ATI Quality Improvement test 7, Informatics ATI, Evidence Based Practice, ATI collaboration and teamwork, Ati healthcare delivery systems, ATI wellness, Health promotion, and disease prevention test, Health Care Delivery ATI, ATI Health Policy
A nurse is reviewing the use of electronic documentation with a newly licensed nurse. Which of the following statements should the nurse make?
"Electronic documentation provides evidence of care provided."
A nurse can communicate well, manage time effectively, weigh options and consequences, and learn from mistakes. The nurse is demonstrating Wellness in which of the following dimensions of Health?
Intellectual
A nurse working in an acute care facility is caring for a client who has a total brain injury and is receiving mechanical ventilation. Which of the following facilities should the nurse anticipate the client to be transferred for further treatment?
Long-term care hospital
A nurse is teaching a class about the Hospital-Acquired Condition Reduction Program (HACRP). Which of the following information should the nurse include?
The HACRP links Medicare payments to health care quality.
A nurse is caring for a client who has suction equipment in their room. The client asks the nurse, "Why do you check my suction equipment every day even though I am not using it?" Which of the following statements should the nurse make?
"It is part of the quality assurance plan of the unit."
A nurse is teaching about Medicaid to a client who is concerned about paying for health care. Which of the following statements should the nurse make?
"Your income will determine if you are eligible for Medicaid."
A nurse is assisting with teaching a class about HIPAA. Which of the following information should the nurse include? (Select all that apply.)
- HIPAA protects the unauthorized release of a client's protected health information - The loss of a provider's cell phone that contains a client's protected health information is considered a data breach - A breach in HIPAA should be reported within 60 days after the breach is discovered
A nurse is giving a series of workshops about health and wellness to a group of older adults at a community center. Which of the following statements from the attendees demonstrate that they understood what the nurse explained about the concept of Health?
- I have my health when I am physically mentally and socially well - Health means wholeness so every aspect of me combines to make a healthy whole self - Health means I do the things that keep me out my best like exercising and eating right
A nurse is completing a medication reconciliation on a newly admitted client. Which of the following information should the nurse include? (Select all that apply.)
- current prescribed medications - nutritional supplements the client takes - over the counter medications the client uses
A nurse is reviewing the role of health information technology in client care with a newly licensed nurse. Which of the following information should the nurse include? (Select all that apply.)
- facilitates care coordination - improves practice efficiencies - is capable of being overridden by a nurse - improves clinical outcomes
A nurse is giving a presentation to a group of nursing students about distinguishing health promotion and disease prevention activities. Which of the following actions should the nurse include as a specific disease prevention activity?
- wearing sunscreen Outdoors - receiving an influenza immunization - protecting ears from loud noises
A nurse is assisting with teaching a class about types of research studies. The nurse should include that which of the following is an example of a randomized controlled trial (RCT)?
A study arbitrarily assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking
A nurse is assisting with teaching a client about remote patient monitoring (RPM) devices. Which of the following information should the nurse include? (Select all that apply.)
-The transfer of data is accomplished using wireless devices -Clients can participant in their health by using RPM -A client's heart rhythm can be transferred using RPM
Order the following types of research evidence reviews in order of rigor from most rigorous to least rigorous:
1. Systematic review with meta-analysis 2. Systematic review without meta-analysis 3. Integrative review 4. Narrative review
Which of the following types of research can be categorized as primary research? Select all that apply.
A. Cohort study C. Grounded theory study D. Randomized controlled trial F. Controlled trial without randomization
Randomized controlled trials are which type of research?
A. Quantitative research
A nurse is discussing social determinants of health with a newly licensed nurse. The nurse should include that which of the following factors contribute to the neighborhood and built environment determinant category?
Access to foods that support healthy eating patterns. Crime and violence. Environment conditions.
A nurse is assisting with teaching a newly licensed nurse about using barcode technology in client care. The nurse should include that barcode technology is used to reduce errors during which of the following phases of the medication process?
Administering
A nurse is teaching about the Affordable Care Act. What should she include?
