Final

Question 1

Traditional problem solving process
Know the steps

Answer 1

ID problem
Gather data
Explore alternatives
Evaluate alternatives
Select solution
Implement
Evaluate

Question 2

Most critical part of decision making

Answer 2

Think logically
NOT from point of view

Question 3

How to make an evidence based decision

Answer 3

Use evidence that support clinical practice

Question 4

PICOT ?

Answer 4

Patient population problem
Intervention
Comparison
Outcome
Time

Question 5

Licensure requires

Answer 5

Go through an accredited RN program
Pass NCLEX

Question 6

Renewal of license requirements

Answer 6

Every 2 years
20 CEUs every 2 years

Question 7

Declaratory order

Answer 7

You must be upfront with your criminal History
With school and board of nursing.

Courtesy to employer to let then know you reported yourself to the BON

Question 8

Inactive license

Answer 8

After not actively engaging in nursing after 6m to a year

Question 9

With an inactive license you still have to do _
or

Answer 9

CEUs
License can get suspended indefinitely

Question 10

When to take nursing jurisprudence exam

Answer 10

once before getting license
Then every 6 years

Question 11

Unfreeze
Movement
Refreeze

lewin’s change theory

Answer 11

Staff becomes aware of need to change due to change agent
Change agent IDs, implements, ensures new plan
Change agent assist in stabilizing plan

Question 12

During movement phase, change should be implemented

Answer 12

Gradually

Question 13

During refreeze phase, change agent must be

Answer 13

Patient
Open to opportunities

Question 14

Steps of the change MODEL, not theory

Answer 14

Precontemplation - no intent
Contemplation - intent appear
Preparation - intent sets time frame
Action - behavior is modified
Maintenance - change is maintained with NO relapse

Question 15

Rational empirical strategy of change

Answer 15

Research based change agent
Best for situations with little resistance

Question 16

Normative reeducative strategy

Answer 16

Through group norms and peer pressure as change agent
Influence by other, not facts

Question 17

Power-coercive strategies

Answer 17

Use of authority as change agent

Question 18

Chaos theory

Answer 18

Even small changes in conditions = monumental changes in outcome

Question 19

Every pattern has unanticipated elements that make linear results

This is know as

Answer 19

Impossible

Complexity theory

Question 20

Relationship between elements and agents in any system is

Answer 20

Non linear

Question 21

Key of psychosocial integrity

Answer 21

Don’t be judgmental
Accept and respect differences

Question 22

Transcultural nursing is

invented by

Answer 22

care planned around others cultures

Dr. Leininger

Question 23

Cultural assimilation

Answer 23

A minority group, loses culture to majority group

Question 24

Culture shock

Answer 24

Negative feelings when being in a different culture

Question 25

Process audit

Answer 25

Measures how care is provided
assumes CONNECTION between process and quality

Question 26

Outcome audit

Answer 26

results = results

things are results of specific interventions

Question 27

Main patient safety goals

Answer 27

Patient safety
Staff communication
Better outcomes
******
on test

Question 28

Med reconciliation

Answer 28

Current meds
Meds prescribed
Compare 2 lists
Make clinical decision based on comparison
Communicate new list

Question 29

What dr orders require a readback

Answer 29

Verbal
Telephone

Question 30

Root cause analysis

Answer 30

Determine factors that caused the event to happen
Develop plan for corrections based on previous errors

Question 31

Criminal law

Answer 31

Beyond a reasonable doubt

Question 32

Civil law

Answer 32

Preponderance of evidence

Question 33

Administrative law

Answer 33

Clear and convincing standard

Question 34

Can higher level of care meds be transferred to lower levels

Answer 34

NOT always

Question 35

Utilitarian

Answer 35

Greater good