NUR 1290 Exam 2 Questions With Answers Latest Updated 2024/2025 | 100% Correct | cA+

Meeting expectations in the delivery of clinically effective, efficient and affordable health care services Sentinel Event - ANSWER -Unexpected occurrence involving serious injury or death -Different than medical error EX) patient committing suicide when admitted for diabetes Main cause of sentinel events - ANSWER COMMUNICATION Quality Assurance - ANSWER Provision of services that meet an appropriate standard; maintaining a high quality of care by constantly measuring effectiveness of organization that provides it -Problem Resolution -All departments are involved Quality Improvement - ANSWER Continuous process involving all levels of the organization working together to produce better health care services Safety - ANSWER aims to prevent avoidable errors or patient harm **Safe staffing ratios** Patient Safety Goals - ANSWER 1. **Identify** patients correctly 2. Improve effective **communication** 3. Improve safety of high alert **medication** 4. Ensure **correct site, procedure, surgery** 5. **Reduce risk** of infections 6. Reduce **harm from falls** SBAR - ANSWER S: Situation B: Background NUR 1290 Exam 2 Questions With Answers Latest 2024/2025 | 100% Correct | Graded A+ A: Assessment R: Recommendation Five Rights of Medication Safety - ANSWER right drug right route right time/freq right patient right dose Care Models - ANSWER innovative approaches to provide care to different patient populations Dedicated Unit Approach - ANSWER Special attention to: -physical environment -interdisciplinary collaboration -nurse initiated clinical protocols of care -activity rooms Syndrome Specific Model - ANSWER -Identify a specific clinical syndrome that's common to their patient population -Develop clinical & educational tools to detect & manage the disease -Improves comprehensive care delivery Quality Cost Model of Transitional Care - ANSWER -Nurse Specialist with advanced knowledge and skills follows a patient throughout the hospital stay and continuing after discharge. -Assesses patients upon hospital admission and every 48 hours and then when home. Purpose of QSEN - ANSWER Prepare nurses with the competencies necessary to continuously improve the quality and safety of the health care systems in which they work. -Each competency includes **Knowledge, Skill and Attitude (KSA)** Competencies - ANSWER 1. Patient/Family Centered Care 2. Teamwork and collaboration 3. Safety 4. Evidence Based Practice 5. Quality Improvement 6. Informatics Patient/Family Centered Care - ANSWER Recognize the patient as the source of control and full partner in providing compassionate and coordinated care based on respect for patient preferences, values, and needs The patient and family are in a.. - ANSWER partnered relationship with their healthcare providers Collaboration and Teamwork - ANSWER Function effectively within nursing and interprofessional teams What does collaboration involve - ANSWER open communication mutual respect shared decision making Evidence Based Practice - ANSWER integration of the best available research with clinical expertise in the context of client characteristics, culture, and preferences Quality Improvement - ANSWER Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems. What does improving patient care require - ANSWER systematic process of defining problems in order to identify potential causes and develop strategies to improve care Safety - ANSWER Minimize risk of harm to patients and providers through both system effectiveness and individual performance Informatics - ANSWER use information and technology to communicate, manage knowledge, mitigate error, and support decision making Why do we study informatics - ANSWER Things are constantly changing -Technology facilitates the creative process in nurses High Tech - High Touch - ANSWER Nurses need to be comfortable working with computers and advance technology while providing care for their clients **healthcare is dependent on information--> no excuse for not knowing proper medications/doses** Nursing Informatics Model - ANSWER -Cognitive Science -Information Science -Computer Science When are computers used in nursing education? - ANSWER -Assist education PDA LCD Smartphones NCLEX Function of computers in nursing practice - ANSWER record information, provide access to other departments, manage schedules -Documentation of clients status and medical records **HIPPAA** Telehealth - ANSWER Technology to asses, diagnose and treat at a distance -Changes the way we document Devices used in Telehealth - ANSWER BP, glucometers, peak flow, pulse oximeters, video monitors Biometric Technology - ANSWER Use human characteristics (e.g., fingerprints, retinas, irises, voices, facial patterns) to authenticate or grant access to data or information Bedside Data Entry - ANSWER Records clients assessments, medication administration, progress notes, care plan updating, client acuity and accrued changes **People at home can access whats going on at the hospital Computer Based Client Record - ANSWER Provides easy retrieval of data -Tells about conflicting Meds Tech Breakthroughs that improve nursing - ANSWER -Better communication Systems -Electronic Healthcare Records -Real Time locating systems -Better diagnostic tools -Tech driven drug delivery -Patient Lifting Technology Block Chain Systems - ANSWER Storing digital information Artificial Inteligence - ANSWER Enhances treatments, helps diagnose patients, doctor DOES NOT have to be present Value Based Healthcare - ANSWER Paying physicians based on the quality of care they provide instead of hours worked or number of patients they see Information Literacy - ANSWER Ability to determine when information is needed and how you can LOCATE, EVALUATE, AND USE the information Information Technology - ANSWER the hardware and software that facilitates the STORAGE/RETRIEVAL/COMMUNICATION/MANAGEMENT of information Computer Literacy - ANSWER ability to understand and know how to use computers effectively How to be effective when searching - ANSWER Purpose-Focus Approach Purpose - ANSWER Why are you doing the search? Why do you need the information? Focus - ANSWER Tells you how to approach -Broad/General or more focused Approach - ANSWER -Broad and general found with quick searching -Lay information accessed at few key sites -Profesisonal Associations for professionally oriented info -Scientific research in scholarly databases Evaluating Information on the Internet - ANSWER Objectivity Accuracy Currency Usability Types of Healthcare Services - ANSWER Primary Prevention Secondary Prevention Tertiary Prevention Primary Prevention - ANSWER Health promotion and illness prevention EX) checkup, immunization Secondary Prevention - ANSWER Focus on early disease detection and treatment -Detection through MRI, CT scan, x ray EX)immunizations, exercise Tertiary Prevention - ANSWER Focus on restoring function and decreasing disease EX) rehabilitating measures for people with disease Where is primary Care delivery - ANSWER -Physicians office -Clinic -Community health center Where is secondary Care deliver? - ANSWER -Hospital -Outpatient facility -Specialists office Where is teritary care deliver? - ANSWER -Hospital -Acute Care facility -Rehab center Private Insurance - ANSWER -offered by employers as part of benefits package -administered by private companies -purchased individually Primary Care Providers - ANSWER -Health Maintenance Organizations -Preferred Provider Organizations -Exclusive Provider Organizations Third Party Payer System - ANSWER Insurance Decuctible - ANSWER Payment before insurer pays for services; lower monthly premiums=higher deductable Co Payment - ANSWER A flat fee that you pay every time you receive a covered service Annual Limit - ANSWER The maximum amount of coverage that a health plan will provide in a year -Max amount to be paid Fee For Service - ANSWER feels billed for each unit of service Capitation - ANSWER medical provider gets the fixed amount per person covered by insurance; FIXED FEE PER PERSON Medicare - ANSWER A federal program of health insurance for persons 65 years of age and older Who is medicare administered by - ANSWER Federal Gov What is medicare financed through - ANSWER -Federal income taxes -Out of pocket payment -Payroll Taxes 4 parts of Medicare - ANSWER Part A - Hospital Insurance -Common Hospital Expenses Part B - Supplemental Insurance -MD care, OP services, Home health, Equipment, Other health services Part C - Medicare Advantage -I buy health insurance plan from a private Co approved by Medicare to cover me for services excluded by Parts A & B Part D - Rx drug coverage Medicaid - ANSWER A federal and state assistance program that pays for health care services for people who cannot afford them Medicaid administered by - ANSWER State