Exam 2

Question 1

There are 4 major areas of political action in nursing. They are:

Answer 1

workplace
government
professional organizations
community

Question 2

Looking at the hierarchy of evidence of the choices below, which has the highest believability and carries the most strength?

Answer 2

double-blind randomized controlled studies

Question 3

Identify 4 principles of effective communication as listed in Motacki and Burke.

Answer 3

sender of communication is responsible for clarity

sender must have credibility

giving information is not communication

communication encourages feedback

Question 4

Identify the 3 ways the nurse can advance their career.

Answer 4

joining a professional organization

reading journals

attending conferences

Question 5

What is the principle behind “lean” culture?

Answer 5

all processes contain waste

Question 6

A sentinel event involves:

Answer 6

patient dying or almost irreversibly injured

Question 7

Nursing sensitive indicators reflect the structure, process, and outcomes of nursing care.

structure →
process →
outcomes →

Answer 7

supply & education of nursing staff

assessment and evaluation

improved care with more nursing staff

Question 8

One of the best indicators of clinical performance is reflected in:

Answer 8

patient satisfaction surveys

Question 9

The outcome measure of hospital readmission is an important measure. Of the teams listed below, which one may help lessen the hospital admissions?

Answer 9

interdisciplinary teams

Question 10

Examples of nursing sensitive indicators include: (SATA)

Answer 10

nursing turnover
nosocomial infections
patient falls
pressure ulcers

Question 11

Rosa is a nurse manager on the oncology floor. She is reviewing a report that compares information about her organization’s performance rates compared to other local hospitals. What is this comparison called?

Answer 11

benchmarking

Question 12

Risk management is a hospital program organized to prevent accidents, injuries, and errors. Which of the following situations would a hospital’s risk manager need to investigate?

Answer 12

a patient breaks his wrist caused by a fall

Question 13

Which of the following provides the most direct evidence of quality of care?

Answer 13

incidences

Question 14

Indicators of nursing care, such as assessment, intervention, and RN job satisfaction, are:

Answer 14

Nursing sensitive indicators

Question 15

Susan is a new grad in the ICU. She is learning to manage her time and is taking extra supplies into the patient’s room just in case she needs them. Her preceptor tells her that she needs to think “lean” regarding the supplies. What does the preceptor mean?

Answer 15

make do with the smallest amount possible

Question 16

A nurse is documenting information in a computerized health record. Which of the following protects client confidentiality? (SATA)

Answer 16

logging out

using a computer terminal in a nonpublic area

preventing an unidentified person from viewing information

Question 17

These programs reward nurses for their advancement in nursing. They permit horizontal advancement. Allowing excellent clinicians to stay at the bedside. These are known as:

Answer 17

clinical ladders

Question 18

A key focus of the quality movement is:

Answer 18

meeting the needs of the customer

Question 19

A nurse is learning about quality improvement measures taken by the hospital. Root cause analysis is a retrospective analysis for identifying the cause of an error. What is the greatest benefit of establishing a root cause?

Answer 19

prevention of future similar incidents

Question 20

A nurse is receiving a change-of-shift report. Which of the following patients should the oncoming nurse assume total care, rather than delegating a task to an UAP?

Answer 20

the client’s BP and pulse have been fluctuating throughout the day

Question 21

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. What method will the nurse use to evaluate the success of the changes?

Answer 21

compare the number of medication errors before and after the changes were made

Question 22

Select the true components about an informed consent. (SATA)

Answer 22

patient is competent to consent

consent is voluntary

patient has been given information and expresses understanding

Question 23

Which of the following patients should the nurse see first?

Answer 23

the patient with an HR of 110 and has complaints of dizziness

Question 24

What department focuses on identification, evaluation, and reducing the risk of injury to patients, visitors, and staff?

Answer 24

risk management

Question 25

Which patient should the nurse care for first?

Answer 25

a patient has a blood sugar reading of 68

Question 26

Select 3 true statements about outcomes.

Answer 26

measureable data reflect the effectiveness of process components support for process improvement

Question 27

A continuous quality improvement committee is developing a program to reduce the number of medication administration errors. This action is in response to a sentinel event at the facility. What should the committee do first?

Answer 27

review the events leading up to each medication error

Question 28

A nurse on a medical-surgical unit is preparing to contact a provider who requested a patient update 6 hours post op. Which portion of the SBAR includes suggestions made by the nurse?

Answer 28

recommendation

Question 29

An effective team leader will: (SATA)

Answer 29

organize the team articulate clear goals making decisions includes all team members

Question 30

You are admitting a new patient who speaks German. The patient does not understand English. The nurse speaks English and only understands a few German words. How will the nurse proceed? (SATA)

Answer 30

check the facility list for employees who act as translators use the translator via phone following hospital policies

Question 31

The FOCUS method is:

Answer 31

model for quality improvement

Question 32

pictorial representation of data

Answer 32

graph

Question 33

three data points moving in the same direction

Answer 33

trend

Question 34

information management tool

Answer 34

dashboard

Question 35

positive or negative variations from what was planned

Answer 35

variance

Question 36

Which of the following was the first national standardized and publicly reported survey of a patient's perspectives of hospital care?

Answer 36

HCAHPS hospital consumer assessment healthcare provider and systems

Question 37

What is a direct benefit to an organization from greater patient satisfaction?

Answer 37

greater employee satisfaction

Question 38

An appropriate action by a student nurse is shown by:

Answer 38

reading the patient's chart before care

Question 39

Automated systems for providers to enter patient care orders are called:

Answer 39

computerized physician order entry (CPOE)

Question 40

In what ways can hospitals meet the Joint Commission's goals of adequate, competent staffing?

Answer 40

training and educating staff

Question 41

A scheduling that blends centralized and decentralized is known as:

Answer 41

mixed

Question 42

Peer reviews are frequently included in the overall employee performance appraisal. What is the value of a peer review?

Answer 42

the nurse can evaluate the peer based review on personal knowledge of that employee's performance

Question 43

The end-of-shift report is the appropriate time to communicate the following: (SATA)

Answer 43

new patient orders pending procedures evaluation of medication response

Question 44

What has the greatest impact on patient satisfaction?

Answer 44

responsiveness of staff

Question 45

The orientation process that includes speakers from HR, infection control, hospital safety, process improvement, and security is called:

Answer 45

hospital-wide orientation

Question 46

An organized program to prevent incidence of preventable accidents, injuries, and errors describes:

Answer 46

risk management