test #1 Flashcards
1
Q
Complexity Theory:
The nurse meets with the lab technician
A
Developing networks
2
Q
Complexity theory:
The nursing manager asks the staff to problem solve since ab issues are recurring
A
Shared Governance
3
Q
Complexity theory:
The nurse looks for “Efficiency” in the blood specimen process
A
Naming an attribute or “tag”
4
Q
Complexity theory:
The nurse and lab technician try a new system
A
emerge or engage in organization
5
Q
complexity theory:
The entire organization looks at the developed process to see if it will fit other departments
A
Address the big picture.
6
Q
Emotional intelligence: To be an effective follower and leader one has to have emotional intelligence.
Name the 5 things it takes for emotional intelligence
A
- knowing one’s emotions
- managing emotions
- motivating oneself
- recognizing emotions in others
- handling relationships
7
Q
Emotional intelligence:
A new nurse is given an assignment that she perceives is difficult. Using emotional intelligence to solve the dilemma would best be demonstrated by:
A. telling the charge nurse that she is not doing the assignment and why
B. calling the supervisor to report the unsafe patient condition
C. asking the other nurses what their assignments are
D. asking the charge nurse to discuss the assignment with her
A
D. asking the charge nurse to discuss the assignment with her
8
Q
Chaos and quantum Theory: Organizational level
Read the following statement and determine whether it is chaos theory or quantum theory.
“Organizations are dynamic and unpredictable”
A
Chaos theory
9
Q
Chaos and quantum Theory: Organizational level
Read the following statement and determine whether it is chaos theory or quantum theory.
“theories uses science to understand that systems want order but that order is not linear or predictable. “
A
Quantum Theory
10
Q
Chaos and quantum Theory: Nursing unit level
Read the following statement and determine whether it is chaos theory or quantum theory.
“growth comes from disequilibrium, not from status quo”
A
Chaos theory
11
Q
Chaos and quantum Theory: Nursing unit level
Read the following statement and determine whether it is chaos theory or quantum theory.
“Relationships between members are important”
A
Quantum theory
12
Q
Chaos and quantum Theory: Individual nurse level
Read the following statement and determine whether it is chaos theory or quantum theory.
“Challenges are opportunities for success”
A
Chaos theory
13
Q
Chaos and quantum Theory: individual nurse level
Read the following statement and determine whether it is chaos theory or quantum theory.
“ Individuals need the opportunity to grow”
A
Quantum theory
14
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“patient outcomes talked about between nurse and patient/family”
A
Envisioning Goals
15
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“Understanding what the patient would prefer and helping the patient make a decision”
A
Affirming values
16
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“Helping the patient in a positive manner move toward a goal”
A
Motivating
17
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“planning holistic patient care”
A
Managing
18
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“Helping the patient to achieve the highest level of functioning”
A
Achieving workable unity
19
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“Being honest and on time in patient care interventions”
A
Developing trust
20
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“teaching patients”
A
explaining
21
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“Maintaining a professional relationship and upholding nursing’s values”
A
Serving as a symbol
22
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“Participating in nursing issues and shared governance on the unit”
A
Representing the group
23
Q
Gardener’s leadership tasks or things that successful leaders do. As a patient care leader, each nurse will participate in these 10 tasks.
Name the following task associated with the definition:
“taking care of yourself”
A
Renewing
24
Q
Chaos and quantum theories: Leaders continuously develop and in order to do so they need to have which of the following characteristics? A. transparency B. self-reflection C. being consistent D. avoid confrontation E like people F. team player
A
A. transparency
B. self-reflection
E. like people
F. team player
25
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Chaos and quantum worksheet:
Senior nursing leaders in an organization should align their vision with:
A. that of their team
B. the current health care trend
C. personal philosophy
D. organization's mission statement
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D. organization's mission statement
26
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Chaos and quantum worksheet:
The follower who is passive and goes along with the leader without questions falls into the category of:
A. alienated follower
B. sheep
C. effective follower
D. "yes" follower
```
B. Sheep
27
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Chaos and quantum worksheet:
The follower who conforms and always supports the leader enthusiastically falls into the category of:
A. alienated follower
B. sheep
C. effective follower
D. "yes" follower
```
D. "yes" follower
28
```
Chaos and quantum worksheet:
The follower who is passive and hostile but thinks critically about what the leader describes fall into the category of:
A. alienated follower
B. sheep
C. effective follower
D. "yes" follower
```
A. alienated follower
29
```
Chaos and quantum worksheet:
The follower who is actively involved and thinks critically about ideas falls into the category of:
A. alienated follower
B. sheep
C. effective follower
D. "yes" follower
```
C. effective follower
30
What kind of leader is described in the following definition?
