WGU D118 EXAM
(COMPILED) 813
QUESTIONS &
ANSWERS SOLVED
100% CORRECT!!
D118
SEPTEMBER 24, 2024
EVATEE
,WGU D118 EXAM (COMPILED) 813
QUESTIONS & ANSWERS SOLVED 100%
CORRECT!!
What is evidenced-based practice and why is it important in healthcare?
Answer - Evidence-based practice (EBP) is defined by Duke University Medical
Center as "the integration of clinical expertise, patient values and the best
research evidence into the decision-making process for patient care.
DESCRIBE the standard methods for appraising evidence including evidence
grading scales. Answer - Randomized control trials (RCTs) and systematic
reviews (SRs) are considered the goal standards in the types of evidence
hierarchical structure.
the Iowa Model of Evidence-Based Practice to Promote Quality Care Answer -
IOWA Model was developed at the University of Iowa Hospitals and Clinics in
1990s to serve as a guide for nurses to use research findings to help improve
patient care. The model was developed as a pathway or method to EBP - a
method to guide the steps to help identify issues, research solutions and
implement changes
ACE Star Model of Knowledge Transformation Answer - The ACE Star Model
emphasizes crucial steps to convert one form of knowledge to the next and
incorporate best research evidence with clinical expertise and patient
preferences thereby achieving EBP
the Johns Hopkins Nursing Evidence-Based Practice Model Answer - The Johns
Hopkins Nursing EBP Model is a powerful problem-solving approach to clinical
decision-making, and is accompanied by user-friendly tools to guide individual
,or group use. It is designed specifically to meet the needs of the practicing
nurse.
the Stetler Model of Evidence-Based Practice. Answer - The Stetler model of
research use is based on the notion that the user's internal characteristics, as
well as external environmental factors, influence use of knowledge.
What are the stages involved in Lewn's change theory and how does this apply
to evidenced-based practice? Answer - Kurt Lewin developed a change model
involving three steps: unfreezing, changing and refreezing. For Lewin, the
process of change entails creating the perception that a change is needed, then
moving toward the new, desired level of behavior and, finally, solidifying that
new behavior as the norm.
Name the domains of wellness and describe each type. Answer - Physical.
Emotional.
Intellectual.
Social.
Spiritual.
Environmental.
Occupational.
FINANCIAL
Explain the reasons why transitions of care increase risks for adverse events.
Answer - Transitions increase the risk of adverse events due to the potential for
miscommunication as responsibility is given to new parties. Hospital discharge
is a complex process representing a time of significant vulnerability for patients
Describe different models of chronic care coordination. Answer - Several
models of care have been established, including Patient-Centered Medical
, Homes (PCMHs), self-management programs, house call or home-based
primary care programs, and distance chronic disease programs (telehealth)`
Explain the difference between synchronous and asynchronous telemedicine
and the significance of this type of healthcare delivery in the US. Answer -
Synchronous or real-time telehealth requires the presence of both parties at
the same time and a communication link between them that allows a real-time
interaction to take place. Videoconferencing equipment is one of the most
common forms of technologies used in synchronous telehealth. There are also
peripheral devices that can be attached to computers or the videoconferencing
equipment, which can aid in an interactive examination.
Asynchronous telehealth involves acquiring medical data (e.g., medical images,
biosignals, voice recordings) and then transmitting these data to a doctor or
medical specialist at a convenient time for assessment offline. It does not
require the presence of both parties at the same time.
What are the key components of social determinants of health and why are
they significant? Answer - Social determinants of health (SDOH) are the
conditions in the environments where people are born, live, learn, work, play,
worship, and age that affect a wide range of health, functioning, and quality-of-
life outcomes and risks.
Identify two national initiatives to improve health care quality and patient care
throughout the US Answer - Better CareImprove quality by making health care
more person-centered, reliable, accessible, and safe.
Describe the NNDSS. Answer - The National Notifiable Disease Surveillance
System (NNDSS) is a nationwide collaboration that enables all levels of public
health (local, state, territorial, federal, and international) to share health
information to monitor, control, and prevent the occurrence and spread of
state-reportable and nationally notifiable
(COMPILED) 813
QUESTIONS &
ANSWERS SOLVED
100% CORRECT!!