A focus of the ACA is disease prevention.
A nurse is assisting with teaching a class about incident reports. The nurse should include that which of the following situations requires an incident report?
A nurse administers the wrong medication to a client.
A nurse is assisting with teaching a class about sentinel events. The nurse should include that which of the following situations is a sentinel event?
A nurse infused an incompatible blood product to a client.
What type of study is described in the following excerpt? An interprofessional team wants to test a new intervention to see whether it will improve central-line associated bloodstream infection (CLABSI) rates. Subjects were randomized into either the intervention or the control group by pulling a slip of paper with either a one or a two written on it from a manila envelope (those pulling ones were randomized to the intervention group; those pulling twos were randomized to the control group). When the study began, the intervention group received the intervention and the control group received equal attention. Data was collected and analyzed using the Statistical Package for the Social Sciences (SPSS). Descriptive statistics were used to report the data.
A. Quantitative research
a nurse is using the introduction, situation, background, assessment, recommendation, and readback communication tool when contacting a provider about a client who has Parkinson's disease. which of the following statements by the nurse should be included in the situation component? A: the client is coughing while eating. B: should I obtain a chest X-ray? C: i will request a referral with a speech therapist D: the client has a history of Parkinson's disease.
A: the client is coughing while eating
a nurse is teaching a newly licensed nurse about receiving and transcribing verbal prescriptions. which of the following instructions should the nurse include? A: read back the prescription to the provider after transcribing. B: use symbols when transcribing a verbal prescription. C: include abbreviations when transcribing a verbal prescription. D: place a zero after a decimal when transcribing a dosage.
A: read back the prescription to the provider after transcribing.
a nurse is caring for a client who has diabetes mellitus and does not adhere to the prescribed diet. which of the following interventions by the nurse demonstrates collaborative health care? A: requesting a referral to a dietitian to work with the client. B: instructing the client's family no to bring in snacks for the client. C: asking the client why they are not adhering to the prescribed diet D: informing the client that they will get used to eating the prescribed diet.
A: requesting a referral to a dietitian to work with the client.
Mixed-methods studies are a combination of which two methodologies?
B. Quantitative and qualitative research methodologies
A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following team members can assist the client with the refill?
Advanced practice registered nurse (APRN) Physician Assistant (PA) Physician
ACA
Affordable Care Act
A nurse is caring for a client who immobile. Which of the following actions should she perform when repositioning the client to avoid injuring her own muscle skeletal system?
Align her feet vertically with her shoulders
Which of the following statements is true of narrative reviews? (Select all that apply.)
B. Narrative reviews provide a general background discussion of a particular issue. D. Narrative reviews generally review literature that support the author's point of view on an issue or topic.
What kind of study is described in the following excerpt? Researchers are interested in studying the impact of living in a family where a child has been diagnosed with cancer. They collaborate with the oncology department at a large children's hospital to identify and receive consent from families that have a child with a cancer diagnosis. Participants are consented and data is collected and triangulated using one-on-one interviews, focus groups, and surveys. Data is analyzed for thematic analysis.
B. Qualitative research
a newly licensed nurses is talking about their day with another nurse. which statement by the newly licensed nurse demonstrates incivility? A: i hate when i have to ask my preceptor for help with tasks i am unsure about. B: the charge nurse called me stupid in front of the team. C: my preceptor laughs when I tell a joke. D: the charge nurse give me a difficult assignment
B: the charge nurse called me stupid in front of the team.
a nurse is using the introduction, situation, background, assessment, recommendation, and readback communication tool when contacting a provider about a client who has COPD. which of the following statements by the nurse should be include in the assessment component? A: the client has a history of COPD B: the client has a respiratory rate of 38/min C: i will obtain a sputum culture D: should i increase the client's supplemental oxygen?
