NR 465 Final Exam Questions With Complete Solutions
Apology following an adverse event Correct Answers 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 Correct Answers -Reflects the
impact of health care services or interventions on the health
status of patients
-Represents the "gold standard" in measuring quality
Benchmarking Correct Answers · 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 Correct Answers -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 Correct Answers Structural measures
give consumers a sense of a health care provider's capacity,
systems, and processes to provide high-quality care
,Boards of Nursing Correct Answers - 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) Correct
Answers 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 Correct Answers ·
Sets of behaviors
· Conveys messages without words
· Unconscious
· More difficult to control
Channels of Communication- Verbal Correct Answers · Uses
words
· Written
· Spoken
· Language is mutually understood
· Able to control the communication
Communication Direction- Diagonal Correct Answers - 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 Correct Answers -
Starts at the CEO and moves down throughout the rest of the
organization for everyone else to hear
Communication Direction- Lateral & Horitzontal Correct
Answers - Two nurses discuss a matter (at the same level of
power)
Communication Direction- Upward Correct Answers - A nurse
is concerned about something and talks to her manager about it
Communication Process Correct Answers - Sender
- Receiver
- Message
- Mode of Transmission (verbal-written-nonverbal)
- Internal Climate (values-feelings-stress)
- External Climate (organizational culture-timing-power/status)
Considerations for Delegation Correct Answers · 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
· Complexity of task= the greater the complexity of this task the
less likely it should be delegated
· Need for assessment/problem solving= if the problem involves
a high degree of problem solving it should be done by the RN
· Level of patient interaction= don't delegate activities that will
interfere with the nurse/patient relationship
· Cannot delegate= nursing process (think ADPIE), education,
tasks that require clinical judgement/assessment
Apology following an adverse event Correct Answers 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 Correct Answers -Reflects the
impact of health care services or interventions on the health
status of patients
-Represents the "gold standard" in measuring quality
Benchmarking Correct Answers · 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 Correct Answers -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 Correct Answers Structural measures
give consumers a sense of a health care provider's capacity,
systems, and processes to provide high-quality care
,Boards of Nursing Correct Answers - 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) Correct
Answers 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 Correct Answers ·
Sets of behaviors
· Conveys messages without words
· Unconscious
· More difficult to control
Channels of Communication- Verbal Correct Answers · Uses
words
· Written
· Spoken
· Language is mutually understood
· Able to control the communication
Communication Direction- Diagonal Correct Answers - 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 Correct Answers -
Starts at the CEO and moves down throughout the rest of the
organization for everyone else to hear
Communication Direction- Lateral & Horitzontal Correct
Answers - Two nurses discuss a matter (at the same level of
power)
Communication Direction- Upward Correct Answers - A nurse
is concerned about something and talks to her manager about it
Communication Process Correct Answers - Sender
- Receiver
- Message
- Mode of Transmission (verbal-written-nonverbal)
- Internal Climate (values-feelings-stress)
- External Climate (organizational culture-timing-power/status)
Considerations for Delegation Correct Answers · 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
· Complexity of task= the greater the complexity of this task the
less likely it should be delegated
· Need for assessment/problem solving= if the problem involves
a high degree of problem solving it should be done by the RN
· Level of patient interaction= don't delegate activities that will
interfere with the nurse/patient relationship
· Cannot delegate= nursing process (think ADPIE), education,
tasks that require clinical judgement/assessment
