Exam 3 Flashcards

Question

What is standardized languages?

Answer 1

Allows for streamline sharing of information same terms are used by everyone to describe same condition Important for effective data mining required for nursing documentation

Answer 2

Patient safety is the most important directive for electronic health record The use of evidence space cues within the information system, rules and alerts in reminders that decrease memory care contribute to improve patient outcomes

Answer 3

Designed to safeguard an individuals, health information

Answer 4

Establishes a set of national standards to protect electronic health information

Answer 5

Requires all healthcare organizations to report any data breaches

Answer 6

Known as the HITECH ACT Requirements include metrics to improve patient care, quality and public health Provides incentives when metrics are met by both physician practices in hospitals to move forward, electronic documentation, and processes to improve patient care

Answer 7

Joint commission Center for Medicare said Medicaid US department of health and human services

Answer 8

Center of Medicare and Medicaid services program that requires use of the electronic record to improve patient care and consists of three stages

Answer 9

Stage one data capture and sharing Stage two advanced clinical processes Stage three improved outcomes

Answer 10

Strategic planning for technology and computer systems in an organization

Answer 11

A physician who integrates the field of medicine and IT

Answer 12

Integrates, nursing, and IT in charge of strategic planning for the information system

Answer 13

Responsible for planning, monitoring, and execution of an informatics project

Answer 14

Analyses education needs of clinical staff who will utilize information systems

Answer 15

Used to provide a standard set of data on a patient as well as standard definitions of data elements

Answer 16

Process of taking the data in a patient file and applying an industry, standard medical code of data Includes two basic types of coding systems ICD and CBT

Answer 17

Protect patient data from being lost changed, or held hostage by viruses or Attacks Done through use of unique usernames and passwords

Answer 18

Electronic medication administration record Supports documentation of medications by providing a list of medication orders when they are due to be administered

Answer 19

Computerized provider order entry Allows providers to enter orders directly into a patient’s record

Answer 20

Processing which clinicians use a barcode reader to verify patients identity and drug information immediately prior to giving medication to a patient

Answer 21

Web-based platforms that allow patients to access their health information

Answer 22

Specialty in which electronic devices and telecommunication technologies are used to serve education and healthcare, to clinicians and patients

Answer 23

Representatives from local nursing locations, who receive enhanced training to help with implementation, success, instability, overtime

Answer 24

Point when you switch from one system to another turn on a new application

Answer 25

Requires technical vendor, education, and support resources

Answer 26

Support of the application through enhancements to the systems throughout the rest of the systems lifecycle

Answer 27

Procedures in place to tell staff how they will get information on the system is down

Answer 28

There’s an increasingly complex healthcare, environment Estimated 1,000,000+ RN reaching retirement between 2025 and 2030 Loss of knowledge and experience will result in negative consequences to patient safety and quality care

Answer 29

The shortage of knowledge, skill, expertise, and clinical judgment

Answer 30

Carefully and seek and select the best person for the right position Consider recruiting and hiring a balance of new and experience nurses Provide adequate transition to practice programs to develop and retain experience nurses Offer continuing education, up-to-date technology for advancement

Answer 31

Prepare for interviewers by reviewing applicants information, résumé, and letters of reference Keep the focus of interview on the rules and responsibilities, outlined and position description

Answer 32

Be dedicated to providing a proper orientation for new staff to enhance retention Bridge the gap between student nurse, and clinical, setting and world clinical setting Select inappropriate preceptor, using the novice to expert model Provide regular verbal in written feedback to build confidence and self-esteem

Answer 33

Should have at least three years experience organized with good time management

Answer 34

Examine strategies to retain experience nurses to avoid an adequate staffing and higher turnover Provide strong leadership at unit level Create, cultural, norms, and environment, that result in workforce safety Provide meaningful recognition, mentoring, coaching, and professional development opportunities

