N2602 SHERPATH TEST 1 WK 4

Which is considered an advantage of low-fidelity simulation? - Teaches delegation skills - Provides high levels of realism - Allows working at one's own pace - Promotes interpersonal interaction

Allows working at one's own pace

In a Just Culture, which describes an active failure? - A system failure - The human factor - Unintentional error - An intentionally unsafe act

An intentionally unsafe act

Which are used by The Joint Commission (TJC) and Centers for Medicare and Medicaid Services (CMS) for tracking quality measures? - Core measures - Clinical outcomes - Clinical indicators - Quality improvement programs

Core measures

Which is true of clinical indicators? - Used to examine systems - Focus on specific aspects of care - Can be compared to the nursing process - Used to determine criteria for tracking quality measures

Focus on specific aspects of care

According to the NPSGs, which is a safety benefit to improving staff communication? - Preventing wrong-site surgeries - Ensuring that patients are evaluated for risk for suicide - Getting important test results to the right person in a timely manner - Preventing the wrong patient from getting a medication or treatment

Getting important test results to the right person in a timely manner

Which skills can be improved through the use of a communication scenario? - Stroke care - Hand-off reports - Interdisciplinary rounds - Cardiac arrest procedures

Hand-off Reports

"Identify patients at risk for suicide" is a component of which National Patient Safety Goals (NPSGs)? Select all that apply. - Hospital - Home care - Ambulatory care - Behavioral health - Nursing center care

Hospital Behavioral Health

Which type of simulation should be used to promote emotional engagement? - Virtual simulation - Patient task trainers - Human patient simulation - Computer-based simulation

Human patient simulation

Which resource creates research on simulation? - National League for Nursing - Society for Simulation in Healthcare - Peter M. Winter Institute for Simulation Education and Research - International Nursing Association for Clinical Simulation and Learning

National League for Nursing

In which ways does achievement of the knowledge, skills and attitudes (KSAs) by nurses improve the quality and safety of patient care? Select all that apply. - Nurses adopt low-risk approaches to high-risk situations. - Nurses become adept at using technology to reduce errors. - Nurses learn to follow policies that will protect the hospital against lawsuits. - Nurses involve the patient and family in planning and implementation of care. - Nurses look at data with the idea of using it to drive improvements in patient outcomes. - Nurses are given a clear explanation of what their job responsibilities are after completing orientation.

Nurses adopt low-risk approaches to high-risk situations.The safety KSAs give nurses competency in reducing risk of error in performing patient care. Nurses become adept at using technology to reduce errors.Using the informatics KSAs gives nurses fluency in electronic health records and technology, which allows them to use these tools to provide better care. Nurses involve the patient and family in planning and implementation of care.The patient-centered care domain competency focuses on involving the patient and family in decisions about the patient's care. Nurses look at data with the idea of using it to drive improvements in patient outcomes.The quality improvement competencies involve looking at continuously improving methods of care delivery through data collection and process improvement.

In the NPSGs for home health, which home safety considerations are addressed? Select all that apply. - Oxygen use - Preventing falls - Communicating test results - Keeping an up-to-date medication list - Using hand hygiene to prevent infection

Oxygen Use Preventing falls Keeping an up-to-date medication list Using hand hygiene to prevent infection

Alex is a nurse working in a surgical unit. His patient has a peritoneal dialysis catheter in place. Alex is not familiar with peritoneal dialysis and researches information about it prior to assessing the patient. He notes in the literature that there are several different methods of performing peritoneal dialysis. He goes into the patient's room and asks the patient what is his preference on timing and method of performing peritoneal dialysis. Which QSEN competencies are demonstrated in this scenario? Select all that apply. - Safety - Informatics - Patient-centered care - Quality improvement - Evidence-based practice - Teamwork and collaboration

Patient-centered care Evidence-based practice

Simulation can be used in a variety of ways, especially in health care. Which is a benefit of simulation in clinical practice? - Critical care - Remediate skills - Emergency room - Labor and delivery

Remediate Skills

Which are components of the six established QSEN competencies? Select all that apply. - Skills - Attitudes - Ambition - Knowledge - Memorization - Professionalism

Skills Attitudes Knowledge

The IOM report highlighted the need for professional education in all health care professions. The multidisciplinary summit that came about in response to the report established which student needs as priorities? Select all that apply. - Students are not prepared to work in interdisciplinary teams in their education; however, this is an expectation once in practice. - Students may not have had any exposure to health care and may find it is not what they expected once they complete their education. - Students are not consistently educated in how to find, evaluate, and use the rapidly expanding scientific evidence on which practice should be based. - Students have limited training in information systems such as electronic health records and other means of accessing information necessary in practice. - Students' educational needs did not integrate content on how to care for increasingly diverse, older adult and complex chronically ill patient populations. - Students did not have a clear understanding of how to correctly document assessment findings and needed further instruction related to adequate documentation.

Students are not prepared to work in interdisciplinary teams in their education; however, this is an expectation once in practice.This was one of the student educational needs identified in the multidisciplinary summit. Students are not consistently educated in how to find, evaluate, and use the rapidly expanding scientific evidence on which practice should be based.Education related to the use of evidence-based practice in health care was identified as a learning need. Students have limited training in information systems such as electronic health records and other means of accessing information necessary in practice.The use of electronic health records was identified as a learning need not being met. Students' educational needs did not integrate content on how to care for increasingly diverse, older adult and complex chronically ill patient populations.The integration of educational content into caring for diverse, elderly, and higher acuity patients was identified as an educational need.

