TTC NUR 219 Test Two Questions with
Correct Answers
Why should EBP be used in nursing? - ANSWER-Prevents bias when problem-
solving, provides patient-centered care, patient autonomy, uses proven clinical
solutions, patient outcomes are known, reduces expenses
Clinical Practice Guidelines - ANSWER-Suggested options to ID what might be
going on when the patient presents with symptoms. This helps to diagnose
symptoms based on lab work, diagnostic tests, and manifestations (objective and
subjective data)
EX- abdominal pain
Bundled Care - ANSWER-Identified stategies and interventions that work together to
decrease a problem. Use with clinical practice guidelines to decrease problems!
Medicaid/Medicare do NOT pay for: - ANSWER-Low-quality care; insurance will not
cover avoidable patient problems.
Nurse-triggered protocols help to reduce: - ANSWER-Errors and costs; responsibility
is shared between the nurse and provider to recognize early symptoms, monitor,
intervene, and follow-through for outcomes.
Root Cause Analysis - ANSWER-Meeting held to address and avoidable event that
resulted in patient injury, transfer to a higher level of care, or a sentinel event.
Sentinel Event - ANSWER-A patient safety event that results in death, permanent
harm, or severe temporary harm and intervention is required to sustain life.
Legal and financial consequences. Causes harm to the patient and staff.
Types of sentinel events - ANSWER-1) Suicide of a patient within 72 hours of
discharge
2) Unanticipated death of an infant
3) Discharge of an infant to the wrong family
4) Abduction of any patient receiving services
5) Any elopement of a patient that leads to death, permanent harm, or severe
temporary harm
6) Hemolytic transfusion reaction
7) Rape, assault, or homicide of any patient receiving care, staff, visitor, or vendor on
site
8) Invasive procedure on the wrong patient, wrong site, or wrong procedure
9) Unintended retention of a foreign object in a patient after surgery- MOST
FREQUENTLY REPORTED EVENT
Who are the three victims in an error? - ANSWER-1) Patient and family
2) Nurse/provider/tech/etc.
, 3) Facility
Why do errors occur? - ANSWER-System malfunctions, poor communication, lack of
education, lack of time and staffing, under treatment, failure to recognize, omitting
critical information
Just Culture - ANSWER-In place to enhance patient safety; helps with continual
education to help prevent it from happening again.
Helps employees feel comfortable self-reporting without fear of being fired.
T/F: Just Culture is blatant mistakes. - ANSWER-False- accidents must be
unintentional.
Goal of Root Cause Analysis - ANSWER-Figure out what happened, why it
happened, and how to prevent it from happening again- use the fish bone diagram
Nursing Informatics - ANSWER-Integrates nursing science, computer science, and
information science to manage and communicate data, information, and knowledge
in nursing practice.
Ex- EMARs, EHRs
What is evidence-based practice? - ANSWER-Consistent use of the best evidence in
the clinical setting for the achievement of desirable outcomes. EBP is always
evolving.
MUST BE:
Valid, reproducible, facts, reliable, and have context.
Best sources to find EBP articles - ANSWER-1) The Cochrane Collaboration
2) Published Practice Guidelines
Examples of valid research - ANSWER-Honest, careful, rigorous, complete, logical,
and repeatable.
Examples of invalid research - ANSWER-Dishonest, careless, superficial,
incomplete, unrepeatable.
Reproducible definition - ANSWER-Research can be done by someone else and
have the same result
Fact definition - ANSWER-Information that is known without having to repeat an
experiment; objective and provable.
Reliability definition - ANSWER-Consistent, ability to do something over repeatedly
and have the same outcome
Context definition - ANSWER-Circumstances about an idea/event/message
What is "Best Practice"? - ANSWER-Proven interventions for better patient
outcomes
Correct Answers
Why should EBP be used in nursing? - ANSWER-Prevents bias when problem-
solving, provides patient-centered care, patient autonomy, uses proven clinical
solutions, patient outcomes are known, reduces expenses
Clinical Practice Guidelines - ANSWER-Suggested options to ID what might be
going on when the patient presents with symptoms. This helps to diagnose
symptoms based on lab work, diagnostic tests, and manifestations (objective and
subjective data)
EX- abdominal pain
Bundled Care - ANSWER-Identified stategies and interventions that work together to
decrease a problem. Use with clinical practice guidelines to decrease problems!
Medicaid/Medicare do NOT pay for: - ANSWER-Low-quality care; insurance will not
cover avoidable patient problems.
Nurse-triggered protocols help to reduce: - ANSWER-Errors and costs; responsibility
is shared between the nurse and provider to recognize early symptoms, monitor,
intervene, and follow-through for outcomes.
Root Cause Analysis - ANSWER-Meeting held to address and avoidable event that
resulted in patient injury, transfer to a higher level of care, or a sentinel event.
Sentinel Event - ANSWER-A patient safety event that results in death, permanent
harm, or severe temporary harm and intervention is required to sustain life.
Legal and financial consequences. Causes harm to the patient and staff.
Types of sentinel events - ANSWER-1) Suicide of a patient within 72 hours of
discharge
2) Unanticipated death of an infant
3) Discharge of an infant to the wrong family
4) Abduction of any patient receiving services
5) Any elopement of a patient that leads to death, permanent harm, or severe
temporary harm
6) Hemolytic transfusion reaction
7) Rape, assault, or homicide of any patient receiving care, staff, visitor, or vendor on
site
8) Invasive procedure on the wrong patient, wrong site, or wrong procedure
9) Unintended retention of a foreign object in a patient after surgery- MOST
FREQUENTLY REPORTED EVENT
Who are the three victims in an error? - ANSWER-1) Patient and family
2) Nurse/provider/tech/etc.
, 3) Facility
Why do errors occur? - ANSWER-System malfunctions, poor communication, lack of
education, lack of time and staffing, under treatment, failure to recognize, omitting
critical information
Just Culture - ANSWER-In place to enhance patient safety; helps with continual
education to help prevent it from happening again.
Helps employees feel comfortable self-reporting without fear of being fired.
T/F: Just Culture is blatant mistakes. - ANSWER-False- accidents must be
unintentional.
Goal of Root Cause Analysis - ANSWER-Figure out what happened, why it
happened, and how to prevent it from happening again- use the fish bone diagram
Nursing Informatics - ANSWER-Integrates nursing science, computer science, and
information science to manage and communicate data, information, and knowledge
in nursing practice.
Ex- EMARs, EHRs
What is evidence-based practice? - ANSWER-Consistent use of the best evidence in
the clinical setting for the achievement of desirable outcomes. EBP is always
evolving.
MUST BE:
Valid, reproducible, facts, reliable, and have context.
Best sources to find EBP articles - ANSWER-1) The Cochrane Collaboration
2) Published Practice Guidelines
Examples of valid research - ANSWER-Honest, careful, rigorous, complete, logical,
and repeatable.
Examples of invalid research - ANSWER-Dishonest, careless, superficial,
incomplete, unrepeatable.
Reproducible definition - ANSWER-Research can be done by someone else and
have the same result
Fact definition - ANSWER-Information that is known without having to repeat an
experiment; objective and provable.
Reliability definition - ANSWER-Consistent, ability to do something over repeatedly
and have the same outcome
Context definition - ANSWER-Circumstances about an idea/event/message
What is "Best Practice"? - ANSWER-Proven interventions for better patient
outcomes
