Exam 1 left

Question 1

a) group?
b) primary group?
c) Secondary group?

Answer 1

a) number of individuals assembled + have a unifying relationship
b)(informal)　形式ばらない
○ People have common bond; evolves from social interactions with no written rules+ can begin/end at any point
c) (formal)
○Held together based on rules + regulations;
procedures + policies for maintenance of the group
○ Meets an organized purpose for a specific project for a specific time frame

Question 2

a) Teams?
b) Membership
c) Homogenous
d) Heterogenous

Answer 2

a) common goal,purpse or task
small amount of people with complementary skills that are committed to a common goal
e defined goals/objectives + ongoing relationships
b) based on specific skills required to accomplish a task
c) similar background + abilities (nurses)
d) interprofessional + variety of clinical background(QI team)

Question 3

a) Committee
b) Ad-hoc committee
c) Standing committee

Answer 3

a) a work group w/ specific task/goal to accomplish as
defined by an organization
b) temporary committee that meets to develop a particular policy
c) (organization): nursing policy +procedure committee

Question 4

a) Forming
b) Storming

Answer 4

a) orientation
get to know each other,introduce
positive,polite,maybe anxious
b) Conflict
push against boundaries
members start to share feelings but still view themselves as individuals. Resist control by group leaders

Question 5

a) Norming
b) Performing
c)Adjourning

Answer 5

a) (cohesion):
comminucation starts, goal setting
people start to feel like a team + realize they can achieve goals if they accept other viewpoints
b) working
understanding,trust,agreement, respect
c) (termination)
evaluation, outcomes review
either been completed effectively or not
Is the goal achieved or not?

Question 6

Necessary for team leader skills?

Answer 6

effective communication style
Know your team members
Planning,cordination skills
Flexibility
Democratic leader style

Question 7

a) Informatics?
b) Nursing Informatics?
c) what are 4 domains?

Answer 7

a) the science of how to use data, information and knowledge to improve human health
b) Computer science + Information Science + Nursing science
c) Client,provider,administrative and reserach

Question 8

a) Electronic medical record? EMR
b) Electronic health record? EHR/CPR
c) what is some criteria for EHR?

Answer 8

a) Legal record of what happened to a patient during one care encounter
b) Longitudinal electronic record of patient health information
c) EMR must be in place for EHR to exist

Question 9

What MHR contains?

Answer 9

Pt demographics
provider progress notes
Health problems
Medication lists
Vital signs
Pt’s past medical history
Past or current immunizations
Lab data
Rediology data

Question 10

The EHR (health) has the ability to generate a complete record of patient encounter & other care related activities involving what?

Answer 10

-Decision support
-QI
-Outcomes reporting

Question 11

Answer 11

Question 12

What are the problems of the personal health record?

Answer 12

The patient determines who has access for reading & data entry
-2 separate health records
-Which is most current?
-Who makes additions/corrections to the info?
-Issues with making the PHI available to all clinicians
-Security

Question 13

What are Clinical Decision Support System (CDSS)?

Answer 13

Computerized programs used to support decision making
-Designed to look at a set of data and then lead the user through a decision making process

Question 14

What are Clinical Decision Support System’s (CDSS) based on?

Answer 14

Rules & “if then” statements
-It links info and/or produces alerts, warnings, or other info to the user
-The info is current & evidence based

Question 15

What is an example of a Clinical Decision Support System (CDSS)?

Answer 15

Alerting the provider about a patient allergy
-CDSS provides information to the right clinician at the right time

Question 16

What are the purposes of Nursing Information Systems (NIS)?

Answer 16

-Document nursing care
-Locate & review lab test results
-Order sterile supplies
-Enter HCP orders for x-ray & meds

Question 17

What are the goals of a Nursing Information System (NIS)?

Answer 17

-SUPPORT the way nurses function & work by providing them flexibility to use the system to view data & collect info, provide pt care, and document a patients condition

-Support & enhance nursing-practice through improved access to info & clinical decision making tools

Question 18

What are the advantages of Nursing Information Systems (NIS)?

Answer 18

-Increased time to spend with the pt
-Better access to info
-Enhanced quality of documentation
-Reduced errors of omission
-Reduced hospital costs
-Increased nurse job satisfaction
-Compliance with requirements of accrediting agencies
-Enhance the implementation fo EBP into nursing care b/c nurses re reminded which interventions need to be implemented for specific patients
-Allow nurses to evaluate pt outcomes

Question 19

How is the internet NOT helpful as a resource for patients?

Answer 19

-Sources lack evaluation standards

-Sources are geared towards professionals; pts may lack knowledge to understand info provided

Question 20

What is important for nurses to develop regarding the internet for quality patient care?

