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Leadership
| Question | Answer |
|---|---|
| After morning report, the nurse manager assigns one nurse to give medication, another nurse to give treatments and another nurse to perform assessments. This is an example of which care delivery model? | Functional nursing |
| The nurse managers were charged with explaining the importance of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores to the staff. The nurse manager knows which statements are true about HCAHPs | enables valid comparisons about patient satisfaction across hospitals Increases transparency in healthcare related to critical aspects of the hospital experience |
| Nursing staff understand that a successful risk management program in an organization will: SATA | identify risks prevent damage minimize financial loss control legal liability |
| After a nurse manager communicates the need to change the method of shift report to walking rounds, a nurse states, “I know this will be a safer method of reporting.” This statement illustrates which stage of the change process? | Unfreezing |
| The evening shift assignment is made by the charge nurse. The RN is assigned to lead two licensed practical nurses (LPN) and two unlicensed assistive (UAP) to care for a group of patients on the unit. This is an example of which model of care delivery? | Team Nursing |
| The nurse manager plays a key role in ensuring that patients receive safe, quality care while in the hospital. What actions by the nurse manager will prevent corporate liability for the hospital? SATA | Performing yearly performance evaluations Ensuring that RNs have a current license Reviewing documentation for indwelling catheter care. |
| The Chief Informatics Officer gave a presentation to the nursing leadership group on the topic of “meaningful use” and the electronic health record (EHR). After the presentation, the nurse managers understand the priorities of meaningful use include: | |
| A nurse manager was reviewing the staffing for the past two weeks. It was noted that the unit was 367 hours over budget in labor for this period. How will the manager explain this difference? | Unfavorable variable |
| The Agency for Healthcare Research and Quality (AHRQ) has identified a conceptual framework for nursing staffing and patient outcomes. This model identifies multiple factors that impact the safety and quality of patient. Factors identified include: SATA | age and co-morbidity of the patient nurse patient ratio and skill mix experience and age of nurse medical care provided |
| The risk manager is reviewing unusual competence reports that were submitted by the staff over the weekend. Which occurrence would require a mandatory report to the state? | A complaint by a patient that the UAP touched them inappropriately. |
| reviewing the unusual occurrence reports for the past quarter, the RM is preparing a summary report for the CNO which preventable complications and errors that have occurred on the nursing units during this time preventable hospital acquired conditions? | |
| Hospital acquired pressure ulcers | |
| When making the schedule for the unit. The nurse manager should consider the following factors: SATA | Educational preparation Experience of the staff Competence of the nurses |
| The nurse understands that examples of cost-effective resource allocation include: | charging patients correctly crediting unused equipment E. could not see the answer |
| A patient arrives in active labor and exhibits leukemia with irregular heart tones. The patient is an immigrant and is uninsured. Which act would prevent this patient from being transferred to another facility for care? | Emergency Medical Treatment and Active |
| The nurse understands that the first step in the budgeting process is to: | obtains past results |
| A forecasted workload and a recommended care standard determine the: | staffing pattern |
| The nurse manager in an emergency department (ED) utilizes agency nurses for staffing due to a shortage of nurses. Which of the following should the nurse manager do to help the facility avoid malpractice claims? | orient the agency nurses to the sepsis protocol D. could not see the answer E. could not see the answer |
| After attending a legal seminar on nursing practice, the nurse understands which of the following statements are correct about the Nurses Practice Act (NPA)? SATA | the NPA governs the practice of nursing in each state the NPA defines the standards of current practice E. could not see the answer |
| The HCAHPS includes what domains? | Communication with nurses Care transition Quietness of hospital |
| A nurse manager needs to talk to her team about Value based budgeting. What factors should she mention about it? | reduce cost (didn’t choose) the hospital will get rewarded with improved clinical outcomes Adopt evidence based practices |
| What is a National Quality Indicator example? | stage pressure ulcers |
| Forecasted workload and recommended standard dictates what? | satffing pattern |
| What are the goals of risk management? | identify risks protect reputation minimize financial loss |
| The labor is down 326 hours from the budgeted labor. What is this called? | favorable variable |
| What are all factors included in the conceptual framework for nursing? | nurse age and experience skill mix of nurses patient age and comorbidities medical care |
| What does meaningful use consist of? | improves quality, safety, and efficiency improve public and population health improve care coordination ensures privacy + security for personal health records |
| What does the NPA do? | Define standard of care Governs how the nurse works States what misconduct behavior looks like in a clinical setting |
| What intervention will help minimize corporate liability? | having the staff attend an in-service to use a new iv pump read documentation on foley catheters make sure all staff has a current license |
| A nurse manager is making a staff assignment. What all should be considered? | patient safety patient satisfaction continuity of care staff satisfaction |
| How can staff on the floor ensure proper use of resources? | Return reusable supplies to the place where you got them Train employees who don’t know how to use equipment |
| What is the intended goal of having a well staffed hospital? | improve organizational outcomes |
Created by:
llmartinz