Ch2- EAQ
Which force of magnetism is associated with the component that focuses on structure and processes, and demonstration of positive clinical, workforce, patient, and organizational outcomes? 1 Quality of care 2 Image of nursing 3 Management style 4 Quality improvement
1
Which information accurately describes Part A of Medicare? 1 Provides hospital insurance 2 Involves three insurance plans 3 Is insurance for prescription drugs 4 Offers protection for most outpatient services
1
Which information explains the reason a health care provider would refer a patient with diabetes to the nurse-managed clinic? 1 To manage a chronic illness 2 For illness prevention 3 To provide diagnostic services 4 For community mental health counseling
1
Which option is a nursing-sensitive indicator that the nurses can use to measure patient safety and quality for the unit? Select all that apply. One, some, or all responses may be correct. 1 Number of antibiotics administered by registered nurses (RNs) 2 Total nursing hours per patient day 3 Job satisfaction rate for RNs 4 Total number of patients dismissed per day 5 Number of emergency department admissions per year
2,3
Which information accurately describes the Magnet Recognition Program? Select all that apply. One, some, or all responses may be correct. 1 Transactional leadership is one of the main components of the program. 2 Nurses practice self-empowerment and autonomy in the organization. 3 All health care professionals collect data on specific nursing-sensitive quality outcomes. 4 The hospitals that attain Magnet status have an organizational culture focused on a clear strategic direction. 5 Health care organizations achieve Magnet status by presenting evidence indicating achievement of the model and forces of magnetism.
2,4,5
Which program would the nurse be responsible for at community centers? 1 Diagnostics 2 Spiritual health 3 Health education 4 Environmental surveillance
3
Which type of primary and preventive services offers respite care? 1 Physicians' offices 2 Nurse-managed clinics 3 Block and parish nursing 4 Community centers
3
Which health care service is provided in secondary care? Select all that apply. One, some, or all responses may be correct. 1 Assisted living 2 Intensive care 3 Urgent care 4 Outpatient surgery 5 Ambulatory care
3,4,5
The nurse is presenting information about which topic when discussing inpatient hospital services that have a fixed reimbursement amount for each case based on the average resources used to treat Medicare patients for that case? 1 Fee-for-service 2 Accountable care organizations 3 Capitation payment system 4 Diagnosis-related groups (DRGs)
4
Which activity performed by the nurse is related to maintaining competency in nursing practice? 1 Asking another nurse about how to change the settings on a medication pump 2 Regularly attending unit staff meetings 3 Participating as a member of the community council 4 Earning certification in a specialty area
4
Which statement is true regarding Magnet status recognition for a hospital? 1 Nursing is run by a Magnet manager who makes decisions for the nursing units. 2 Nurses in Magnet hospitals make all of the decisions on the clinical units. 3 Magnet is a term used to describe hospitals that are able to hire the nurses they need. 4 Magnet is a special designation for hospitals that achieve excellence in nursing practice.
4
Which type of health care service is an example of tertiary care? 1 Mental health counseling 2 Family planning 3 Urgent care 4 Intensive care
4
Which process will help health care organizations provide quality care? Select all that apply. One, some, or all responses may be correct. 1 Restoring the physical hospital environment 2 Establishing protocols 3 Following national accrediting standards 4 Using evidence-based practice findings 5 Remodeling the ancillary areas
2,3,4
Which action would the nurse perform as a part of rehabilitation services? Select all that apply. One, some, or all responses may be correct. 1 Wound care 2 Physical therapy 3 Administration of intravenous (IV) fluids 4 Speech therapy 5 Drug-dependence counseling
2,4,5
Which action would the nurse perform under preventive care? Select all that apply. One, some, or all responses may be correct. 1 Intensive care 2 Immunizations 3 Family planning 4 Cancer screening 5 Mental health counseling
2,4,5
Which purpose and service is typical of a nurse-managed clinic? Select all that apply. One, some, or all responses may be correct. 1 Illness management 2 Health education 3 Diagnosis with treatment 4 Physical exams 5 Support for self-care and caregivers
2,4,5
Which system was created by the federal government to test new payment and service delivery models and advance best practices? 1 Medicare 2 Medicaid 3 Magnet Recognition Program 4 Innovation Center
4
Which organization established the Magnet Recognition Program to recognize health care organizations that achieve excellence in nursing practice? 1 American Nurses Credentialing Center (ANCC) 2 Centers for Medicare and Medicaid Services (CMS) 3 Quality and Safety Education for Nurses (QSEN) 4 Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
1
Which service is a patient dying from cancer opting for when choosing palliative care at home? 1 Hospice 2 Respite care 3 Assisted living 4 Home care
1
Which condition under the Hospital Readmissions Reduction Program would cause a hospital to lose money if patients were readmitted within 30 days of discharge? Select all that apply. One, some, or all responses may be correct. 1 Heart failure 2 Pneumonia 3 Flu 4 Cancer 5 Chronic obstructive pulmonary disease
1,2,5
Which statement by the nurse reflects primary health care? Select all that apply. One, some, or all responses may be correct. 1 "I am going to review the steps for how to self-administer insulin." 2 "In which arm would you like to receive your flu vaccine?" 3 "I understand that you are here to talk about birth-control methods." 4 "I will inform your family member about when your surgery is complete." 5 "I understand that your child needs a physical examination, which is required to participate in a sports activity at school."
