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Professionalism II > Final Exam > Flashcards

Final Exam Flashcards

1
Q

What is included in the Triple Aim?

A

Population Health
Experience of Care
Per Capita Cost

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2
Q

What are the 5 aspects of social determinants of health?

A
  1. education access and quality
  2. economic stability
  3. social and community context
  4. healthcare access and quality
  5. neighborhood and build environment
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3
Q

What are the 4 main benefits of the EHR?

A

Safety
Access
Efficiency
Communication

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4
Q

What are the five rights of CDS?

A
  1. right info
  2. right patient
  3. right channels
  4. right format
  5. right points in workflow
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5
Q

What is an example of a microsystem?

A

orthopedic surgery unit

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6
Q

What is an example of a mesosytem?

A

surgical services

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7
Q

How are healthcare systems different from other organizations?

A

Purpose, specialized workforce, public trust

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8
Q

What values are usually in a HC system’s mission statement?

A

 Research
 Education
 Practice
 Community

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9
Q

Effective access requires 3 things…

A
  1. gaining entry
  2. accessing services
  3. trusting the provider
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10
Q

What are 3 challenges of rural nursing?

A
  1. lack of anonymity
  2. role diffusion
  3. informal vs formal roles
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11
Q

What are the goals of the PPACA?

A

 Provide affordable insurance coverage to most Americans.
 Improve access to primary care.

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12
Q

When states were given the option to expand medicaid, some didn’t, what happened?

A

created a gap of no coverage

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13
Q

How has the individual mandate changed?

A

People are no longer required to pay tax penalties if they don’t have health insurance.

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14
Q

What are the 3 attributes of healthcare economics?

A

price vs costs
efficiency vs equity
supply vs demand

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14
Q

Health Maintenance Organizations (HMOs)

A

Coverage is limited to those providers within the organization.

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14
Q

Preferred Provider Organizations (PPOs)

A

No referral needed to see any provider the patient would like.

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15
Q

Point of Service (POS) Plans

A

Requires a referral to see a doctor out of network.

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16
Q

With fee-for-service format, payment id dependent on:

A

quantity, not quality of service

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17
Q

Goals of Managed Care Organizations

A

o Reduce costs.
o Promote preventative care.

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18
Q

Capitation

A

A flat payment per covered member regardless of the amount of care provided.

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19
Q

Diagnosis-Related Groups (DRGs)

A

Similar patients are categorized into groups that reflect the amount of care provided.

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20
Q

What was a con of DRGs?

A

too early of discharge

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21
Q

Who often funds pay-for-performance?

A

medicare

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22
Q

What is a positive outcome of accountable care organizations?

A

receive part of any savings generated if quality is maintained

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23
Q

What are 6 attributes of Quality Healthcare?

A
  1. efficient
  2. timely
  3. effective
  4. equitable
  5. safe
  6. patient-centered
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24
Q

What is Plan-Do-Study-Act?

A

a small test of change

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25
Q

What is the goal of an RCA?

A

Prevent future harm by eliminating active and latent errors.

26
Q

When is RCA required?

A

mandated by TJC in sentinel event analysis

27
Q

How is policy made?

A
  1. agenda setting
  2. policy formulation
  3. policy adoption
  4. policy implementation
  5. policy evaluation
28
Q

What act intended to promote advance directives?

A

Patient Self-Determination Act

29
Q

What are 2 examples of advance directives?

A

 Durable Power of Attorney for Healthcare
 Living Will

30
Q

When a DPOA assigned?

A

when pt doesn’t have the capacity

31
Q

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

A

Comfort One

32
Q

What is an example of a legal document?

A

living will

33
Q

What is an example of a medical document?

A

MOST/POLST form

34
Q

What is the ethics committee’s role in decision making?

A

Makes recommendations for a decision based on ethical frameworks.

35
Q

What are the attributes of interprofessional collaboration?

A
  1. values and ethics
  2. communication
  3. roles and responsibilities
  4. teams and teamwork
36
Q

What is the difference in covert and overt behaviors?

A

covert: covered
overt: obvious

37
Q

Why will there be an increased incidence of informal long-term caregiving over the next decade?

A

Improved chronic disease management
Cost of formal caregivers
Population is aging
Overwhelmed formal health system.

38
Q

“oh my gosh, cool!” Oh gosh, starting an IV.”

A

Environment Stimuli

39
Q

“I will review the hospital policy and have the RN walk me through the supplies.”

A

Coping: Problem-Focused:

40
Q

“Oh no if I miss the RN might be mad. What if the patient asks if I’ve done this before?”

A

Primary Appraisal:

41
Q

“I don’t know if I can do this, I’ve never used those IV supplies.”

A

Secondary Appraisal

42
Q

“I need to take a deep breath and say a prayer. I can do this.”

A

Coping: Emotion-Focused:

43
Q

“I did it!” I got the IV and it wasn’t so bad!”

A

Reappraisal:

44
Q

What is the nurse’s role in caregiver role strain?

A

identify the strain
provide resources

45
Q

When can palliative care be started?

A

at any point during an illness

46
Q

What type of care may involve curative treatments?

A

palliative care

47
Q

What tasks cannot be delegated?

A

Nursing judgment or activities that involve critical decision-making

48
Q

What are the 5 rights of delegation?

A
  1. right task
  2. right circumstance
  3. right person
  4. right directions and communication
  5. right supervision and evaluation
49
Q

What can’t LPNs do?

A
  1. complete admission assessments
  2. IV push meds
  3. care for unstable client
50
Q

An RN knows that when making the decision to delegate this legal document will guide her decision making

A

state nurse practice acts

51
Q

5 steps of delegation?

A
  1. decision to delegate
  2. communication
  3. supervision
  4. evaluation
  5. feedback
52
Q

What is central to transformational leadership?

A

The notion that people require a sense of mission and purpose to be able to work effectively, which extends beyond receiving a thank you or a reward for effective performance.

53
Q

4 elements of transformational leadership?

A
  1. idealized influence
  2. inspirational motivation
  3. intellectual stimulation
  4. individualized consideration
54
Q

What is the role of the change agent?

A

Multifaceted: Requires mastery by the nurse manager in department and health care environment change and guiding and others in and through change.

55
Q

What are the 6 different types of power?

A
  1. coercive
  2. legitimate
  3. referent
  4. reward
  5. expert
  6. informational
56
Q

What is Lewin’s Theory?

A

Unfreeze, Change, Refreeze stages

57
Q

What is involved in the unfreeze stage?

A

Preparation

58
Q

What is involved in the change stage?

A

Implement

59
Q

What is involved in the refreeze stage?

A

Permanent change

60
Q

What is Roger’s Diffusion of Innovation?

A

Involves levels of participation
(Innovators, Early Adopters, Early Majority, Late Majority, Laggards)

61
Q

What is Lippitt’s Change Theory?

A

emphasizes participation of key members and reflects the nursing process.

62
Q

You, along with family and friends, talk to you friend and say, “nobody smokes anymore!”
What type of change strategy?

A

normative-re-educative

63
Q

You refuse to ride in the care with your friend when he is smoking.
What type of change strategy?

A

power-coercive

64
Q

You give your friend research on cancer and smoking.
What type of change strategy?

A

empirical-rational

Professionalism II (3 decks)

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