Answer 35

Consist of nurses at various levels in the organization Ensure patient care is continuous and reliable Use tools effective for communication and active listening Create authentic relationships in a learning environment and culture Include all healthcare professionals, patient and his or her family Collaborate communicate and integrate care

Answer 36

Involves integrating, the knowledge, expertise and experience of healthcare professionals

Answer 37

Values and ethics for interprofessional practice Knowledge of others, rules, and responsibilities Responsible, interprofessional, communication Application of principles of team dynamics

Answer 38

Working jointly with others in mutual beneficial ways towards the a common goals

Answer 39

What are the tasks the team needs to accomplish Is representation from various levels of the organization needed Is geographical educational and interprofessional diversity needed With skill mix is necessary for the team to succeeded Are the same people on the team as usual or has new staff staff been encouraged to join

Answer 40

Initial stage in team development Begin discussing goals Members avoid controversial topics Nurse leaders and managers help direct the team and explain the purpose

Answer 41

Team starts to work together Member share their opinions resulting sometimes in intro group conflict Nurse, leaders and managers assist with resolving conflict and Coach team members through conflict

Answer 42

Team overcomes resistance in progresses through the storming phase Members give up individual goals and begin working as a team toward the common goal Your leaders and managers step back and allow the team members to take responsibility

Answer 43

Team members understand their roles Members except each other’s, individuals, idiosyncrasies and develop group norms Nurse leaders and managers, focus energy on other projects

Answer 44

The final stage of team development is when the work of the team is completed Members prepare emotionally to disband Nurse, leaders and managers celebrate the team successes and provide recognition

Answer 45

Combined strength of all members Leads to outcomes that might not have been possible, if members worked alone Foster, creativity, imagining intellectual networking Requires members to value their own expertise, as well as others, expertise and be open minded

Answer 46

Directing and coordinating the activities of team members, including assigning tasks, developing team, knowledge and motivating team members

Answer 47

Developing common understandings of the team environment and applying appropriate task strategies

Answer 48

Anticipating other team, members needed through an accurate understanding of their responsibilities

Answer 49

Adjusting strategies based on information, gathered from the environment through the use of back up behavior and relocation of team resources

Answer 50

Considering other team members behaviors during the group interaction in the belief of the importance of the team goals over the personal goals

Answer 51

Believing that team members will perform their roles and protect the interest of their teammates

Answer 52

Exchanging information between a sender and a receiver

Answer 53

Positive impact on manager, staff, relationships, and team experiences Enhances job certification in promote staff retention Leads teams towards success

Answer 54

Identify strategies to create cohesive partnerships among the different generations Discourage stereotypes and judgmental attitudes about each generation Acknowledge what each generation brings to the table

Answer 55

Engage in cultural, congruent practice Develop recruitment and retention strategies to achieve a multicultural workforce for Create a diverse workforce that reflects the population, it serves to improve nurse patient relationship and communication increase patient satisfaction improve outcomes

Answer 56

Be sensitive to differences, be fair, varied, perceptions, and address any issues that arise appropriately

Answer 57

Assess a new employee at the end of probation status Provide recognition or constructive feedback

Answer 58

Enhances, employment development, and motivates staff to improve performance Ensures feedback is based on facts Provides employee feedback Six. Input from the employee regarding plans for improvement.

Answer 59

Reflecting on one’s own personal actions and professional performance May include feedback from patients in their families

Answer 60

Assessing monitoring, and making judgments about the quality of nursing care provided by a peer Fosters accountability and support self regulation

Answer 61

Supports and motivates the employee to succeed and grow Involves showing a respect and praising the employee for a job well done

Answer 62

Is constructive nurse receives feedback from everyone around them Provide specific opportunities for employee to use development plan

Answer 63

Progressive process used to improve poor performance, in which deficiencies and substandard performances, are addressed immediately to avoid escalation of behaviors

Answer 64

Explore the deficiencies and gather evidence to determine type of violation Address, minor rule, infractions directly with the employee providing feedback for improvement Address, major infractions with immediate termination Encourage nurses who observe, questionable behavior, or practice to report these concerns

Answer 65

Who is responsible for making decisions about patient care How long does that person’s decision remain in effect? How is work distributed amongst staff by task or by patient? How is patient care communication handled? How is the whole unit managed?

