Leading and Managing in Nursing, Ch. 2
The 2010 Institute of Medicine (IOM, now know as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health advocated for having at least which percentage of the registered nurse population prepared at the baccalaureate level?
80%
Which consequence is associated with a patient safety event involving negative outcomes? Select all that apply.
Burnout Turnover rate Problematic medication use
Which education recommendation was made by the Institute of Medicine(IOM, now known as the National Academy of Medicine) in the 2010 report The Future of Nursing: Leading Change, Advancing Health?
Doubling the number of nurses with a doctorate by 2020
The Quality and Safety Education for Nurses (QSEN) serves as a repository for resources related to the knowledge, skills, and attitudes learners need to develop to become safe practitioners. The nurse correctly identifies which as the focus of the QESN program?
Effective communication
Which subcategory related to communication has research identified as critical to patient safety? Select all that apply.
Fluent information transfer Open culture of communication Engagement in collecting information
Which tool is widely used by healthcare organizations to determine harm to patients?
Global Trigger
Which organization recommended moving the chief nursing officer into the boardroom as key spokesperson on patient safety and quality issues?
Institute of Medicine
Which professional organization published multiple key, evidence-based reports related to patient safety and quality of health care?
Institute of Medicine (IOM)
Which activity is considered an evidence-based practice standard in the healthcare setting? Select all that apply.
Interventions to reduce falls Use of rapid response systems Reduction of urinary cathèter-related infections Prevention of central line-associated infections
In 2004, which Institute of Medicine (IOM, now known as the National Academy of Medicine) report stressed that leaders should create work environments that are more conducive to nurses providing safer patient care?
Keeping Patients Safe
The Joint Commission (TJC) focus is patient outcomes with an emphasis on safety. Which is one of TJC's national patient safety goals? Select all that apply.
Prevent infection Use medications safely Improve staff communication
The nurse is documenting in a patient's electronic health record and enters the "greater than" symbol (>) to describe the size of a wound. Which agency's recommendations is the nurse violating?
The Joint Commission (TJC)
The nurse is searching the Internet for information regarding sentinel events in the clinical setting. Which agency will provide current information on sentinel events?
The Joint Commission (TJC)
Which organization is responsible for issuing annual patient safety goals?
The Joint Commission (TJC)
The nurse is teaching a patient about safety in the healthcare setting. Which recommendation should the nurse make regarding safer health care? Select all that apply.
"Ask questions if you have doubts or concerns." "Make sure you understand what will happen if you need surgery." "Talk to your doctor about which hospital is best for your health needs."
The nursing supervisor is notified by staff nurses that there are not enough intravenous infusion pumps on the patient care unit. Which is the best response by the nursing supervisor regarding the staff's concern?
"I will borrow an intravenous pump not in use from another patient care unit."
The nursing supervisor is developing an educational session for staff nurses with regard to tips for clinical safety. Which teaching point makes use of the Institute of Medicine (IOM) competencies for health professionals?
"Utilize informatics to communicate, manage knowledge, mitigate error, and support decision making."
The nursing supervisor is addressing bullying occurring between nurses on the unit. Which intervention should the nursing supervisor use to address bullying and increase clinical safety?
Address the bullying issue through shared governance
Which level of education does the Institute of Medicine (lOM) suggest 80% of nurses should have by 2020?
Baccalaureate degree
The nurse is filling out a preoperative checklist for a patient scheduled for a total abdominal hysterectomy. Which is the purpose of the preoperative checklist?
Decrease omission of important information
Which report provided a framework for considering how nurses could determine staffing requirements?
Keeping Patients Safe: Transforming the Work Environment of Nurses (2004)
Which organization emphasizes outcomes including data and efforts related to patient safety?
Magnet Recognition Program
Which organization advises the Centers for Medicare and Medicaid Services (CMS) on measures that can be used to determine payment?
National Quality Forum (NQF)
Which topic is a key issue related to clinical safety for nurses? Select all that apply.
Needlesticks Shift work Sleep disruptions Musculoskeletal injuries
The nurse manager reduced the number of nurses on a patient care unit to increase revenue. Which outcome may result when staff is decreased for budgetary reasons?
Patient care omissions
The nursing supervisor is organizing staffing for the night shift of a local hospital. Which should be the primary consideration of the nursing supervisor staffing a patient care unit?
Patient safety
The nursing supervisor is instituting a policy to prevent patient injuries related to nurse fatigue. Which would be most effective to include in the policy?
Peer-to-peer accountability approach
The leaders of a healthcare system that owns hospitals, outpatient surgery centers, and physician practices decide to create a system to collect information about the professionals employed across the system. Which recommendation of the 2010 Institute of Medicine (1OM, now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health does this activity support?
Promoting workforce planning and policy making
Which implication for leaders and managers comes from the report Crossing the Quality Chasm? Select all that apply.
Provide substantial support for information technology. Move from discipline-centered to patient-centered care
Which action by leaders and managers creates safer patient environments? Select all that apply.
Providing needed equipment Ensuring appropriate staffing Intervening in cases of incivility
Which program's key principle is geared toward teaching nursing students the competencies they will need to affect an organizational culture and create an environment that maximizes patient safety and health outcomes?