Answer 20

INFORMATION LITERACY

Question 21

Discipline?（規律）

Answer 21

Involves training/molding the mind or character to bring about desired behaviors

Not the same as punishment
It is a progressive process
Allows employee to correct identified issues
Process must be written, well communicated

Question 22

Constructive Discipline

Answer 22

Helps employee to grow
Is carried out in a supportive, corrective manner
Employee reassured that punishment is given because of actions and not because of who they are as a person
Primary focus is to assist employees to be self-directed in meeting organizational goals

Question 23

Destructive Discipline

Answer 23

Use of threats and fear to control behavior
Employee always alert to impending penalty or termination
Arbitrarily administered
Unfair in the application of rules or resulting punishment

Question 24

Self-Discipline

Answer 24

Highest and most effective form of discipline
the ability to control one’s feelings and overcome one’s weaknesses

Question 25

**Which statement concerning self-discipline is true?** A) It is one of the least effective forms of discipline B) It decreases as an awareness of the rules and regulations that govern behavior increases C) It increases when employees identify with the goals of the organization D) It is internalized, and thus the leader can do little to create an environment that promotes self-discipline in employees

Answer 25

Ans: C Feedback: The **highest level and most effective form of discipline** is self-discipline. When employees feel secure, validated, and affirmed in their essential worth, identity, and integrity, self-discipline is enhanced.

Question 26

Answer 26

Question 27

Which statement is accurate when describing performance **deficiency coaching**? A) It is less spontaneous and requires more planning than ongoing coaching B) It is a one-time way of solving problems C) It requires the manager to assume the role of enforcer rather than supporter or enabler D) It occurs as a component of an employee's annual performance appraisal

Answer 27

Ans: A Feedback: This form of coaching is less spontaneous and requires more managerial planning than ongoing coaching. In performance deficiency coaching, the manager actively brings areas of unacceptable behavior or performance to the attention of the employee and works with him or her to establish a plan to correct deficiencies.

Question 28

Which statement accurately describes a **disciplinary conference?** A) It is generally a highly charged emotional event, so the manager should try to soften criticisms to reduce the employee's defensiveness B) It should be scheduled in advance at a time agreeable to both the employee and the manager C) When it is held in front of peers it can be used as a teaching tool D) It requires the manager to adopt nurturing and counseling roles .

Answer 28

Ans: B Feedback: All formal disciplinary conferences should be scheduled in advance at a time agreeable to both the employee and the manager. Both will want time to reflect on the situation that has occurred. Allowing time for reflection should reduce the situation's emotionalism and promote employee self-discipline, because employees often identify their own plan for keeping the behavior from recurring. None of the other options accurately describe this process

Question 29

What is the fundamental rational for conducting a **disciplinary conference** for a staff member who has failed to significantly modify the practice of arriving late for assigned shifts? A) This behavior disrupts the efficiency of the nursing team B) The tardiness is costing the facility money C) This behavior encourages other staff to disregard rules D) The problem will get worse if it is ignored

Answer 29

Ans: D Feedback: Disciplinary problems, if unrecognized or ignored, generally do not go away; they only get worse. The other options are likely outcomes of the staff member's unacceptable behavior but not the fundamental rational for the disciplinary action.

Question 30

Which statement identifies a truth regarding the generally accepted plan for the reentry of the **chemically impaired employee** into the workplace? A) It is successful in only a small number of cases despite active treatment programs B) It is discouraged by the board of registered nursing C) It should not occur until 3 years after the employee has completed the treatment program D) It often includes an employer requirement that the employee agree to random urine screening on request by the employer

Answer 30

Ans: D Feedback: Most nurses successfully return to work following a treatment program, and this generally takes 1 year. Often, the conditions that the employee has successfully changed his or her lifestyle and will submit to random drug tests must be met before the employee can be allowed to return to work.

Question 31

What is the termination conference? 解雇する

Answer 31

**It is a last resort** when dealing with poor performance, difficult action for everyone. 1: State facts of the case and reason for termination 2: Explain the termination process 3: Ask employee’s input. Respond calmly and openly. 4: End meeting on positive note, if possible.

Question 32

**5. What would be the most appropriate level of employee discipline for a first infraction of gross mistreatment of a patient?** A) Suspension with pay B) Suspension without pay C) Termination D) Written admonishment

Answer 32

Ans: C Feedback: For a first infraction(違反) of gross mistreatment(ひどい虐待) of a patient, the most appropriate level of employee discipline would probably be termination. The organization's first responsibility is in the protection of patients.