Answer 66

The participate and redesigning nursing care care delivery by focusing on patient centered care Ensure Frontline nurses participate in decision-making Serve as a change agent Determine when new delivery models are appropriate

Answer 67

Organize and deliver nursing care and focus on structure process and outcomes Balance, the needs of patience with competencies and available staff Provide continuity of care

Answer 68

Coldest model of care Responsibilities include complete, nursing care of patient plus other duties holistic care Used in setting, such as critical care and hospice care Communication is hierarchal charge. Nurse is responsible for making assignments, interfacing with physicians and shift reports

Answer 69

Implemented as a means to accomplish patient care with the assistance help Staff works side-by-side in assigned to complete specific tasks for a group of patients Used in long-term care in ambulatory care Viewed as efficient and cost-efficient, but results in fragment care Communication is higher charge. Nurse is primarily responsible for assigning shift supervising tasks, interfacing with physicians and writing shift reports.

Answer 70

Total care is delivered by license and unlicensed personnel under direction of team leader Communication is hierarchal charge. Nurse is responsible for related tasks directly. Used in MedSurg units

Answer 71

Assigned duties to team members based on licensure education, ability and competencies Supervise care provided and provide more complex care Interface with physicians and provide shift reports to the oncoming team leader

Answer 72

Primary nurse is not available an associate nurse carries for the same group of patients, following the plan of care developed by the primary Decisions occur at the bedside with patient and family Used in home health Communication is lateral with the primary nurse, being responsible for direct care, interfacing with physicians and other members of the healthcare team

Answer 73

Goal is to decrease the cost of nursing care while increasing productivity Communication is lateral and RN coordinate and provide care and remain accountable for all patients

Answer 74

Partnership in practice (PIP) RN hires and works with UAP as partners on the same schedule Partnership to improve patient care (PIPC) same as PIP, except RNs are not involved in hiring Nurse extender model Same as PIP, except RNs are not involved in hiring

Answer 75

Requires higher orientation ratios with RN, having greater autonomy and control over practice Identified as core feature of magnet hospitals Higher rates of patient satisfaction, lower rates of nurse, burnout, and safer work environments Includes interprofessional and interprofessional communication in the RN controls the delivery of nursing care

Answer 76

Kara is differentiated based on the level of education competency and clinical expertise of RNs Recognizes that all nurses, regardless of education are needed to provide high-quality comprehensive care to patient patients in all settings

Answer 77

Optimal, nursing care matching patients needs with nurses competencies Effective in efficient use of scarce nursing resources Equitable compensation, and increased career satisfaction among nurses

Answer 78

Goal is to improve the quality of patient care across the continuum and engage. Highly skilled clinicians in outcome base practice and quality improvement.

Answer 79

Design implement and evaluate patient care by coordinating delegating and supervising the care provided by an interprofessional team Is a provider and coordinator of care and Foster interprofessional and intraprofessional communication

Answer 80

Places and emphasis on collaborating and planning care with patients and their families of all ages, at all levels of care, and in all healthcare settings Based on foundational concepts, dignity and respect, information, sharing, participation, and collaboration

Answer 81

Initially, and promote a self healing environment Effectively communicate with patients and their families Provide all necessary information for patient to make an informed health decision

Answer 82

1.) life-threatening problems, or those that could result in harm to the patient if left untreated 2.) actual problems and needs before potential problems or risks 3.) acute problems before chronic problems. 4.) problems identified as important to the patient.