"leader makes all the decisions"
Autocratic
31
What kind of leader is described in the following definition?
"Equally considers group opinion"
Democratic
32
What kind of leader is described in the following definition?
"born with an ability to lead others"
Great-man theory
33
What kind of leader is described in the following definition?
"group makes the decisions, not the leader"
Laissez-faire
34
What kind of leader is described in the following definition?
"an event determines the leader"
situational leader
35
What kind of leader is described in the following definition?
"characteristics that enable the leader"
Trait leaders
36
What kind of leader is described in the following definition?
"traditional leadership style"
transactional
37
What kind of leader is described in the following definition?
"focuses on visions and values"
transformational
38
```
A nurse requests a schedule change due to a family issue. The nurse manager states, "you cannot change the schedule without going through the staffing office". The nurse manager is demonstrating what type of leadership style?
A. autocratic
B. Democratic
C. Laissez-faire
D. transformational
```
A. Autocratic
39
```
A nurse requests schedule change due to a family issue. the nurse manager states, "Lets develop a system to be proactive for all the staff when things like this happen." The nurse manager is demonstrating what type of leadership style?
A. autocratic
B. Democratic
C. Laissez-faire
D. transformational
```
Transformational
40
```
A nurse request a schedule change due to a family issue. The nurse manager states, " if you can't come in, we will figure it out." The nurse manager is demonstrating what type of leadership style?
A. autocratic
B. Democratic
C. Laissez-faire
D. transformational
```
B. Democratic
41
```
All nurses are leaders in patient health care primarily because they:
A. have the most education
B. administrate hospitals
C. know the patient the best
D. are with the patient the longest.
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C. know the patient the best.
42
Name 4 leader traits.
1. change agent
2. future oriented
3. visionary
4. motivates
43
Name 4 manager traits.
1. Time oriented
2. organizes
3. budgets
4. consistency
44
Select practices that are attributed to a transformational leader: Select all that apply
A. challenges the status quo
B. enforces changes
C. rewards employees who meet goals
D. motivates and inspires
E. empowers others
F. communicates down the organizational channels
A. challenges the status quo
D. motivates and inspires
E. empowers others
45
Ch1 NCLEX question:
1. The nurse manager on the labor and delivery unit evaluates that one of the staff nurses has leadership qualities. Which of the following is a basis for this judgment?
A. The nurse works overtime every week.
B. The nurse stays long after her shift is over to chart.
C. The nurse uses a monthly forum to review current knowledge content.
D. The nurse uses a negative approach when evaluating staff skills.
C. the nurse uses a monthly forum to review current knowledge content
46
Ch 1 NCLEX question:
2. As a nurse, you are aware that one element that is common to the nursing process and the management process is:
A. Identification of needs B. Identification of resources
C. Planning
D. Control
C. planning
47
Ch 1 NCLEX question:
3. One main difference between an ideal leader and an organization-focused manager is that an:
A. Ideal leader maintains the status quo
B. Organization-focused manager is creative
C. Ideal leader is a risk-taker
D. Organization-focused manager is a visionary
C. Ideal leader is a risk-taker
48
Ch 1 NCLEX question:
4. Which of the following is NOT the middle-level manager’s responsibility?
A. People within the departments they supervise
B. Liaison between upper management and first-level manager
C. Establishment of organizational goals
D. Activities within the departments they supervise
C. establishment of organizational goals
49
Ch 1 NCLEX question:
5. The middle-level manager:
A. Makes hospital-wide decisions
B. Supervises a number of upper-level managers
C. Is responsible for the people and activities on a 24-hours-a-day/7-days-a-week basis
D. Is responsible for their specific shift only
C. is responsible for the people and activities on a 24-hour-a-day/7-days-a-week basis
50
Ch 1 NCLEX question:
