Exam 2

Question 1

What are the six aims for improvement?

Answer 1

1. safe
2. effective
3. patient-centered
4. timely
5. efficient
6. equitable

Question 2

What is root cause analysis?

Answer 2

a process for identifying the basic underlying variation in performance

Question 3

When is RCA used?

Answer 3

sentinel events

Question 4

At what level are performance improvement plans initiated

Answer 4

local level

Question 5

Six Sigma?

Answer 5

uses data analysis

Question 6

Balanced Scoreboard?

Answer 6

Looks at structures, processes, interventions, outcomes

Question 7

A nurse using an EHR is able to see lab results for certain labs on the MAR when appropriate.

Answer 7

Efficient.

Question 8

A nurse identifies early signs of sepsis and implements appropriate nursing measures.

Answer 8

Timely

Question 9

A nurse elevates the head of the bed 30 degrees to prevent ventilator acquired pneumonia (VAP).

Answer 9

Effective

Question 10

A client in a rural community and a client in an urban community have equal access to healthcare specialists.

Answer 10

Equitable

Question 11

A nurse uses the rights of medication administration when giving a medication.

Answer 11

Safe

Question 12

A nurse asks a patient’s family about any cultural considerations to be aware of when caring for patient at the end-of-life.

Answer 12

patient-centered

Question 13

Plan-Do-Study-Act?

Answer 13

small test of change

Question 14

Two vials of medication with the same color protective cover are next to each other in the medication dispensing system. The nurse picks up the incorrect vial.

Answer 14

Latent error

Question 15

A nurse bypasses bar code scanning and administer a medication to a patient. The medication had already been administered by another nurse and the patient had a reaction to too much medication.

Answer 15

Active error

Question 16

Who requires RCA when there is a sentinel event?

Answer 16

joint commission

Question 17

Why is RCA promoted for QI?

Answer 17

Establishes a “just culture” and “culture of safety”

Question 18

What is statutory law?

Answer 18

federal/state law

Question 19

What is common law?

Answer 19

decisions made on absence of law

Question 20

What is administrative/regulatory law?

Answer 20

defines expectations

Question 21

What kind of law is the Nurse Practice Act?

Answer 21

civil

Question 22

What is defined in the Nurse Practice Act?

Answer 22

scope of practice
educational requirements
obtain license

Question 23

What is civil law?

Answer 23

meant to protect the rights of individuals

Question 24

What is criminal law?

Answer 24

meant to protect society from harm

Question 25

What is the goal of the Emergency Medical Treatment and Active Labor Act?

Answer 25

prevent patient dumping

Question 26

If a nurse is involved in a malpractice lawsuit, what is the nurse’s conduct compared to?

Answer 26

Nursing Standards of Care

Question 27

What did the Patient-Self Determination Act do?

Answer 27

requires the right to refuse treatment and to formulate an advance directive

Question 28

When can a Durable Power of Attorney for Healthcare make decisions for a patient?

Answer 28

When the patient becomes incapacitated

Question 29

What documents are examples of advance directives?

Answer 29

Durable Power of Attorney for Healthcare Living Will

Question 30

What are torts?

Answer 30

wrongful acts or omissions of care

Question 31

What are quasi-intentional torts?

Answer 31

when they should have known better

Question 32

What 4 criteria are necessary to establish nursing malpractice?

Answer 32

1. Nurse owed a duty of care to the patient 2. The nurse did not carry out or breached that duty 3. The patient was injured as a result 4. damages or remedies "make the person whole"

Question 33

What is a deposition?

Answer 33

when they ask questions in the court room

Question 34

What is standard of proof?

Answer 34

what a reasonably prudent nurse would do under similar circumstances

Question 35

How is policy made?

Answer 35

1. agenda setting 2. policy formulation 3. policy adoption 4. policy implementation 5. policy evaluation

Question 36

Who developed the Standards of Care?

Answer 36

ANA

Question 37

What is another name for Out-of-Hospital DNR orders?

Answer 37

comfort one

Question 38

What does POLST/MOST stand for?

Answer 38

Physician Orders for Life-Sustaining Treatment Medical Order for Scope of Treatment

Question 39

MOST/POLST form is what type of document?

Answer 39

medical

Question 40

Living will is what type of document?

Answer 40

legal

Question 41

DNRs and POLST are for?

Answer 41

really sick people

Question 42

Implicit values?

Answer 42

unwritten

Question 43

Explicit values?

Answer 43

written

Question 44

According to the ENA/IntNSA Position Statement, what is the goal of alternative-to-discipline (ATD)?

Answer 44

Retention, rehabilitation, and re-entry into safe, professional practice

Question 45

When does drug diversion occur?

Answer 45

Occurs when a healthcare clinician diverts a drug intended for a patient for their own purposes.

Question 46

Organizational ethics is demonstrated in what document in a healthcare organization?

Answer 46

Mission statement

Question 47

Example of a different type of organization for organizational ethics

Answer 47

Developed the Code of Ethics for Nursing

Question 48

What is the role of ethics committees?

Answer 48

* Promote rights of patients * Promote shared decision making. * Promote fair policies and procedures.

Question 49

What are the responsibilities of the ethics committee?

Answer 49

1. guidance on ethical dilemmas 2. education 3. policy development

Question 50

Alternative to Discipline Programs (ADP)

Answer 50

Developed to help healthcare professionals and healthcare students receive treatment for substance use disorder.

Question 51

What are some of the characteristics of effective teams?

Answer 51

o Trust o Respect o Collaboration

Question 52

Multidisciplinary?

Answer 52

each team member is responsible only for the activities related to his or her own discipline and formulates separate goals for the patient.

Question 53

What does shared governance support?

Answer 53

an interdisciplinary design

Question 54

What are the attributes of interprofessional collaboration?

Answer 54

1. values and ethics 2. roles and responsibilities 3. communication 4. teams and teamwork

Question 55

When a nurse comes to the nurse’s station to ask for help one of the nurses ignores the request.

Answer 55

Covert behavior

Question 56

A nurse yells at a new RN on the unit when the new nurse does not state the location of a patient’s IV during report.

Answer 56

Overt behavior

Question 57

What is the result of lateral violence?

Answer 57

Interfere with the learning or practice environment.

Question 58

Examples of lateral violence?

Answer 58

covert and overt behaviors