or inactions of self or others in the
context of delegation
accountable care organization (ACO) Correct Answers pay of
performance
at risk for managing cost, chronic conditions, and health
outcomes
,patient centered medical homes - primary care focused
evidenced based practice
care delivery organizations
act 368 - nurse practice act Correct Answers act which
determines what the scope of practice is, requirements for a RN,
and responsibilities for a nurse in michigan
part of the public health code
anchoring Correct Answers the mind gives more weight to the
first information received
often comes from past events or "first impression"
strategies: open-mindedness; consider from other viewpoints
assignment Correct Answers defined by both the ANA and
NCSBN (2006) as the distribution of work that each staff
member is to accomplish during a given shift or work period
authority Correct Answers the right to act or to command the
action of others: it comes with the job and is required for a nurse
to take action
budget Correct Answers mangement tool used to gauge,
monitor, motivate, and evaluate performance
building relationships; rule of 5 contacts per year Correct
Answers •send a thank you note for meeting and talking with
you or voting in your favor
•donate time or money to campaign
, •write a note of congratulations to the candidate that wins,
regardless of how you voted and offer your expertise
•copy news articles that might be of interest related to bill or
issue
•attend open house, coffee hours or town hall meetings
bureaucracy Correct Answers centralization of authority
limit employee's autonomy
case management Correct Answers 1980s to present
RN coordinates care for a patient from pre-admission beyond
discharge by planning, organizing, directing, and controlling
patient care
centers for medicare and medicaid (CMS) Correct Answers
federal agency that runs medicare
changing the way medicare pays for hospital care
rewards higher quality
-$1 billion in penalties since inception
centralized organization Correct Answers power to make
decisions is concentrated at the top of the organization and flows
down
chain of command Correct Answers the formal paths of
communication and authority
collaborative strategies to reduce heart failure readmissions (5)
Correct Answers report called to facility when patient
discharged
streamline education from hospital to SNF to home
5 rights of delegation Correct Answers 1. right task
- must conform to the est. guidelines, agency policies, job
descript of the HCW and adhere to state's nurse practice act.
Generally, reoccur in daily care, do not require nursing
judgment or application of the nursing process, results are
predictable and risk is minimal, use a standard procedure
2. right circumstances
- tasks to UAP that don't require independent judgment. Think
about the patient and equipment and the setting to decide if you
ask a UAP to carry out the task
3. right person
- is this specific person competent to perform certain tasks? Is
there proof in the facility?, i.e. completed orientation or course.
This includes agency nurses
4. right direction and communication
- clearly about each delegated task. Makes sure there is
verification of understanding
5. right supervision and evaluation
- guide, supervise, evaluate how the person carries out the tasks.
If expectations not met, step in. Give and ask for feedback
accountability Correct Answers being responsible and
answerable for actions or inactions of self or others in the
context of delegation
accountable care organization (ACO) Correct Answers pay of
performance
at risk for managing cost, chronic conditions, and health
outcomes
,patient centered medical homes - primary care focused
evidenced based practice
care delivery organizations
act 368 - nurse practice act Correct Answers act which
determines what the scope of practice is, requirements for a RN,
and responsibilities for a nurse in michigan
part of the public health code
anchoring Correct Answers the mind gives more weight to the
first information received
often comes from past events or "first impression"
strategies: open-mindedness; consider from other viewpoints
assignment Correct Answers defined by both the ANA and
NCSBN (2006) as the distribution of work that each staff
member is to accomplish during a given shift or work period
authority Correct Answers the right to act or to command the
action of others: it comes with the job and is required for a nurse
to take action
budget Correct Answers mangement tool used to gauge,
monitor, motivate, and evaluate performance
building relationships; rule of 5 contacts per year Correct
Answers •send a thank you note for meeting and talking with
you or voting in your favor
•donate time or money to campaign
, •write a note of congratulations to the candidate that wins,
regardless of how you voted and offer your expertise
•copy news articles that might be of interest related to bill or
issue
•attend open house, coffee hours or town hall meetings
bureaucracy Correct Answers centralization of authority
limit employee's autonomy
case management Correct Answers 1980s to present
RN coordinates care for a patient from pre-admission beyond
discharge by planning, organizing, directing, and controlling
patient care
centers for medicare and medicaid (CMS) Correct Answers
federal agency that runs medicare
changing the way medicare pays for hospital care
rewards higher quality
-$1 billion in penalties since inception
centralized organization Correct Answers power to make
decisions is concentrated at the top of the organization and flows
down
chain of command Correct Answers the formal paths of
communication and authority
collaborative strategies to reduce heart failure readmissions (5)
Correct Answers report called to facility when patient
discharged
streamline education from hospital to SNF to home
