CH 21 managing patient care potter

Question 1

develops licensure examinations for registered nurses (RNs) and licensed practical nurses (LPNs) to ensure entry-level nurses can safely practice nursing.

Answer 1

National Council of State Boards of Nursing (NCSBN, 2018)

Question 2

Building an empowered nursing team begins with the nurse executive, who is often a

Answer 2

chief nursing officer

Question 3

within an organization is critical in uniting the strategic direction of an organization with the philosophical values and goals of nursing.

Answer 3

executive’s position (chief nursing officer)

Question 4

is a clinical and business leader who is concerned with maximizing quality of care and cost-effectiveness while maintaining relationships and professional satisfaction of the staff.
- establish a philosophy for nursing that enables managers and staff to provide quality nursing care.

Answer 4

nurse executive

Question 5

is focused on change and innovation through team development, 282serves as a mentor for staff, and develops and supports the moral agency of nurses

Answer 5

nurse manager who uses transformational leadership

Question 6

spend time on the unit with the staff sharing ideas, empowering the staff, supporting opportunities to enhance the team, showing appreciation and recognizing team members for a job well done, and holding team members accountable

Answer 6

Transformational leaders

Question 7

the professional nursing staff’s values and concerns for the way they view and care for patients.

Answer 7

A philosophy of care includes

Question 8

have a shared vision that leads the team to a common goal

Answer 8

Contemporary nurse leaders

Question 9

choose to serve others before they decide to become leaders.

Answer 9

Servant leaders (type of Contemporary relationship-based leadership)

Question 10

interactional and relationship-based leadership styles
-create a positive work environment by fostering interaction and generating stability to create the energy a team needs to adapt to and grow with a constantly changing health care environment

Answer 10

Nurse managers who use

Question 11

Their priority is putting the needs of others first and promoting personal growth and autonomy by ensuring their individual employee’s highest priority needs are met

Answer 11

Servant leaders (type of Contemporary relationship-based leadership)

Question 12

is freedom of choice and responsibility for the choices

Answer 12

Autonomy

Question 13

to create workplaces that promote better outcomes for patients and nurses

Answer 13

Effective nurse leaders often use transformational or relationship-based leadership

Question 14

choose a leadership style consistent with their personalities. They are dedicated to their own growth and build strong relationships with others
-dedicated to their own growth and build strong relationships with others

Answer 14

Authentic leaders (type of relationship-based leadership)

Question 15

is based on five model components—transformational leadership; structural empowerment; exemplary professional practice, new knowledge, innovation, and improvements; and empirical quality results

Answer 15

Magnet Recognition Program

Question 16

has a transformed culture with a practice environment that is dynamic, autonomous, collaborative, and positive for nurses

Answer 16

hospital that is Magnet ® certified

Question 17

has clinical promotion systems and research- and evidence-based practice programs.

Answer 17

Magnet hospital has clinical promotion

Question 18

to produce a strong collaborative relationship among team members and improve patient quality outcomes

Answer 18

culture and empowerment combine

Question 19

of nurse-patient relationship,

Answer 19

Nursing care delivery models contain the common components

Question 20

used in some health care institutions are team nursing and primary nursing

Answer 20

2 classic nursing models

Question 21

care is provided by a group of people led by an RN. The team often includes other RNs, practical nurses, and assistive personnel (APs).
-model requires effective team leadership, collaboration, and communication

Answer 21

team nursing (one of nursinf model)

Question 22

one RN assumes the responsibility for a caseload of patients from admission to discharge. The same nurse provides care for the same patients throughout their hospitalization

• Total patient care is similar to primary nursing.
• working directly with patients, families, and health team members.

Answer 22

primary nursing

Question 23

promotes mutual partnerships among the patient, family, and health care team to plan, implement, and evaluate nursing and health.
- patient or family member as the source of control and full partner in providing care

Answer 23

Patient- and family-centered care promotes

Question 24

. is the health care leader that assesses patient needs, recognizes clinical changes, and directs care.