B: the client has a respiratory rate of 38/min
a nurse is teaching a class about barriers to inter-professional collaboration between health care professionals. the nurse should include that which of the following is a barrier? A: trust in the ability of a team member B: unresolved conflicts between team members. C: effective communication between team members D: cultural competency within team members
B: unresolved conflicts between team members.
a nurse is teaching about change-of-shift report with a newly licensed nurse. which of the following statements should d the nurse make? A: change-of-shift report performed at the client's bedside results in increased overtime by nurses. B: using ISBARR during change-of-shift report decreases the risk of missing information. C: change-of-shift report performed at the client's beside decreases client satisfaction about their care D: taking notes during change-of-shift report increase the risk for error
B: using ISBARR during change-of-shift report decreases the risk of missing information.
When trying to determine what type of research study is described in an article, which two sections of the article will give you the best information to make that determination?
C. Methods and results
Which of the following is a type of quantitative research study?
C. Randomized controlled trial
a nurse is teaching a newly licensed nurse about what to include in a medication reconciliation form for a client who is being transferred to a new facility. which of the following instructions should the nurse include? A: include a list of medications that the client no longer needs. B: do not include OTC medications the client takes C: include medications the client took at home. D: do not include nutritional supplements the client takes.
C: include medications the client took at home.
a nurse and an assistive personal disagree about how to move a client from the bed to a stretcher. which of the following statements should the nurse make to promote conflict resolution? A: i'm the nurse, you are the AP, so do what i say. B: you always need to get your own way. C: let's discuss how we can work together. D: if you do not help me. i will report you to the charge nurse
C: let's discuss how we can work together.
a charge nurse is proving teaching to a group of nurses about the collaborative teamwork skill of situation monitoring. which of the following statements by a nurse indicates an understanding of the teaching? A: situation monitoring identifies who should be included on the team B: situation monitoring identifies strategies to lead teams effectively. C: situation monitoring focuses on the awareness of the team's performance on client outcomes. D:situation monitoring supports the team by providing feedback to assist the team to function better
C: situation monitoring focuses on the awareness of the team's performance on client outcomes.
a nurse is teaching a client who has end-stage kidney disease and a new sacral pressure injury. the client's provider has requested a plastic surgery consultation. which of the following statements by the client indicates an understanding of the consultation? A: the plastic surgeon might adjust my renal diet B:the plastic surgeon will assist me with financial counseling. C: the plastic surgeon might change my wound care treatment D: the plastic surgeon will coordinate my health care team.
C: the plastic surgeon might change my wound care treatment
a nurse is caring for a client who asks. "why do i have to talk to so many people before i can go home? don't these people communicate?" which of the following statements should the nurse make? A: they are very busy and do not have time to communicate about your health. B: why are you concerned about talking to your health care team? C: your health care team works together so you can safely go home D: the sooner you talk with them, the sooner you can leave.
C: your health care team works together so you can safely go home
A nurse is discussing clinical pathways with a newly licensed nurse. Which of the following information should the nurse include?
Clinical pathways use evidence-based practice guidelines for health care delivery.
A nurse is assisting on a quality improvement committee to decrease the number of client falls occurring at night. After identifying the problem, which of the following is the next step the nurse should take?
Complete a literature review.
What type of study is described in the following excerpt? Surveys to evaluate nurse satisfaction, medical errors, depression and anxiety, and demographics were given to 5,432 nurses from hospitals of various sizes and geographic locations; some had nurses working 8-hour shifts and 12-hour shifts. Nurses were asked to complete the survey. Upon completion of the survey, nurses were invited to participate in video conference focus groups and one-on-one interviews with a research assistant by video conferencing. Survey results were reported using descriptive statistics, and themes were identified and reported from the data collected in the focus groups and one-on-one interviews.
Correct Answer: D. Mixed-methods research
In qualitative studies, results are reported using words or themes.
Correct Answer: True
What type of information would help you identify a research study as qualitative? (Select all that apply.)