6. You are mentoring a new nurse. You know that which of the following is NOT a mentor’s responsibility?
A. Discuss means to correct chronic tardiness
B. Offer criticism on nursing skills
C. Perform a nurse’s probation period review
D. Evaluate the nurse’s exact break and lunch times
A. discuss means to correct chronic tardiness
51
Ch 1 NCLEX question:
7. The four skill sets needed by good leaders are:
A. Self-awareness, self-management, social awareness, and relationship management
B. Self-awareness, self-management, social control, and relationship management
C. Self-awareness, self-control, social awareness, and relationship management
D. Self-awareness, self-management, social awareness, and relationship performance
A. self-awareness, self-management, social awareness, and relationship management
52
Ch 1 NCLEX question:
8. Ruiz (1997) defines the “four agreements” that leaders must make with themselves. They are as follows:
A. Be impeccable with your word, take nothing personally, make no assumptions, and always do your best, no more and no less
B. Be impeccable with your actions, take nothing personally, make no assumptions, and always do your best, no more and no less
C. Be impeccable with your word, take nothing personally, make assumptions, and always do your best, no more and no less
D. Be impeccable with your word, take nothing personally, make no assumptions, and be appreciative of your staff
A. Be impeccable with your actions, take nothing personally, make no assumptions, and always do your best, no more and no less
53
Ch 1 NCLEX question:
9. Leader competencies are a necessary aspect of a leader’s role. As a leader, you are aware that the following is needed for this role:
A. A clear vision and owned purpose
B. A pessimistic attitude with colleagues
C. A negative approach with families
D. A membership with more than three committees
A. A clear vision and owned purpose
54
Ch 1 NCLEX question:
10. The vice president of nursing is responsible for:
A. Establishing organizational goals and strategic plans for nursing
B. Developing and maintaining daily assignments
C. Prioritizing events during disaster plan implementation
D. Overseeing the mission and vision of the organization
A. establishing goals and strategic plans for nursing
55
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Ch 2 NCLEX question:
1. A model of care in which the nurse assumes full accountability for care of a group of patients is:
A. Case management
B. Primary nursing
C. Functional nursing
D. Total patient care
```
D. total patient care
56
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Ch 2 NCLEX question:
2. A schematic description of a theory, phenomenon, or system that depicts how nurses practice, collaborate, communicate, and develop professionally to provide the highest level of care (American Nurses Credentialing Center, 2013) is:
A. Professional practice model
B. Care delivery system
C. Case management model
D. Functional system
```
A. professional practice model
57
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Ch 2 NCLEX question:
3. Which type of structure is a hierarchy that follows a chain of command concept and is characterized by top-down decision making?
A. Decentralized
B. Organizational
C. Functional
D. Matrix
```
B. organizational
58
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Ch 2 NCLEX question:
4. A decentralized leadership structure would be one that allows decision making:
A. At senior levels
B. By the board of trustees
C. At the point of care
D. By all involved
```
C. at the point of care
59
Ch 2 NCLEX question:
5. Which of the following is a disadvantage of primary nursing?
A. Improved quality and continuity of care
B. Simplified communication
C. Increased nurse satisfaction
D. Increased number of hours of care per day requires greater number of registered nurses
D. increased number of hours of care per day requires greater number of registered nurses
60
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Ch 2 NCLEX question:
6. Which of the following structures arranges services and departments according to their function?
A. Organizational
B. Functional
C. Primary
D. Centralized
```
B. Functional
61
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Ch 2 NCLEX question:
7. The type of patient care in which the nurse caring for the patient makes most decisions is:
A. Functional
B. Team
C. Case management
D. Total patient care
```
D. total patient care
62
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Ch 2 NCLEX question:
8. Which model of nursing mixes both process and delivery?
A. Modular
B. Case management
C. Primary care
D. Team nursing
```
B. Case management
63
Ch 2 NCLEX question:
9. Which of the following describes an integrated structure?
A. Providers agree to accept the risk of caring for a particular patient segment or population for a pre-established fee
B. Combines both function and service line
C. Arranges services and departments according to function
D. The nurse is responsible to the nurse manager and vice president of nursing
A. providers agree to accept the risk of caring for a particular patient segment or population for a pre-established fee
64
Ch 2 NCLEX question:
10. The reorganization of health care systems were developed to:
A. Provide for care throughout the various transitions of care
B. Change the levels of nursing authority in the institution
C. Provide for care in one facility at a time
D. Prevent partnerships, which would lead to less income
A. provide for care throughout the various transitions of care
65
Ch 3 NCLEX question:
1. The mission of an organization:
A. Sets the competitive tone
B. States what is done by the organization
C. Measures the performance of a unit
D. Defines the philosophy of an institution
A. sets the competitive tone
66
Ch 3 NCLEX question:
2. The vision of an organization is:
A. A statement defining the purpose of the organization
B. A future-oriented statement of where the organization sees itself
C. Philosophy or behaviors determined to be vital to the organization
D. An analysis of the political, demographic, and social environment of the organization
B. a future-oriented statement of where the organization sees itself
67
Ch 3 NCLEX question:
3. An environmental scan is:
A. An analysis of the political, demographic, social, regulatory, and technological areas of the organization
B. The measurable statements related to the goals of the organization
C. The quantitative tools that allow for measurement of achievement
D. The competitive environment of the organization
A. an analysis of the political, demographic, social, regulatory and technological areas of the organization
68
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Ch 3 NCLEX question:
4. A specific action plan should be used for each:
A. Strategy
B. Goal
C. Outcome
D. Performance improvement
```
A. strategy
69
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Ch 3 NCLEX question:
5. Identifying purpose, selecting goals, identifying approaches are all part of:
A. Unit-based planning
B. Hospital-wide planning
C. Organization-wide planning
D. Decentralized planning
```
A. unit-based planning
70
Ch 3 NCLEX question:
6. An annual plan includes:
A. People, service, budget, community, finance, and growth
B. People, service, quality, community, finance, and growth
C. People, service, quality, objectives, finance, and growth
D. People, service, quality, community, finance, and perseverance
B. people, service, quality, community, finance and growth
71
```
Ch 3 NCLEX question:
7. _____________________is the process by which the specific goals are matched with each strategic goal.
