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Professionalism II > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

What are the six aims for improvement?

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

What is root cause analysis?

A

a process for identifying the basic underlying variation in performance

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3
Q

When is RCA used?

A

sentinel events

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4
Q

At what level are performance improvement plans initiated

A

local level

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5
Q

Six Sigma?

A

uses data analysis

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6
Q

Balanced Scoreboard?

A

Looks at structures, processes, interventions, outcomes

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7
Q

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

A

Efficient.

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8
Q

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

A

Timely

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9
Q

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

A

Effective

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10
Q

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

A

Equitable

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11
Q

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

A

Safe

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12
Q

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

A

patient-centered

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13
Q

Plan-Do-Study-Act?

A

small test of change

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14
Q

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.

A

Latent error

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15
Q

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.

A

Active error

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16
Q

Who requires RCA when there is a sentinel event?

A

joint commission

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17
Q

Why is RCA promoted for QI?

A

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

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18
Q

What is statutory law?

A

federal/state law

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19
Q

What is common law?

A

decisions made on absence of law

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20
Q

What is administrative/regulatory law?

A

defines expectations

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21
Q

What kind of law is the Nurse Practice Act?

A

civil

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22
Q

What is defined in the Nurse Practice Act?

A

scope of practice
educational requirements
obtain license

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23
Q

What is civil law?

A

meant to protect the rights of individuals

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24
Q

What is criminal law?

A

meant to protect society from harm

25
Q

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

A

prevent patient dumping

26
Q

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

A

Nursing Standards of Care

27
Q

What did the Patient-Self Determination Act do?

A

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

28
Q

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

A

When the patient becomes incapacitated

29
Q

What documents are examples of advance directives?

A

Durable Power of Attorney for Healthcare
Living Will

30
Q

What are torts?

A

wrongful acts or omissions of care

31
Q

What are quasi-intentional torts?

A

when they should have known better

32
Q

What 4 criteria are necessary to establish nursing malpractice?

A
  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”
33
Q

What is a deposition?

A

when they ask questions in the court room

34
Q

What is standard of proof?

A

what a reasonably prudent nurse would do under similar circumstances

35
Q

How is policy made?

A
  1. agenda setting
  2. policy formulation
  3. policy adoption
  4. policy implementation
  5. policy evaluation
36
Q

Who developed the Standards of Care?

A

ANA

37
Q

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

A

comfort one

38
Q

What does POLST/MOST stand for?

A

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

39
Q

MOST/POLST form is what type of document?

A

medical

40
Q

Living will is what type of document?

A

legal

41
Q

DNRs and POLST are for?

A

really sick people

42
Q

Implicit values?

A

unwritten

43
Q

Explicit values?

A

written

44
Q

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

A

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

45
Q

When does drug diversion occur?

A

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

46
Q

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

A

Mission statement

47
Q

Example of a different type of organization for organizational ethics

A

Developed the Code of Ethics for Nursing

48
Q

What is the role of ethics committees?

A
  • Promote rights of patients
  • Promote shared decision making.
  • Promote fair policies and procedures.
49
Q

What are the responsibilities of the ethics committee?

A
  1. guidance on ethical dilemmas
  2. education
  3. policy development
50
Q

Alternative to Discipline Programs (ADP)

A

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

51
Q

What are some of the characteristics of effective teams?

A

o Trust
o Respect
o Collaboration

52
Q

Multidisciplinary?

A

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

53
Q

What does shared governance support?

A

an interdisciplinary design

54
Q

What are the attributes of interprofessional collaboration?

A
  1. values and ethics
  2. roles and responsibilities
  3. communication
  4. teams and teamwork
55
Q

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

A

Covert behavior

56
Q

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.

A

Overt behavior

57
Q

What is the result of lateral violence?

A

Interfere with the learning or practice environment.

58
Q

Examples of lateral violence?

A

covert and overt behaviors

Professionalism II (3 decks)

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