Correct Answers: A. Data is collected using such approaches as interviews, focus groups, and open-ended questions on surveys. D. Results are reported using themes and words.
a nurse is teaching an in-service about zero-tolerance for bullying and incivility in the health care facility. which of the following information should the nurse include? A: bullying can result in an increase in productivity. B: incivility can result in improved communication in the workplace C: incivility can result in a reduction of medical errors. D: bullying can result in an increase in nursing turnover
D: bullying can result in an increase in nursing turnover
a nurse is preparing a discharge plan for a client following a bilateral below-the-knee amputation. which of the following interventions is the priority? A: check the availability of transportation to follow-up appointments. B: request a referral for a home health nurse C: provide the client with written material about their medications. D: determine whether the client's home is wheelchair accessible
D: determine whether the client's home is wheelchair accessible
a nurse is assigned to care for a client. the client's provider is known to become angry and yell at the nurse. which of the following actions by the nurse demonstrates the use of cognitive rehearsal? A: The nurse asks another nurse to be present as a witness when the provider arrives. B: the nurse confronts the provider outside the client's room C: the nurse notifies the charge nurse about the provider's actions. D: the nurse mentally practices in advance what to say to the provider.
D: the nurse mentally practices in advance what to say to the provider.
A nurse is caring for a client who reports that they have lost their job and do not have insurance. Which of the following social determinants of health is challenging for this client?
Economic stability
Which of the following ways is the Press Ganey survey conducted?
What type of literature may a systematic review include to be considered Level 1 evidence on the Melnyk & Fineout-Overholt levels of evidence hierarchy?
F. Randomized controlled trials
A nurse is hired to be a case manager in a facility. Which of the following services should the nurse expect to perform?
Facilitate transfer of clients to meet the required level of care.
In quantitative studies, results are reported using words or themes.
False
Medicaid
For clients who have low incomes
Medicare
For people who are 65 and older OR those with permanent disabilities
A nurse is giving a presentation about health promotion and disease prevention to a group of young adults at a community college which of the following instructions should the nurse include?
Get a tetanus and diphtheria immunization every 10 years
A nurse is teaching about the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS). What should she include?
HCAHPS measures the client satisfaction with health care services.
A nurse is using evidence-based practice (EBP) to address the incidence of catheter-associated infections on a surgical unit. According to EBP, which of the following actions should the nurse take first?
Identify a clinical problem.
A nurse is assisting a quality improvement team that is using the Plan-Do-Study-Act (PDSA) model to address an increase in pressure injuries on a medical unit. Which of the following actions should the nurse identify as an example of the "Do" step of the PDSA model?
Implementing a new evidence-based practice protocol
The World Health organization's who definition of health promotion focuses on the concept of?
Improving control over health
A nurse is explaining National Patient Safety Goals (NPSGs) to a newly licensed nurse. The nurse should include that which of the following is a goal addressed in the NPSGs?
Improving staff communication
A nurse is a member of a committee that is using evidence-based practice (EBP) to decrease the incidence of central line infections. The nurse should identify that which of the following interventions is part of the implementation step of EBP?
Incorporating the new practice into client care
A nurse is reviewing the impact low health literacy has for clients with a newly licensed nurse. Which of the following information should the nurse include?
Increase in mortality rate
A nurse at a community health center is providing an in-service for a group of residents about the Healthy People program. Which of the following information should she include?
Initiatives to reduce health care disparities. Activities to improve social determinants of health. Improving access to health care.
A nurse is preparing to use a video-enabled device to communicate with a client who is at home. Which of the following actions should the nurse plan to take?
Instruct the client to use a computer for the video conference.
A nurse is teaching a class about using smart infusion pumps to administer intravenous medications. Which of the following information should the nurse include?
Nurses enter client information into the smart infusion pump.
A nurse is caring for a Parkinson's patient and needs assistance for their ADLs. Which of the following referrals should the nurse anticipate the provider to prescribe?
Physical therapist Occupation therapist Dietician
A nurse is assisting with using the Plan-Do-Study-Act (PDSA) model to decrease client falls in a long-term care facility. The nurse should identify that developing guidelines to decrease falls is included in which of the following steps of the PDSA model?
Plan
A nurse has made a commitment to change his eating habits to optimize his health and wellness. He verify free plans and narrows his choices that was that time I the effect of Lifestyle barely eating quickly at work. Which stage of the transtheoretical model is he in?