A. Action planning
B. Short-term goal planning
C. Long-term goal planning
D. Core-measure planning
```
A. action planning
72
Ch 3 NCLEX question:
8. According to Studer, 2003 most organizations use six pillars for organization and performance measures. The six pillars include:
A. People, satisfaction, quality, community, finance, and growth
B. People, service, quantity, community, finance, and growth
C. People, service, quality, community, finance, and growth
D. People, service, quality, community, diversity, and growth
C. people, service, quality, community, finance, and growth
73
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Ch 3 NCLEX question:
9. Which of the following is not an element of a strategic plan?
A. Mission statement
B. Competitive challenges and strategy
C. Organizational policies
D. Unit-specific goals
```
D. unit-specific goals
74
Ch 3 NCLEX question:
10. Strategic planning does not include:
A. A plan to decide where the organization will go in the next year
B. An organization-wide plan
C. Effects on patient care and patient units
D. A community plan
D. A community plan
75
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Ch 4 NCLEX question:
1. An example of an indirect cost is:
A. Cost center
B. Information technology
C. Nursing staff
D. Delivery of care
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A. cost center
76
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Ch 4 NCLEX question:
2. The difference between actual budget and actual spending is referred to as:
A. Budget variance
B. Fixed cost
C. Cash on hand
D. Revenues
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A. budget variance
77
Ch 4 NCLEX question:
3. ____________deliver comprehensive health maintenance and treatment services for a group of enrolled individuals.
A. Health maintenance organizations (HMOs)
B. Preferred provider organizations (PPOs)
C. Independent Practice Associations (IPAs)
D. Primary Care Providers (PCPs)
A. health maintenance organizations (HMOs)
78
Ch 4 NCLEX question:
4. An example of an indirect cost would be:
A. Housekeeping staff
B. Ink for a printer on the unit
C. Uniform allowance for licensed practical nurses
D. Registered nurse salary
A. housekeeping staff
79
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Ch 4 NCLEX question:
5. An example of a direct cost is:
A. Telephone costs for the entire facility
B. Copy paper for a specific unit
C. Room use for a hospital event
D. Housekeeping staff
```
B. copy paper for a specific unit
80
Ch 4 NCLEX question:
6. The operating expense budget does not include:
A. The personnel budget
B. The costs other than personnel
C. The revenue budget
D. Off-site registered nurse continuing education seminars
D. off-site registered nurse continuing education seminars
81
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Ch 4 NCLEX question:
7. ___________________originated the reimbursement of general health costs in the 1930s.
A. Blue Cross Blue Shield
B. United Health Care
C. Medicare
D. Medicaid
```
a. Blue Cross Blue Shield
82
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Ch 4 NCLEX question:
8. According to the United States Census Bureau, there were ________________people uninsured in 2012.
A. 30.2 million
B. 48.6 million
C. 50.2 million
D. 52.2 million
```
B. 48.6 million
83
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Ch 4 NCLEX question:
9. Which country spends more on health care per capita than any other industrialized Western nation?
A. United States
B. United Kingdom
C. China
D. Canada
```
A. United States
84
Ch 4 NCLEX question:
10. In 2012, the Institute for Healthcare Improvement described an approach to optimizing health system performance. It is their belief that new designs must be developed to simultaneously pursue three dimensions called the “Triple Aim.” This includes:
A. Improving the patient experience of care, improving the economy, and reducing the per capita cost of health care
B. Improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care
C. Improving the patient experience of care, improving the health of populations, and reducing the per diem cost of health care
D. Improving the patient experience of care, improving the health of certain groups, and reducing the per capita cost of health care
B. improving the patient experience of care, improving the health of populations, and reducing the per capita cost of health care
85
What are the 4 traits for transformational leaders?