Answer 24

An RN

Question 25

1. Dignity and respect, ensuring that the care provided is given on the basis of a patient’s and family’s knowledge, values, beliefs, and cultural backgrounds
2. Information sharing, meaning that health care providers communicate and share information so that patients and families receive timely, complete, and accurate information to effectively participate in care and decision making
3. Participation, whereby patients and families are encouraged and supported in participating in care and decision making
4. Collaboration, demonstrated by the health care leaders collaborating with patients and families in policy and program development, implementation, and evaluation and patients who are fully engaged in their health care

Answer 25

Institute for Patient-and Family-Centered Care identified four core concepts for patient-centered care

Question 26

coordinates and links health care services across all levels of care for patients and their families while streamlining costs and maintaining quality

Answer 26

Case management

Question 27

are often advanced practice nurses who, through specific interventions, help to improve patient outcomes, optimize patient safety by facilitating care transitions, decrease length of stay, and lower health care costs.
-accountable for cost management and quality

Answer 27

Case managers (defined better)

Question 28

coordinates a patient’s acute care in the hospital and follows up with the patient after discharge, either to home, rehabilitation, or a long-term care setting.
-Case managers do not provide direct care.

Answer 28

case manager exact roles

Question 29

is a component of the hierarchical level of decision making found in health care institutions
- allows decisions to be made at the staff level

Answer 29

Decentralization (hierarchical of decision making)

Question 30

is the typical decentralized structure used within health care organizations today

Answer 30

Shared governance (type of decentralized structure)

Question 31

managers and staff become more actively involved in making decisions to shape the identity and determine the success of a health care organization.

Answer 31

Shared governance (type of decentralized structure) (role)

Question 32

are responsibility, autonomy, authority, and accountability.

Answer 32

Important elements of the decision-making process are

Question 33

refers to the duties and activities that you are employed to perform.

Answer 33

Responsibility

Question 34

a nurse makes independent decisions about the work of the unit such as scheduling or unit governance.
-it occurs in degrees

Answer 34

work autonomy (another type of autonomy)

Question 35

refers to the legal ability to perform a task
-provides the power for a nurse to make final decisions and give instructions related to the decisions. You use authority to determine whether collaboration was successful

Answer 35

Authority

Question 36

refers to individuals being answerable for their actions

Answer 36

Accountability

Question 37

involves follow-up and a reflective analysis of decisions and an evaluation of their effectiveness

Answer 37

Accountability

Question 38

establish and maintain care standards for nursing practice on their unit.

Answer 38

Staff committees establish (nurse manager supports staff involvement thru)

Question 39

to encourage patient and family involvement in planning care, improve patient care coordination, and enhance communication among the health care team

Answer 39

interprofessional rounding (nurse manager supports staff involvement thru)

Question 40

, you meet a patient’s physiological needs such as oxygen, food, water, sleep, and elimination first.
- then safety, security, belonging, esteem, and self-actualization.

Answer 40

Maslow’s hierarchy of needs

Question 41

Assign high priority to first-level problems using ABC+VL (airway, breathing, cardiac and circulation problems, vital signs concerns, and life-threatening laboratory values) and attend to these immediately.

2. Next address second-level problems, which immediately follow the first level and include concerns such as changes in mental status, untreated medical issues, acute pain, acute elimination problems, abnormal laboratory results, and risks.
3. Then tend to third-level problems, which are health problems other than those at the first two levels, such as long-term issues in health management, rest, and family coping.

Answer 41

3 PRIORITy LEVEL ACCORDING TO THIS (IMPORTANT)

Question 42

use of time means doing the right things

Answer 42

Effective

Question 43

use of time means doing things right.

Answer 43

efficient

Question 44

provides training for all health care staff to guide communication, increase team awareness, and eliminate barriers to patient safety

Answer 44

TeamSTEPPS® system

Question 45

, which means I am C oncerned, I am U ncomfortable, and this is a S afety issue

Answer 45

CUS Tool (tool used in change of pt condition) way healthcare providers communicate

Question 46

is the process of assigning part of your responsibility to another qualified person in a specific situation

Answer 46

Delegation

Question 47

clinical reasoning, nursing judgment (e.g., the steps of the nursing process of assessment, diagnosis, planning, intervention, and evaluation or patient teaching), and critical decision making to APs

Answer 47

NEVER DELEGATE TO APS

Question 48

attend to basic patient needs (e.g., hygiene, meal assistance, ambulation) while LPNs can provide basic direct nursing care (e.g., observe and report clinical changes, perform wound care, and ADLs).

Answer 48

AP scope/ things can delay to

Question 49

basic direct nursing care (e.g., observe and report clinical changes, perform wound care, and ADLs).

Answer 49

LPNs can provide (scope to delay)

Question 50

to the LPN

Answer 50

if a patient is stable, you delegate administration of medications (exception: IV medications in most states)

Question 51

the taking of vital signs to the AP.

Answer 51

if a patient is stable, you delegate vital signs to