1,3
Which challenge do nurses face in the health care system? Select all that apply. One, some, or all responses may be correct. 1 Improving access to health care 2 Generating profits 3 Maintaining high-quality care 4 Reducing the cost of health care 5 Focusing on rehabilitation
1,3,4
Which information would the nurse include in the Minimum Data Set (MDS) for an older-adult patient with abdominal pain who takes calcium supplements, wears dentures, had liposuction, and traveled to Egypt when a child? Select all that apply. One, some, or all responses may be correct. 1 Abdominal pain 2 Vacation to Egypt 3 Calcium supplements 4 History of liposuction 5 Presence of dentures
1,3,4,5
Which hospital-acquired condition (HAC) would cause the hospital to receive reduced or no funding from the Centers for Medicare and Medicaid Services (CMS)? Select all that apply. One, some, or all responses may be correct. 1 Surgical site infections 2 Staphylococcus aureus infections 3 Influenza infections 4 Clostridium difficile infections 5 Catheter-associated urinary tract infections
1,4,5
Which reform incentive causes a hospital to lose money when a patient develops an infection at the surgical site, extending the length of stay 3 days? 1 Hospital value-based purchasing 2 Hospital-Acquired Condition Reduction Program 3 Hospital Readmissions Reduction Program 4 Bundled payments for care improvements
2
According to the chart, which patient requires secondary care? 1 Patient 1 2 Patient 2 3 Patient 3 4 Patient 4
3
When the nurse is responsible for immunizations, in which type of health care setting is the nurse employed? 1 Primary 2 Tertiary 3 Preventive 4 Restorative
3
Which group or organization is directly affected by pay for performance reimbursement programs? 1 Low-income families 2 Quality and Safety Education for Nurses (QSEN) 3 Health care providers 4 National Academy, Health and Medicine Division
3
Which nursing activity is an example of tertiary care? 1 Administering influenza immunizations at the senior independent living agency 2 Providing well-baby care in a clinic run by the local community health department 3 Admitting a patient to the cardiovascular intensive care unit after open heart surgery 4 Working the triage desk in the emergency department
3
Which parameter indicates a high quality of nursing care provided in the care unit? 1 The high number of patient falls 2 The high number of patients developing pressure injuries 3 The low rate of hospital-acquired infections 4 The low rate of patient admissions
3
Which action would the nurse take during discharge planning? Select all that apply. One, some, or all responses may be correct. 1 Encourage the patient to seek medical help if complications arise. 2 Identify appropriate resources to ensure continuity of care. 3 Help the patient learn safe and effective use of medications. 4 Let the patient schedule the referral for ease of transition. 5 Explain dietary needs to follow at home.
1,2,3,5
Which option is an appropriate goal for restorative care? 1 Patient will walk 200 feet without shortness of breath. 2 Patient will receive the flu vaccination before flu season. 3 Patient will express concerns related to returning home. 4 Patient will identify strategies to improve sleep habits.
1
Which statement made by the nurse demonstrates patient-centered care while focusing on alleviating the patient's fear and anxiety? 1 "Let's talk about the concerns you have about going home." 2 "I'll get the medication prescriptions for you before discharge." 3 "I'll be back in 30 minutes to help you get ready." 4 "Let me make a referral to the mental health counselor for you."
1
Which strategy proposed by the nurse administrator is appropriate to improve patient-centered care? Select all that apply. One, some, or all responses may be correct. 1 Encourage the patient to participate in the decision-making process. 2 Provide information to facilitate autonomy. 3 Decrease the patient's fears and concerns about the health care provided. 4 Always involve the family members in the patient's care. 5 Simply "individualize" patient care.