Preparation
A nurse is discussing quality measurement with a newly licensed nurse. The nurse should include that medication reconciliation is an aspect of which of the following parts of quality measurement?
Process
A nurse is reviewing discharge instructions with a client who has low health literacy. Which of the following actions should the nurse take?
Provide examples
A nurse is assisting with teaching a class about quality core measures. Which of the following information should the nurse include?
Quality core measures are a standard of care for treatment.
A nurse is assisting with developing a quality improvement (QI) plan to reduce the incidence of medication errors in an acute care unit. The nurse should recognize that which of the following actions is included in the identifying step of the QI process?
Recognizing a need for a change
A nurse is reviewing a health care facility's policy that states to use a gauze dressing over IV insertion sites. After completing a literature review, the nurse discovers that evidence-based practice (EBP) indicates to use a transparent dressing over IV sites. Which of the following actions should the nurse take next?
Recommend changing the procedure to the policy and procedure committee.
A nurse is teaching a newly licensed nurse about Medicare reimbursement. What should she include?
Reimbursement amounts will be adjusted for clients who contract HACs.
A nurse is caring for a client who has a long history of abuse of alcohol and opiate opioid analgesics. When counseling this client about the adverse effects of substance abuse the nurse should explain that these patterns reduce the oxygenation of as tissues and organs because they cause
Respiratory depression
A nurse is assisting with teaching a newly licensed nurse about the use of electronic health records (EHRs). Which of the following is an outcome associated with the use of EHRs that the nurse should include?
Saves time
A nurse is counseling a client who says that she attends a book club in her neighborhood regularly. She says it troubles her that no one engages in the discussion with her. Applying Maslow's hierarchy of needs to this client this client needs falls into which of the following levels?
Self-esteem
A nurse is caring for a client in an ambulatory Clinic who attended a blood pressure screening event and the Stress Management lecture at a community Fair. His blood pressure was 150 over 94 mmhg at the event, so he saw provider at the clinic and begin therapy with a beta blocker. Soon after, the client had a mild myocardial infarction, after discharge from the hospital, enrolled in a program of cardiac Rehabilitation. Which of the following activities of this client is an example of primary prevention?
Stress Management lecture
A nurse is teaching a newly licensed nurse about The Joint Commission (TJC). Which of the following information should the nurse include?
TJC ensures organizations remain up-to-date with state guidelines.
A nurse is assisting with teaching a newly licensed nurse about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) tool. Which of the following information should the nurse include?
The HCAHPS tool is issued to measure client satisfaction about health care service.
A nurse is reviewing the HIPAA regulatory rules. Which of the following rules is restricted to electronic protected health information (e-PHI)?
The Security Rule
A nurse is assisting with teaching a class about using simulation for clinical education. Which of the following information should the nurse include?
The use of simulation improves communication skills.
Both literature reviews and systematic reviews are types of research evidence reviews.
True
A nurse is assisting with teaching a class about using health information technology for client care. Which of the following examples should the nurse include?
Using a barcode to verify a client's medication
tertiary health care
acute care, involves the provision of specialized and highly technical care.
continuing health care
addresses longterm or chronic health care needs over a period of time
secondary health care
diagnosis and treatment of acute illness and injury
preventative healthcare
educating to control/reduce risk factors
primary health care
emphasizes health promotion, and disease control, nutrition counseling, family planning,
examples of continuing health care
end of life care, palliative care, hospice, adult day care, assisted living and in home respite care
ACA purpose
federal and state funded. Makes it so everyone needs insurance
examples of restorative health care
home health care, rehab centers, skilled nursing facilities
examples of preventative healthcare
immunization, stress management, occupational health, seat belt use
examples of secondary health care
inpatient, emergency, diagnostic centers, urgent and emergent care centers
examples of tertiary health care
intensive care, oncology centers, and burn centers
restorative health care
involves intermediate follow up care for restoring health and promoting health care
examples of primary health care
office/clinic visits, community health centers, scheduled school/work screenings
