NUR01: Nursing Quality ➛ Final Exam Study Guide

The Robert Woods Johnson foundation and Institute of medicine, State: improve health care system through nursing: choose all that applies.

The IOM collaborated with the Robert Wood Johnson Foundation to improve the fractured health care system in the United States, and it makes recommendations, not rules.

a nurse orienting a newly licensed nurse about documentation of a client information and the electronic health record. Which of the following statements by the newly licensed nurse indicates understanding of the purpose of documentation?

"Documentation is a communication tool for the interprofessional health care team."

Who was the pioneers of chasing zero?

David Quad's Twins

interpretive model

Doctors are like counselors; their job is to give advice and guidance, and to help you elucidate your own needs

this is some tool that has been shown to provide valuable assistance in understanding the operation and management of complex systems. Choose all that apply:

HRSA; quality improvement?

What is the number one goal of Chasing Zero: Winning the War on Healthcare Harm?

Hospitals/ Health Care Facilities should reach out after an adverse response.

the patient-provider relationship can be one of the following. choose all that apply:

Parent-child Teacher-student Commanding officer-soldier Hairstylist-client

which of the following description best fits the patient-provider partnership model?

Patients are the agents of and decision-makers about their health, and providers support, coach, and inform them.

According to the Robert Wood Johnson (RWJ) and Institute of medicine iom the following are nursing profession challenges. Choose all that apply

RWJF is continuing to help expand the critical role that nurses play in enabling everyone in America to live a healthier life

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event that the facility which of the following strategies should the committee plan to initiate first?

Review the events leading up to each medication administration error

Which of the following would be the best option to include in communication about an adverse event?

When discussing an adverse event with a patient, explain what happened and why

In the United States what is one of the leading causes of death?

adverse events

In the United States what is the third leading cause of death?

adverse events

The Joint Commission defines a sentinel event as:

an unexpected occurrence involving death or serious physical or psychological injury, or risk thereof ("near miss")

a nurse in an acute care setting is serving on a committee whose change is to use the auditing process to client care. Which of the following aspects of client care is measured by a process of audit?

collecting information from nursing

paternalistic model

doctors are like parents traditional physician-patient relationship medical decision: the physician decides what is best and patient should be thankful one best way ex. video of orders and commands "a bad consultation"

deliberative model

doctors as teachers or friends doctors help patients maximize health outcome medical decision: shared decision-making based on health-related values

All of the following represents the appropriate means of communicating adverse events to patients and family except:

doing it casually

Which of the following relationships best reflects the informative model of the patient-provider relationship?

exhibited when the expert provider simply provides information to patients, who hold decision-making power

True or False: when the discovery of error is made, organizational leadership should take swift action to terminate the employee who made the error

false

is the following statement true or false? PDCA is an acronym for plan do check and act

false

a healthcare team meets behind closed doors to discuss the best treatment for a patient and decides to operate. They join the family of the patient, who is gathered in the reading room, to announce the decision. Which model of patient-provider relationship are they enacting?

paternalistic

informative model

provider is a technical expert who simply provides information to the patient, and the patient holds the decision-making power about his or her care. It's similar to the hairstylist-customer relationship.

6 quality aims for the 21st century Healthcare System are the following. Choose all that apply:

safety, effectiveness, equity, timeliness, patient-centeredness, and efficiency

Is the following statement true or false? The Affordable Care Act ACA is also known as Obamacare.

true

T/F: The Paternalistic model is the traditional model, which the physician or provider is viewed as an expert authority on health care, including the values of that Healthcare - things such as extending Life, Sharing disease and reducing pain. The provider plays the role of a parent or guardian and the patient's assistance to the provider's authority.

true

True or False: An adverse event is defined as an injury caused by medical management rather than by underlying disease or condition of the patient and not all are caused by an error.

true

True or False: according to the ERR is Human quality of Healthcare. Safety is freedom from accidental injury?

true

True or false: Lewis Blackman died from Medical mismanagement.

true

After an adverse event, a genuine apology helps to restore?

trust