NUR 450 FINAL EXAM QUESTIONS &
ANSWERS!!
quality management - ANSWERis an overarching philosophy that defines a
healthcare culture emphasizing
consumer satisfaction, innovation, and employee involvement.
Risk management - ANSWERemphasizes the achievement of quality-outcome
standards and the prevention of
patient care problems. It also analyzes problems and minimizes losses after an
adverse event
occurs.
incident/variance report - ANSWERthis is a process that a nurse manager must
evaluate and explain the changes in productivity that resulted in a difference
between the projected staffing plan and the actual schedule/plan
quality improvement - ANSWERthis is an ongoing process of innovative
improvements, prevention of error, and
development of staff that is used by institutions that adopt the quality management
philosophy
root cause analysis - ANSWERnurses are able to recognize near misses and
sentinel events and collaborate with an inter-professional team to improve
whistle blowing - ANSWERan employee (of their own accord) voices concern about
the quality of care in a vulnerable position
sentinel events - ANSWERserious, unexpected occurrence that involves death or
severe physical/psychological harm (Examples include: inpatient suicide, infant
abduction, or wrong-site surgery)
IHI (Institute for Healthcare Improvement) - ANSWERIHI focused on low-hanging
healthcare "fruit," which works on reducing healthcare errors. it was founded by Don
Berwick
3 elements of a High Reliability Organization - ANSWERa. Leadership that is
committed to a goal of zero harm (trust, improve, report)
b. A culture of safety embedded throughout
c. RPI: learn, six sigma, and change management)
List eight hospital acquired conditions discussed that are CMS non-payment items -
ANSWER1. Items left inside the body after surgery
2. Blood incompatibility
3. Pressure ulcers
4. Air embolism
, 5. Catheter associated UTIs
6. Vascular catheter-associated infection
7. Surgical site infection (mediastinitis after CABG)
8. Hospital acquired injuries from external causes (falls)
List three of the commonly cited standards of noncompliance: - ANSWER1. Not
following policy
2. Incomplete documentation
3. Infection prevention
Complete the following sentence:
"If you are not working to continuously improve, your work is _________. -
ANSWERsubstandard
Describe the Five A's of Healthcare Access - ANSWER1. Affordability
2. Availability
3. Accessibility
4. Accommodation
5. Acceptability
What is a "risk pool"? Provide an example of how it works - ANSWERIndividuals who
are insured by one insurance plan. A group of people can contribute a set amount of
money per month, and whichever person needs the money for healthcare will have
access to it.
Why is being uninsured associated with higher risk for more expensive and more
urgent medical procedures - ANSWERThey use preventative services less often and
are more likely to postpone medical care. They also have a higher likelihood of
moving between health care providers, producing a poor continuity of care. The end
result is the need for more expensive/more urgent procedures
team - ANSWERnumber of individuals collaborating in specific work or activity that
focuses on a specific goal or outcome
Five Rights of Delegation - ANSWERRight task
right circumstance
right person
right direction/communication
right supervision/evaluation
Biomedical technology is used for - ANSWERa. Physiologic monitoring
b. Diagnostic testing
c. IV fluid and medication dispensing and administration
d. Therapeutic treatments
Medicare - ANSWERelderly people
Medicaid - ANSWERpeople below poverty threshold
ANSWERS!!
quality management - ANSWERis an overarching philosophy that defines a
healthcare culture emphasizing
consumer satisfaction, innovation, and employee involvement.
Risk management - ANSWERemphasizes the achievement of quality-outcome
standards and the prevention of
patient care problems. It also analyzes problems and minimizes losses after an
adverse event
occurs.
incident/variance report - ANSWERthis is a process that a nurse manager must
evaluate and explain the changes in productivity that resulted in a difference
between the projected staffing plan and the actual schedule/plan
quality improvement - ANSWERthis is an ongoing process of innovative
improvements, prevention of error, and
development of staff that is used by institutions that adopt the quality management
philosophy
root cause analysis - ANSWERnurses are able to recognize near misses and
sentinel events and collaborate with an inter-professional team to improve
whistle blowing - ANSWERan employee (of their own accord) voices concern about
the quality of care in a vulnerable position
sentinel events - ANSWERserious, unexpected occurrence that involves death or
severe physical/psychological harm (Examples include: inpatient suicide, infant
abduction, or wrong-site surgery)
IHI (Institute for Healthcare Improvement) - ANSWERIHI focused on low-hanging
healthcare "fruit," which works on reducing healthcare errors. it was founded by Don
Berwick
3 elements of a High Reliability Organization - ANSWERa. Leadership that is
committed to a goal of zero harm (trust, improve, report)
b. A culture of safety embedded throughout
c. RPI: learn, six sigma, and change management)
List eight hospital acquired conditions discussed that are CMS non-payment items -
ANSWER1. Items left inside the body after surgery
2. Blood incompatibility
3. Pressure ulcers
4. Air embolism
, 5. Catheter associated UTIs
6. Vascular catheter-associated infection
7. Surgical site infection (mediastinitis after CABG)
8. Hospital acquired injuries from external causes (falls)
List three of the commonly cited standards of noncompliance: - ANSWER1. Not
following policy
2. Incomplete documentation
3. Infection prevention
Complete the following sentence:
"If you are not working to continuously improve, your work is _________. -
ANSWERsubstandard
Describe the Five A's of Healthcare Access - ANSWER1. Affordability
2. Availability
3. Accessibility
4. Accommodation
5. Acceptability
What is a "risk pool"? Provide an example of how it works - ANSWERIndividuals who
are insured by one insurance plan. A group of people can contribute a set amount of
money per month, and whichever person needs the money for healthcare will have
access to it.
Why is being uninsured associated with higher risk for more expensive and more
urgent medical procedures - ANSWERThey use preventative services less often and
are more likely to postpone medical care. They also have a higher likelihood of
moving between health care providers, producing a poor continuity of care. The end
result is the need for more expensive/more urgent procedures
team - ANSWERnumber of individuals collaborating in specific work or activity that
focuses on a specific goal or outcome
Five Rights of Delegation - ANSWERRight task
right circumstance
right person
right direction/communication
right supervision/evaluation
Biomedical technology is used for - ANSWERa. Physiologic monitoring
b. Diagnostic testing
c. IV fluid and medication dispensing and administration
d. Therapeutic treatments
Medicare - ANSWERelderly people
Medicaid - ANSWERpeople below poverty threshold
