NUR 406 REVISED MIDTERM QUESTIONS AND ANSWERS 2025

NUR 406 REVISED MIDTERM QUESTIONS AND ANSWERS 2025 In a team nursing delivery model, the nurse would have the following assignment: a. total care for select group of pts b. responsibility for a particular function, such as meds c. an oversight role for care delivered by self and staff d. combination role integrating financial and insurance decision - ANSWER-C Type of pt care in which the nurse caring for the pt makes most decisions is: a. functional b. team c. case management d. total pt care - ANSWER-D Most flexible model of pt care, which can include a variety of skill mixes is: a. team b. functional c. case management d. primary - ANSWER-D You are a nurse working during a snow storm. staff has been cut in half. best method of health care delivery: a. case management b. team nursing c. modular nursing d. functional nursing - ANSWER-D SBAR stands for.. - ANSWER-situation background assessment recommendations What is included under the situation criteria? a. pt's ethnicity and religious affiliation b. problem, what it is, when it started, and severity c. pts roommates d. pts mental status - ANSWER-B What is included under the background criteria? a. socioeconomic status of family b. current meds, allergies, IV fluids, lab results c. pt's dietary needs before hospitalization NUR 406 NUR 406 d. family history of disease - ANSWER-B Do's regarding change of shift report: a. essential background info about pt b. id pt's discharge plan c. significant info about family friends d. pts orders in detail - ANSWER-A Don'ts regarding report a. significant info about family b. significant changes in the way therapies are given c. continuously review ongoing discharge plan d. review all routine care procedures - ANSWER-D in the PCIO framework for developing the question of concern, "I" stands for what: a. intervention b. interdisciplinary c. interrelational d. integrity - ANSWER-A You have just read about a change in IV insertion practice that sounds like it would work on your unity. before suggesting such a change in practice, you need to: - ANSWER review of literature RACE stands for: - ANSWER-rescue alarm contain extinguish Example of the need for an incident report is: a. med error b. pt fall c. injury to employee d. all of the above - ANSWER-D Medicare part B coverage plan pays for: a. prescription meds b. new ramp for wheelchair c. surgical procedures d. durable medical equipment - ANSWER-D Chronic hemodialysis pt would have his or her bills paid for by: a. medicare part A b. medicare part B c. parts A and B d. part C - ANSWER-B NUR 406 NUR 406 a benefit of accreditation by the joint commission is that it: a. leads to improved pt care and demonstrates the organizations commitment to safety and quality b. allows for increased financial gain through medicare and medicaid reimbursement c. influences the improved design of care processes d. offers educational off site survey experience - ANSWER-A Documentation of pt pain assessment will be reviewed for JACHO standard compliance. under this standard, organizations are required to provide proof that nurses: - ANSWER-recognize pts right to assessment and management of pain YOU are the nurse for a pt who is brain dead and ventilator dependent. best interest=dc vent. example of is a need for an ethics committee decision would be if this comatose pt: a. does not have advance directives b. as a living will c. cannot breathe without vent d. has advance directive and next of kin - ANSWER-A Element that is the same in nursing process and management: a. id of needs b. id of resources c. planning d. control - ANSWER-C Middle level director: a. makes hospital wide decisions b. supervises number of upper level managers c. responsible for ppl and activities 24/7 d. responsible for his or her specific shift only - ANSWER-C NOT middle level managers responsibility: a. ppl within departments they supervise b. liasison between upper management and first level management c. establishment of organizational goals d. activities within the departments they supervise - ANSWER-C a sentinel event: a. basis of all PI b. must be reported to TJC c. evidences poor pt care d. medical error - ANSWER-B Example of an outcome: a. admission process NUR 406 b. pressure ulcer rate c. nursing satisfaction d. standard of care e. both b and c - ANSWER-E All of the following are uses of pt record EXCEPT: a. documentation b. provision of data for research c. provision of legal and financial records d. an area to place incident - ANSWER-D The electronic pt health record may include: a. pt stats b. med order entry c. incident report d. pt census data - ANSWER-B Primary use for electronic health info is: a. education b. pt care management c. regulation d. research - ANSWER-B Secondary use for electronic health info? a. education b. pt care delivery c. pt care management d. pt care support - ANSWER-A Nursing data fall into 4 domains: - answer-client care Billing Administrative Research One driving force for increasing pt satisfaction is: A. Community benefits B. Clinical benefits C. Classification benefits D. Management benefits - answer-b Mission of an organization: A. Sets competitive tone B. States what is done by organization C. Measures performance of a unit D. Defines philosophy of an institution - answer-b NUR 406 NUR 406 NUR 406 Vision of organization: A. statement defining purpose b. future-oriented statement of where they see themselves c. philosophy or behaviors determined to be vital D. Analysis of the political, demographic, and social environment of organization - answer-b Example of direct cost would be: A. Telephone costs for entire facility B. Copy paper for specific unit C. Room use for hospital event D. Housekeeping staff - answer-b Indirect cost: A. Housekeeping staff B. Uniform allowance for lpns C. Ink for printer on unit D. Rn salary - answer-a Model of pt care delivery consists of an rn who provides complete pt care to a pt or group of pts? - answer-total pt care Medicaid vs. Medicare - answer-medicaid--aid for poor Medicare--care for elderly Critical components of change of shift report: - answer-meds, labs, allergies, change in pt status, admit dx, current dx, pending procedures, eval of new meds on shift Only part of nursing process that can be delegated to lpn but still supervised by rn? - answer-implementation, but only standard unchanging procedures Benefit to having electronic medical records? (sata) - answer-doctors orders, less med errors, better communication btw facilities/providers, immediate access Rn makes pt care assignments based on what? - answer-acuity of pts and needs of pts Skill/staff mix (rn vs lpn) 4 domains of nursing data - answer-research Staffing Client care Administration Main benefit of being accredited by jacho? - answer-noted commitment of quality care and safety Mission defines what? - answer-purpose of organization NUR 406 NUR 406 5 rights to delegation - answer-task Circumstance Person Direction Supervision 2 skills uap can do we did not know before this class? - answer-soap suds enema Pick up blood from bank Nurse renewing acls certification as she works in icu. Which ethical principal is she displaying? - answer-nonmalificence Better ways to care for pts being mechanically vented. Rn looks up articles about best practice. What is this? - answer-review of literature What types of incidents require occurrence reporting (sata) - answer-falls, med errors, needle sticks, loss of property Variable cost? - answer-something that changes--staffing, utilities, supply costs, maintenance costs 5 functions of management (sata) - answer-(can be a manager without being a leader) Staffing Planning Organizing Controlling directing ways health care organization work toward quality improvement (SATA) - ANSWER JACHO accreditation magnet status risk management/quality management pt satisfaction surveys according to maslow, what needs must be met first? - ANSWER-physical prioritization acronym - ANSWER-airway breathing circulation You are delegating assignments to your staff this morning. You have several LPN's and not enough RN's. You know that you should not delegate which of the following to an LPN. A. Ms. Jones, an 82 year-old that was admitted with COPD. She is confu