Answer 83

Average total number of patients when census is taken at midnight over a given period of time, such as weekly monthly or yearly

Answer 84

Refers to the appropriate numbers of RNLPN in UA Pc needed needed on a unit

Answer 85

Represents how patients are categorized according to an assessment of their nursing care needs

Answer 86

Refers to the vary, level of education, licensure, certifications, and experience of the staff

Answer 87

Licensed personnel, who have completed a specific course of study at a state approved school of nursing and passed NCLEX Fairly consistent nationally and globally includes all aspects of nursing process

Answer 88

Assessments, diagnosis, planning, intervention and evaluation Patient teaching discharge planning in evaluating monitoring changes in patient status Assignment, supervision, and delegation

Answer 89

Licensed personnel, who have completed a specific course of study at a state, approved, practical or vocational nursing school and passes the NCLEX

Answer 90

Is responsible for physical care, taking vitals and administering medication Always works under the direction or supervision of an RN advanced practice, RN, physician, or other healthcare providers designated by state

Answer 91

Unlicensed personnel specifically trained to function in an assistive role to RN, and may or may not be regulated by state Board of nursing

Answer 92

Daily living hygiene and physical care Performs task delegated by RN

Answer 93

Unique patient care settings Patient, Flo admissions, discharges, and transfers Patient acuity Skills, education, and experience of staff

Answer 94

Patients are grouped according to acuity of illness in complexity of nursing activities necessary to care for patients

Answer 95

Lack of standardization lack of credibility among nurse, leaders and managers, and no considerations of patient Flo, very subjective as the leader determines what group each patient falls into

Answer 96

Focuses on, addressing the complexities of nursing staffing decisions, and applies them to all of nursing staffing in all types of healthcare settings

Answer 97

Characteristics and considerations of the healthcare consumer Characteristics and considerations of RNs and other interprofessional team, members and staff Context of the entire organization in which the nursing services are delivered Overall practice environment that influences delivery of care Evaluation of staffing plans

Answer 98

Describes the number and type of nursing staff needed to shift to shift and day-to-day

Answer 99

Regulatory requirements, including federal and state legislation Guidelines from accredited agencies, such as joint commission Standards of practice like the ANA scope and standards of practice Beares novice to expert model

Answer 100

Takes into account, the test, competencies and outcomes. RN can be expected to acquire.

Answer 101

stage, one novice have no experience of situations in which they are expected to perform Stage two advanced beginner can demonstrate marginally, acceptable performances of tasks Stage three competent, have two or three years of experience, and can establish a plan of care Stage four proficient have three or more years of experience, and can perceive the situation as a whole Stage five expert operate from a deep understanding of a total situation

Answer 102

Evaluate daily weekly and monthly Consider elements such as patient acuity trend staffing, overtime staffing mix patient satisfaction and patient outcomes Use variance reports to evaluate staffing effectiveness by comparing plan staffing to budgeting staffing Investigate staffing concerns identified by nursing staff, and immediately on any issues that could negatively impact patient or nurse outcomes

Answer 103

Create stress among nurses and contributes to adverse events Lax, ability, respect, and courtesy, and intern breeds in effective interpersonal relationships

Answer 104

Leads to work satisfaction, increase retention, effective organizational performance, and improve patient outcomes Supports meaningful work joy in the workplace and safer patient care delivery Enhances, nurse, recruitment and retention

Answer 105

Helps nurses to improve their work environment and ensure their ability to provide safe quality. Patient care. Outlines workplace expectations for professional nursing practice across the United States Is a statement of professional rights and not illegal document

Answer 106

Skills communication True collaboration Oar Effective decision-making Appropriate staffing Meaningful recognition Authentic leadership

Answer 107

Recognizing that violence can, and does happen anywhere Healthy work environments promote positive patient outcomes Everyone in the organization is accountable for upholding foundation behavior standards Addressing workplace violence may increase the effectiveness of nurse practice and patient care

Answer 108

A workplace free from risks of both physical and physiological harm Patient safety and nurse safety link

Answer 109

Increase risk of musculoskeletal disorders on a daily basis, due to lifting, transferring and repositioning patients