1,2,3
Which type of service would a Medicaid-certified nursing center offer? Select all that apply. One, some, or all responses may be correct. 1 Skilled nursing 2 Rehabilitation 3 Long-term care 4 12-hour licensed nursing 5 Emergency eye care
1,2,3
Which patient statement is an example of successful quality initiative? Select all that apply. One, some, or all responses may be correct. 1 "I felt well cared for at the hospital." 2 "My hospital room was clean and tidy." 3 "The nurse answered all of my questions." 4 "The nurse gave me warm blankets when I was cold." 5 "The heart-healthy menu included a variety of options."
1,2,3,4,5
Which activity performed by the nurse is focused on the patient-centered care principle of physical comfort? Select all that apply. One, some, or all responses may be correct. 1 Asking the patient what a tolerable level of pain is for him or her after surgery 2 Providing a back rub at bedtime 3 Offering the patient a warm washcloth for his or her hands before eating 4 Teaching the patient about the new antihypertensive medication ordered 5 Scheduling the patient's follow-up appointments on discharge 6 Changing the bed linens for a patient who has excessive sweating
1,2,3,6
Which topic would the nurse include in the discharge plan? Select all that apply. One, some, or all responses may be correct. 1 Necessary follow-up care 2 Counseling regarding nutrition and diet 3 Documentation of medical history 4 Correct and effective use of medications 5 Reports of diagnostic procedures and tests
1,2,4
Based on the eight principles of patient-centered care, which action would the nurse take while providing emotional support to the patient? Select all that apply. One, some, or all responses may be correct. 1 Talk to the patient about fears and concerns. 2 Inform the patient and family how to manage care independently. 3 Help the patient understand the effect of the illness on the patient and the family. 4 Explain the procedures and tests in a language that the patient can understand. 5 Identify staff that can alleviate the patient's anxiety about paying for medical care needs.
1,3,5
Which Magnet model component is addressed when a charge nurse takes a course to learn more about effective management styles? Select all that apply. One, some, or all responses may be correct. 1 Structural empowerment 2 Empirical quality outcomes 3 Transformational leadership 4 Exemplary professional practice 5 New knowledge, innovations, and improvements
1,3,5
Which action is an example of the principle of patient-centered care that is focused on respect for patient's values, preferences, and expressed needs? Select all that apply. One, some, or all responses may be correct. 1 Administering daily antihypertensive medications to the patient 2 Engaging the patient in decision-making about when to ambulate 3 Following the patient's normal routine of bathing in the evening rather than in the morning 4 Explaining a colonoscopy procedure to the patient 5 Working with the family to bring in ethnic foods that the patient prefers
1,3,5
Which action would the nurse take to provide patient-centered care that is focused on continuity and transition? 1 Ask the patient which family member should have access to patient information. 2 Teach the patient how to change the wound dressing at home. 3 Respond promptly to the patient's request for pain medication. 4 Schedule the patient's diagnostic scan after the physical therapy session.
2
Which service is a component of tertiary care? 1 Home care 2 Oncology 3 Mental health counseling 4 Outpatient surgery
2
Which service would the nurse suggest to a patient's caregiver who wants to know if there are support services that allow time off from caregiving? 1 Hospice 2 Respite care 3 Nursing clinics 4 Assisted living
2
Which statement is accurate regarding capitation? 1 It aims to build a payment plan for all diagnostic tests. 2 It means that providers receive a fixed amount per person. 3 It indicates prices may vary depending upon how frequently the person receives care. 4 It describes health care systems will charge for each procedure or treatment performed.
2
Which type of reimbursement system categorizes hospitalized Medicare patients into diagnosis-related groups? 1 Fee-for-service 2 Inpatient prospective payment 3 Purposeful rounding 4 Evidence-based practice
2
Which nursing intervention indicates that the nurse is providing patient-centered care focused on the principle of continuity and transition? 1 Involving the patient's family members in decision-making 2 Respecting the patient's cultural values while providing care 3 Teaching the patient about the administration of medications 4 Explaining, in simple language, tests and procedures required
3
Which activity performed by the nurse is related to maintaining competency in nursing practice? 1 Asking another nurse about how to change the settings on a medication pump 2 Regularly attending unit staff meetings 3 Participating as a member of the community council 4 Earning certification in a specialty area 00:00:02 Question Answer Confidence ButtonsJust a guessPretty sureNailed it
4