Match the sources of health care quality and patient safety information with their actions. - The Joint Commission's ORYX® - National Database for Nursing Quality Indicators - Hospital Consumer Assessment of Health Plans Survey - Enhances accreditation process - Impact of staffing levels on quality outcomes - Lists the main steps in linear process - Choice of hospitals based on survey results

The Joint Commission's ORYX® Enhances accreditation process National Database for Nursing Quality Indicators Impact of staffing levels on quality outcomes Hospital Consumer Assessment of Health Plans Survey Choice of hospitals based on survey results

Which published works served as the impetus for the development of the QSEN competencies? Select all that apply. - Quality and Safety Education for Nurses - The John Robert Woods Foundation Report - "To Err is Human; Building a Safer Health System" - The Joint Commission National Patient Safety Goals - Crossing the Quality Chasm: A New Health System for the 21st Century

"To Err is Human; Building a Safer Health System" Crossing the Quality Chasm: A New Health System for the 21st Century

Which are considered benefits of simulation in nursing education? - Ability to modify scenarios - Variety of simulations available - Absence of contact with humans - Reduces the need for clinical sites - Creates a safe space for students to practice

- Ability to modify scenarios - Variety of simulations available - Reduces the need for clinical sites - Creates a safe space for students to practice

Simulation is used in nursing and health care settings in a variety of ways to ensure competency. Match the clinical setting to the simulation. - Acute care - Emergency room - Labor and delivery - Intensive care unit - Mock code - Rapid response - Post-partum hemorrhage - Altered mental status

- Acute care: altered mental status - Emergency room: rapid response - Labor and delivery: post-partum hemorrhage - Intensive care unit: mock code

In which ways does a plan-do-study-act (PDSA) cycle help improve quality? Select all that apply. - Carries out rapid cycle tests of change - Helps develop creative ways to improve things - Determines changes to be made based on results - Emphasizes the DMAIC approach to problem solving - Attempts to achieve no more than 3.4 defects per million

- Carries out rapid cycle tests of change - Helps develop creative ways to improve things -Determines changes to be made based on results

Which are attributes of facilities in TJC Magnet® Recognition Program? Select all that apply. - Demonstrated lower mortality rates - Higher levels of autonomy for nurses - Surveys patients to compare hospitals - Links quality patient care and nursing excellence - Better relationships between physicians and nurses

- Demonstrated lower mortality rates - Higher levels of autonomy for nurses - Links quality patient care and nursing excellence - Better relationships between physicians and nurses

An RCA uses which quality improvement methods? Select all that apply. - Flowcharts - Pareto chart - Six Sigma process tool - Plan-do-study-act cycle - Cause-and-effect diagram

- Flowcharts - Pareto chart - Cause-and-effect diagram

In which ways does the Patient Safety and Quality Improvement Act improve patient safety and quality of care? - Focuses on specific aspects of care - Identifies trends and patterns of errors - Implements quality improvement programs - Enables the sharing of information related to errors - Establishes patient safety organizations that analyze error information

- Identifies trends and patterns of errors - Enables the sharing of information related to errors - Establishes patient safety organizations that analyze error information

Match the methods of acquiring data with the correct definition. - Incorporates human factor theory - Focuses on specific aspects of care - Can be compared to the nursing process - Accredited health care facilities required to report on them - Core measures - Just Culture - Clinical indicators - Performance improvement

- Just Culture; Incorporates human factor theory - Clinical Indicators; Focuses on specific aspects of care - Performance Improvement; Can be compared to the nursing process - Core measures; Accredited health care facilities required to report on them

In which ways can flowcharts be useful as tools for quality improvement? Select all that apply. - The steps are listed in a linear process. - The process can be understood as a whole. - They can help to identify an item of nursing concern. - They are helpful when dealing with multiple caregivers. - The steps of a process are mapped out under headings.

- The steps are listed in a linear process. - The process can be understood as a whole. - They are helpful when dealing with multiple caregivers. - The steps of a process are mapped out under headings.

The ORYX® program was developed by TJC for which purposes? Select all that apply. - To examine nurse staffing issues - To enhance accreditation process - To interpret data collected by hospitals - To promote quality and safety initiatives - To establish criteria for the Magnet® program

- To enhance accreditation process - To promote quality and safety initiatives

Which are aspects of a PDSA cycle? Select all that apply. - Has a time frame of only a few months - Defines the issue, possible causes, and goals - Used to plan and conduct rapid change cycles - Helps to develop creative ways to improve things - Used to eliminate defects in institutional processes

- Used to plan and conduct rapid change cycles - Helps to develop creative ways to improve things

As part of the process for identifying underlying factors of an event, the root cause analysis (RCA) begins by asking which initial questions? Select all that apply. - What happened? - Why did it happen? - What and how will data be measured? - How long will it take for changes to occur? - What can be done to prevent it from happening again?

- What happened? - Why did it happen? - What can be done to prevent it from happening again?

Which is an example of how information technology can improve patient safety? - A preventative maintenance sticker on a piece of equipment - An email sent to all nursing staff reporting hand hygiene compliance rates for the hospital - A "Sepsis Alert" notification on the electronic health record if a patient meets certain criteria - A link to an article about preventing patient falls that is sent to all nurses on a unit by the manager

A "Sepsis Alert" notification on the electronic health record if a patient meets certain criteria