Answer 110

Lack of no lift policy adequate lifting equipment in adequate space on patient’s care units Lack of equipment, decreased staffing levels in the architecture of the environment Nurses who do not report their injuries

Answer 111

Implementation of safe, patient handling, and mobility programs Establishment of policies to prevent nurses and patient injuries across the Care Attainment of knowledge, skills and attitudes create best environment that focuses on minimizing risk of harm to work force

Answer 112

Reduction of workplace injuries Improvement in the quality of care for safety of patience Reduction of work related healthcare cost Increases in worker satisfaction and healthcare savings

Answer 113

Physiological or reduce physical capacity Objective or reduce productivity Subjective or weary, or unmotivated feeling

Answer 114

physical injuries to staff and patients Nurses who have irritability, reduced motivation, inability to stay focused, diminished reaction time and ineffective, communication skills

Answer 115

Extended shifts of more than 12.5 hours results in higher chance to make errors slow reaction time lapses of attention and compromise problem sol Lack of rest breaks during work hours, not mandated by federal regulations

Answer 116

Foster worklife balance amongst staff Create and sustain a healthy work environment that promotes healthy work schedules Develop policies that support evidence base recommendations for dealing with nurse fatigue

Answer 117

Emotional abuse, intimidation put down harassment, humiliation humor at the expense, a colleague, bullying and civility

Answer 118

Bullying is undermining, degrading others through use of hostile remarks, verbal attack threats in civility, is showing distain or disrespect for others through gossiping spreading rumors

Answer 119

Physical or non-physical violence between nurses who have a workplace relationship

Answer 120

Bullying or instability between two or more nurses at the same level

Answer 121

Bullying or inability between a nurse, subordinate and someone at higher level

Answer 122

Violence that is witnessed directly or indirectly by others

Answer 123

Violence towards those in a nurse care, resulting in violation of nurses code of ethics examples, hitting a patient or using restraints without an order, refusing to administer pain medication at a timely basis

Answer 124

A patient or family member being violent towards the nurse Patient hitting or biting nurse can be due to acute disease, states alcohol and intoxication emotional states

Answer 125

Affects the entire healthcare organization and occurs as a result of a changing work environment Example, excessive, workloads, unsafe, working conditions

Answer 126

Perpetrated by outside persons entering the workplace, or when nurses are going to, and from the workplace, usually random perpetrator with criminal intent

Answer 127

Inappropriate behavior, including sexually based language or unwanted, sexual, advances or contact

Answer 128

Includes biochemical attacks or terrorist attacks and natural disasters can be extremely stressful for and have a potential for serious health and mental health issues for staff

Answer 129

A lack of interpersonal coping or conflict management skills in person

Answer 130

Include increase, productivity, demands cost containment stress from fear of ligation and inadequate information between organization and leadership

Answer 131

To remain silent about it

Answer 132

Age and experience, younger and less experienced Females Degree of accessibility nurses in the emergency room

Answer 133

Lack of knowledge, time and administrative support Fear of repercussion for reporting it Lack of hospital administrators to follow up on report Unhealthy work environment that breeds frequency and character of workplace violence

Answer 134

Creates a culture of fear and diminish staff morale Impact patient, safety, and job satisfaction Results and disrupted work relationships, miscommunication, and unhealthy work environment Results in negative outcomes

Answer 135

May result in physical effects, such as frequent headaches, and decreased energy Results in physiological effect, such as stress, anxiety, depression, and frustration

Answer 136

Increase awareness by providing information Model and promote positivity and professional behaviors Support, zero tolerance programs and policies Encourage open communication biased Deal directly with all reported incidents

Answer 137

A formalize plan of action for addressing a security breach All healthcare facilities must have security plans in place

Answer 138

A formalize plan of action in the event of a disaster

Answer 139

Those occurring within the facility that can jeopardize the safety of patients staff and visitors Example, fire bomb, threat, active shooter

Answer 140

Those events occurring outside the organization involving mass casualties that can overload the facility Ex bus accident, chemical spill explosion