1. empowers others
2. focuses on employees
3. challenges the status quo,
4. enforces changes
86
What is a transactional leader?
an exchange between the leader and the employee. The needs are identified and the leader provides rewards to meet those need in exchange for performance
87
According to Kouzes and Posner there are 5 basic practices for transformational leadership. What are they?
1. challenging the process, questioning the ways that things have always been done, and creatively thinking of new ways of doing things
2. motivating and inspiring shared vision or bringing everyone together moving toward the shared goal
3. empowering others to act
4. modeling change
5. praising the employee for the work done
88
Name the type of leader based on the following definition:
"The value of the leader because they feel obligated to serve employees, 'the kind and his people'."
Example for nursing career "other people's needs before their own interests" Focuses on the happiness of their employees
Servant leaders
89
Name the type of leader based on the following traits or definition:
"time oriented, organizes, budgets, consistency, enforces change, rewards employees who meet goals, communicated down the organizational channels
Manager traits
90
Name the type of leader based on the following traits or definition:
"Change agent, future oriented, visionary, motivates, empowers others. "
Leader traits
91
Name the type of leader based on the following traits or definition:
"organized, time manner, not as forceful as authoritarian, process and action is very important"
Transactional
92
Name the type of leader based on the following traits or definition:
"structure, consistency, know your role, minimizes or eliminates chaos"
Authoritarian
93
Name the type of leader based on the following traits or definition:
"without structure, focuses on operation of organization and wants operation to run smoothly, they believe in the quality of their employees and trust them."
Delegative
94
Name the type of leader based on the following traits or definition:
"democratic, collective voice, group decision making, wants happy employees"
Participative
95
What is a theory?
Describes a phenomenon "what's happening or occurring" but they do not confirm, research and experience confirms
96
What level of management is responsible for supervising non-managerial personnel and day-to-day activities of specific work units?
First-level
| nurse manager
97
What level of management is responsible for supervising first-level managers within a specified are and is responsible for people and activities within those ares; generally acts as a liaison?
Middle-level manager (director)
98
What level of management is the top level, primarily responsible for establishing organizational goals and strategic plans for entire division of nursing?
Upper-level
| executive
99
What are 7 responsibilities for the First-level manager?
1. clinical nursing practice
2. patient care delivery
3. use of human, fiscal and other resources
4. personnel development
5. compliance with regulatory and professional standards
6. fostering interdisciplinary, collaborative relationships
7. strategic planning
100
what is the Goal of strategic planning?
the process by which an organization/nursing department or unit decides where it is going over the next year or longer and how it is going to Get there.
101
Name the 5 key questions for strategic planning
1. why does the organization exist?
2. what is the organization currently?
3. What would it like to be?
4. How can we make the transformation to what we want to be?
5. How will we know when the transformation is done?
102
What is the nurse managers role in strategic planning?
They implement plan of actions at the unit level that assist the organization in meeting its goals
103
Name the 6 elements of the strategic plan
1. mission statement
2. statement of competitive challenges and strategy
3. statement of short- and long-term goals
4. statement of organizational policies
5. statement of needed resources.
6. statement of key assumptions
104
Goals of organizations:
How should goals be designed and worded?
*hint* (mnemonic SMARTER)
Specific
Measurable
Acceptable to those working to achieve the goals,
Realistic
Timely
Extending the capabilities of those working to achieve the goals
Rewarding to them
(mnemonic is SMARTER)
105
What is cost containment?
The business practice of maintaining expense levels to prevent unnecessary spending or thoughtfully reducing expenses to improve profitability without long term damage to the company
106
what are 10 strategies for cost-conscious nursing practice?
1. Understanding what is required to remain financially sound
2. Knowing costs and reimbursement practices
3. Capturing all possible charges in a timely manner
4. Using time efficiently and effectively
5. Discussing the costs of care with the patient
6. Meeting patient rather than provider needs
7. Evaluating cost effectiveness of new technologies and equipment
8. Predicting and using nursing resources efficiently
9. Using research to evaluate standard nursing practice
10. Consistently evaluating practice based on evidence
107
What is the mission of the Joint Commission? (previously known as JCAHO)
Continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.