D118
SEPTEMBER 24, 2024
EVATEE
,WGU D118 EXAM (COMPILED) 813
QUESTIONS & ANSWERS SOLVED 100%
CORRECT!!
What is evidenced-based practice and why is it important in healthcare?
Answer - Evidence-based practice (EBP) is defined by Duke University Medical
Center as "the integration of clinical expertise, patient values and the best
research evidence into the decision-making process for patient care.
DESCRIBE the standard methods for appraising evidence including evidence
grading scales. Answer - Randomized control trials (RCTs) and systematic
reviews (SRs) are considered the goal standards in the types of evidence
hierarchical structure.
the Iowa Model of Evidence-Based Practice to Promote Quality Care Answer -
IOWA Model was developed at the University of Iowa Hospitals and Clinics in
1990s to serve as a guide for nurses to use research findings to help improve
patient care. The model was developed as a pathway or method to EBP - a
method to guide the steps to help identify issues, research solutions and
implement changes
ACE Star Model of Knowledge Transformation Answer - The ACE Star Model
emphasizes crucial steps to convert one form of knowledge to the next and
incorporate best research evidence with clinical expertise and patient
preferences thereby achieving EBP
the Johns Hopkins Nursing Evidence-Based Practice Model Answer - The Johns
Hopkins Nursing EBP Model is a powerful problem-solving approach to clinical
decision-making, and is accompanied by user-friendly tools to guide individual
,or group use. It is designed specifically to meet the needs of the practicing
nurse.
the Stetler Model of Evidence-Based Practice. Answer - The Stetler model of
research use is based on the notion that the user's internal characteristics, as
well as external environmental factors, influence use of knowledge.
What are the stages involved in Lewn's change theory and how does this apply
to evidenced-based practice? Answer - Kurt Lewin developed a change model
involving three steps: unfreezing, changing and refreezing. For Lewin, the
process of change entails creating the perception that a change is needed, then
moving toward the new, desired level of behavior and, finally, solidifying that
new behavior as the norm.
Name the domains of wellness and describe each type. Answer - Physical.
Emotional.
Intellectual.
Social.
Spiritual.
Environmental.
Occupational.
FINANCIAL
Explain the reasons why transitions of care increase risks for adverse events.
Answer - Transitions increase the risk of adverse events due to the potential for
miscommunication as responsibility is given to new parties. Hospital discharge
is a complex process representing a time of significant vulnerability for patients
Describe different models of chronic care coordination. Answer - Several
models of care have been established, including Patient-Centered Medical
, Homes (PCMHs), self-management programs, house call or home-based
primary care programs, and distance chronic disease programs (telehealth)`
Explain the difference between synchronous and asynchronous telemedicine
and the significance of this type of healthcare delivery in the US. Answer -
Synchronous or real-time telehealth requires the presence of both parties at
the same time and a communication link between them that allows a real-time
interaction to take place. Videoconferencing equipment is one of the most
common forms of technologies used in synchronous telehealth. There are also
peripheral devices that can be attached to computers or the videoconferencing
equipment, which can aid in an interactive examination.
Asynchronous telehealth involves acquiring medical data (e.g., medical images,
biosignals, voice recordings) and then transmitting these data to a doctor or
medical specialist at a convenient time for assessment offline. It does not
require the presence of both parties at the same time.
What are the key components of social determinants of health and why are
they significant? Answer - Social determinants of health (SDOH) are the
conditions in the environments where people are born, live, learn, work, play,
worship, and age that affect a wide range of health, functioning, and quality-of-
life outcomes and risks.
Identify two national initiatives to improve health care quality and patient care
throughout the US Answer - Better CareImprove quality by making health care
more person-centered, reliable, accessible, and safe.
Describe the NNDSS. Answer - The National Notifiable Disease Surveillance
System (NNDSS) is a nationwide collaboration that enables all levels of public
health (local, state, territorial, federal, and international) to share health
information to monitor, control, and prevent the occurrence and spread of
state-reportable and nationally notifiable
