NURS 109 final exam Questions with
Complete Solutions
Institute of Medicine (IOM) core competencies - Answer-1. patient-centered care
2. teamwork & collaboration
3. safety
4. utilizing informatics
5. evidence-based practice
6. quality improvement
/.context of U.S. health care - Answer--population becoming older
-greater emphasis on preventive care & chronic care
-patient connectivity & desire to be actively involved
-concern about access, cost, quality, outcomes
/.overall desire, to be... - Answer-valued and respected
/.the triple aim - Answer-1. population health
2. experience of care
3. per capita cost
/.Agency for Healthcare Research & Quality (AHRQ) - Answer-research shows that
when patients are engaged in their health care, it can lead to measurable improvements
in safety & quality
/.what is patient-centered care - Answer-recognize the patient or designee as the
source of control & full partner in providing compassionate & coordinated care based on
respect for patient's preferences, values, & needs
/.AHRQ recommendations - Answer--encourage patients & families to participate as
advisers in their care
-promote better communication (patient-family, patient-provider, family provider)
- promote safe continuity of care through bedside reporting @ shift change
-engage patients/families in discharge planning throughout their hospital stay
/.what is health literacy - Answer-"the degree to which individuals have the capacity to
obtain, process, & understand basic health information & services needed to make
appropriate health decisions."
-reading, listening, analyzing, making decisions applied to health situations
/.cultural context of health literacy - Answer--recognize that culture plays an important
role in communication
, -affected by belief systems, communication styles, understanding & response to health
information
-utilize effective health communication skills ("teach-back")
/.health literacy skills - Answer--locating health information
-searching internet
-evaluating info. for credibility & quality
-analyzing risks/benefits
-calculating dosages
-interpreting test results
-articulating concerns & symptoms accurately
/.low health literacy - Answer--higher risk of death, more ER visits, more hospitalizations
-not necessarily related to general reading ability
-approx. 36% of adults in U.S. have limited health literacy
/.older adults - Answer--71% adults >60 years have difficulty using print machines
-80% have difficulty using forms/charts
-68% have difficulty interpreting #'s & perfoming calculations
/.Hospital Consumer Assessment of Healthcare Providers & Systems (HCAPHS) -
Answer--1st national, standardized, publicly reported survey of patients' perspectives of
hospital care
-asks discharged patients 27 questions about their hospital stay (48 hrs-6 weeks after
discharge)
/.type of HCAPHS questions - Answer--communication w/ nurses & doctors
-responsiveness of staff
-cleanliness & quietness of hospital environment
-pain management
-communication about medications
-discharge information
-overall rating of hospital
-recommendation of hospital
/.social determinants of health - Answer-"the conditions in which people are born, grow,
live, work, and age... shaped by the distribution of money, power, and resources @
global, national, & local levels."
/.IOM definition of teamwork and collaboration - Answer-"cooperate, collaborate,
communicate, and integrate care in teams to ensure that care is continuous and
reliable."
/.interprofessional collaboration - Answer-promotes active participation of each
discipline in patient care, where all disciplines are working together & fully engaging
patients & those who support them
Complete Solutions
Institute of Medicine (IOM) core competencies - Answer-1. patient-centered care
2. teamwork & collaboration
3. safety
4. utilizing informatics
5. evidence-based practice
6. quality improvement
/.context of U.S. health care - Answer--population becoming older
-greater emphasis on preventive care & chronic care
-patient connectivity & desire to be actively involved
-concern about access, cost, quality, outcomes
/.overall desire, to be... - Answer-valued and respected
/.the triple aim - Answer-1. population health
2. experience of care
3. per capita cost
/.Agency for Healthcare Research & Quality (AHRQ) - Answer-research shows that
when patients are engaged in their health care, it can lead to measurable improvements
in safety & quality
/.what is patient-centered care - Answer-recognize the patient or designee as the
source of control & full partner in providing compassionate & coordinated care based on
respect for patient's preferences, values, & needs
/.AHRQ recommendations - Answer--encourage patients & families to participate as
advisers in their care
-promote better communication (patient-family, patient-provider, family provider)
- promote safe continuity of care through bedside reporting @ shift change
-engage patients/families in discharge planning throughout their hospital stay
/.what is health literacy - Answer-"the degree to which individuals have the capacity to
obtain, process, & understand basic health information & services needed to make
appropriate health decisions."
-reading, listening, analyzing, making decisions applied to health situations
/.cultural context of health literacy - Answer--recognize that culture plays an important
role in communication
, -affected by belief systems, communication styles, understanding & response to health
information
-utilize effective health communication skills ("teach-back")
/.health literacy skills - Answer--locating health information
-searching internet
-evaluating info. for credibility & quality
-analyzing risks/benefits
-calculating dosages
-interpreting test results
-articulating concerns & symptoms accurately
/.low health literacy - Answer--higher risk of death, more ER visits, more hospitalizations
-not necessarily related to general reading ability
-approx. 36% of adults in U.S. have limited health literacy
/.older adults - Answer--71% adults >60 years have difficulty using print machines
-80% have difficulty using forms/charts
-68% have difficulty interpreting #'s & perfoming calculations
/.Hospital Consumer Assessment of Healthcare Providers & Systems (HCAPHS) -
Answer--1st national, standardized, publicly reported survey of patients' perspectives of
hospital care
-asks discharged patients 27 questions about their hospital stay (48 hrs-6 weeks after
discharge)
/.type of HCAPHS questions - Answer--communication w/ nurses & doctors
-responsiveness of staff
-cleanliness & quietness of hospital environment
-pain management
-communication about medications
-discharge information
-overall rating of hospital
-recommendation of hospital
/.social determinants of health - Answer-"the conditions in which people are born, grow,
live, work, and age... shaped by the distribution of money, power, and resources @
global, national, & local levels."
/.IOM definition of teamwork and collaboration - Answer-"cooperate, collaborate,
communicate, and integrate care in teams to ensure that care is continuous and
reliable."
/.interprofessional collaboration - Answer-promotes active participation of each
discipline in patient care, where all disciplines are working together & fully engaging
patients & those who support them