Quality and Safety Education for Nurses (QSEN)
Which concept was introduced by the Institute for Healthcare Improvement's work, Transforming Care at the Bedside?
Rapid cycle change
The 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health discusses the need for the effective transition of new nurses, nurses to different specialty areas, and nurses to advanced practice. Which opportunity would support effective transition?
Residency programs for all levels of nurses
The Institute of Medicine (1OM, now known as the National Academy of Medicine) 2001 report Crossing the Quality Chasm identified six aims of providing health care. Which of these aims are still relevant today? Select all that apply.
Safe Equitable Patient-centered Efficient
Which core concern of any healthcare organization, and therefore nurses, drives aspects of leading and managing?
Safety
Which aspect of leading and managing can affect safety and quality of patient care? Select all that apply.
Staffing Technology Budgeting decisions Delegation decisions
Which report published by the Institute of Medicine (IOM) is considered a major influence on patient safety? Select all that apply.
To Err is Human Crossing the Quality Chasm Preventing Medication Errors
According to the Institute of Medicine (IOM), which is a competency of health professionals? Select all that apply.
Utilizing informatics Applying quality improvement Providing patient-centered care
The nursing instructor is sharing tips for clinical safety with students. Which statement made by the student indicates effective teaching? Select all that apply.
"Practice hand hygiene." "Keep current with the evidence and best practices." "Use the Institute of Medicine (IOM) competencies when providing patient care."
Which action by the nurse is a recommendation included in The Future of Nursing report?
Engaging in lifelong learning
The nurse manager is comparing standards of care and competencies in the emergency department and telemetry units. Which is the nurse manager conducting?
Crosswalk comparison
Which element acknowledges nursing excellence and emphasizes empirical quality results?
Magnet Recognition Program
Which entity focused on outcomes was developed to recognize nursing excellence?
Magnet Recognition Program
The nurse is caring for a Medicare patient who fell out of bed multiple times while hospitalized. One of the falls resulted in a hip fracture that needed surgical intervention. Which action will the Centers for Medicare and Medicaid Services (CMS) take in response to the incident?
Deny payment for care related to the fall and subsequent hip fracture
Which evidence-based nursing response was created to address nursing outcomes, including patient safety?
Magnet Recognition Program
The nurse manager identifies an increase in musculoskeletal injuries occurring in nurses working on the orthopedic unit. Which action could the nurse manager take to address this problem?
Establish a clinical safety committee including orthopedic nurses.
Which activity would help meet the 2010 Institute of Medicine (1OM) report The Future of Nursing: Leading Change, Advancing Health recommendation that nurses practice to the full extent of their education and training?
Increasing practice autonomy
Which entity developed an international set of standards that are relevant to many fields including health care and are used to guide accreditation globally?
International Organization for Standardization (ISO)
The nurse is reading the report, Keeping Patients Safe: Transforming the Work Environment of Nurses (2004) and notes one of the issues mentioned in the report is occurring in his or her current work environment. Which issue identified by the report would be cause for concern for the nurse?
Lack of trust within the healthcare organization
According to the 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health nurses must have which competency to effectively make decisions that encourage change, promote quality, and advance health?
Leadership
In 2016 Press Ganey issued a report on workplace safety and its influence on both nursing and patient outcomes. Which concept was a key finding of the analysis? Select all that apply.
Lower rates of care omissions Higher overall hospital ratings Fewer hospital-acquired pressure ulcers
The nurse observes an unsteady patient attempting to get out of bed unassisted despite verbal instruction to call for assistance. The nurse places the bed in the lowest position and applies a bed alarm to the mattress. The nurse's action is an example of which nursing practice or intervention?
Nursing judgment
In which way have the Institute of Medicine's (IOM, now known as the National Academy of Medicine) reports influenced the nursing profession?
OAddressing quality and patient safety
Which approach by a large healthcare system would effectively address the recommendation in the 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health to support development of interprofessional relationships?
Offering collaborative learning opportunities for nurses, physicians, and other healthcare professionals
Which concept is an attribute of an appropriate peer-to-peer accountability approach to clinical safety? Select all that apply.
Respect Transparency Empowerment
The nurse manager is determining the staffing and budgeting needs for a patient care unit. Which should be the greatest influence on staffing decisions made by the nurse manager?
Safety and quality of patient care
Quality and Safety Education for Nurses (QSEN) serves as a repository for educational resources to foster safe healthcare practitioners. Which is a competency identified by QSEN? Select all that apply.
Skills Attitudes Knowledge
Which report moved safety issues from the incident report level to an integrated patient safety report for the organization?
To Err is Human (2000)
Which area of nursing leadership does the American Nurses Credentialing Center's (ANCC's) magnet program recognize?
Transformational
The 2010 report The Future of Nursing: Leading Change, Advancing Health was an initiative of the Institute of Medicine (IOM, now known as the National Academy of Medicine) and the Robert Wood Johnson Foundation (RWJF) to respond to which need?
Transforming the nursing profession
Keeping Patients Safe: Transforming the Work Environment of Nurses is considered a major influence on improving working conditions for nurses. Which concept did the report identify as contributing to the creation of an unsafe work environment? Select all that apply.
Unsafe equipment Insufficient supplies Lack of trust in organizations