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Nursing 104, Exam 3 Flashcards | StudBud
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Nursing 104, Exam 3
Nursing 104, Exam 3
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1
Institute for Healthcare Improvement (IHI):
improvement of work processes while focusing on what customers need& want.
Led development of change concepts for specific areas
Voluntary organization made to assist healthcare leaders to improve quality
2
acting in accordance with an appropriate code of ethics (doing the right thing when no one is looking)
Integrity
Autonomy
Human dignity
Social justice
3
A subgroup of the population that tends to be hidden, overlooked, or on the outer edge
Marginalized Population
Minority group
4
Nurses should not examine their own value systems; values clarification
False
True
5
organizations carry out designated steps to understand the factors& systems associated with adverse patient events
TJC Sentinel Event Standard
IOM Sentinel Event Standard
6
Chasm= a great divide
True
False
7
Pay for performance:
Offers incentive to deliver services designed to improve patient outcomes
Hospitals earn back the payments or exceed the amount based on preformance
health plans pay physicians/hospitals more if they meet certain quality
Hospitals can be reimbursed based on performance results
Based on the quality of care
Hospital inpatient Medicare payments are reduced annually by 1-2%
8
The science or study of moral values
Morality
Code of Ethics
Ethics
Nursing Ethics
9
Standards of Practice for Culturally Competent Nursing Care:
Critical reflection
All of these
Social Justice
Knowledge of cultures
10
Culture: Shared values/beliefs/practices of a particular group of ppl that are transmitted from 1 generation to the next
True
False
11
personal belief about worth that acts as a guide to behavior:
Moral development
Values clarification
Value
Value system
12
What are QI buzzwords:
Continuous Quality Improvement (CQI)
Performance Improvement (PI)
Ongoing Quality Improvement (OQI)
Continuous Process Improvement
Statistical Process Control
Total Quality Management (TQM)
13
What are the dilemmas created by technology?
Artificial Intelligence
Cost is a consequence of prolonging life with technology
Manipulation of DNA
Illnesses that led to mortality are now manageable & classified as chronic
14
Nurses must commit to a virtuous value system and refine their worldview
False
True
15
What is true about Patient centered care:
Health care decisions respect patients’ wants, needs, and preferences
More than a nursing care delivery model, it's a philosophy of care
Patient's don't have knowledge to know what care they need
Should be included as an essential component of nursing care delivery model
Patients have the education/ support they need to make decisions about care
Nurses should be the only one's making decisions about a patients care
16
What is the Institute of Medicine [IOM] (Quality and Safety) aims for improvement
Timely- reducing waits and delays
Patient-centeredindividual patient needs, values, preferences
Safe- preventing injuries
Efficient- preventing waste
Effective- services to those who benefit
Equitable- providing unvaried care based on personal characteristics
17
Institute for Safe Medication Practices [ISMP]
Education resource for the prevention of medication errors
Offers Medication Safety Self Assessments
Health care prof voluntarily and confidentially report medication errors
Nonprofit organization
None of these
Provides independent, multidisciplinary, expert review of reported errors
18
Providing care that is respectful of and responsive to individual patient preferences, needs, and values
Professional care
Primary care
Personal care
Patient centered Care
19
Cornerstones of Quality Management:Scientific approach
belief in the people who are working to serve the customer
support for all workers to develop knowledge&skills in the science of QI
customer defines quality
20
Organizations accredited by TJC do not receive deemed status to automatically meet foundational approval from CMS
False
True
21
You should whistle blow if you witness:
Chemical impairment
Abusiveness
Cruelty
A coworker that you don't like
Negligence
Incompetence
22
When making an Ethical decision, nurses should:
be competent in the scientific and technological aspects of care
examine life & its origins, as well as its worth, usefulness, & importance
do whatever they want without thinking beforehand
determine their own values
be competent in dealing effectively with ethical problems encountered
seek to understand the values of others
23
forming a worldview&value system thru an evolving/continuous,dynamic process that moves along a continuum of development
Moral development
Value clarification
Value system
Value
24
Range of Attitudes
:
Celebration
Respect
Hate
Contempt
Tolerance
Love
25
The Essentials does NOT mandate the inclusion of culturally diverse nursing care concepts in the curriculum
True
False
26
According to public view, nurses ranked "most trusted" for over two decades
True
False
27
Health Disparity:Life expectancy is shorter for African Americans
True
False
28
right to self-determination:
Autonomy
Social justice
Integrity
Human Dignity
29
Reasons for Cultural Competence
:
Nurse’s culture often differs from client’s
Culturally incompetent care is ineffective
Culturally incompetent care is more costly
Nursing is committed to social justice
30
Accreditation
State licensing require quality management activities&set quality standards
Voluntary
The Joint Commission (TJC)
Required
31
CMS “Never Events”
Reasonably preventable
"serious reportable events" [SRE]
Can cause serious injury or death to the patient
Serious, costly errors in health care that should NEVER happen
32
Federally Defined Minority Groups :
Black or African American
Native Hawaiian and other Pacific Islander
Hispanic or Latino
Caucasian
American Indian and Alaska Native
Asian American
33
Nurses Awareness:
Collaborate with other healthcare professionals to initiate changes
Support overall management of patient care throughout length of stay
Neglect patient wants/needs
Monitor ongoing effectiveness of care provided
34
Which is NOT an ethical principle
Veracity
Competency
Autonomy
Beneficence and Nonmaleficence
35
Cultural sensitivity: using language & actions that show respect for diff cultures, avoiding anything that might offend
True
False
36
In health care decisions:
Nurse should not consult the patient
Nurse should only consult other healthcare providers
Decisions are made with the patient, family, & other healthcare providers
Nurse must have a reasoned thought process/sound judgment in all situations
37
Cultural Competence in Nursing Education is Mandatory for accreditation
True
False
38
AACN provides an important framework for designing/assessing baccalaureate education programs for prof nursing practice.
True
False
39
Deontology and Utilitarianism are the same thing
False
True
40
population trends:
Minority groups have grown faster than the population as a whole
becoming more racially and ethnically diverse
Growth in the number/proportion of older adults is increasing
becoming less racially and ethnically diverse
41
CMS Hospital-Acquired Conditions
Reasonably preventable
extra cost of hospitalization 4 treating these conditions shouldn't be paid
Serious, costly errors in health care that should NEVER happen
Can cause serious injury or death to the patient
42
Effects of People Living Longer:
They get closer with their families
Increased opportunity to develop chronic illness
Social isolation & depression resulting from loss of family & friends
Primary care providers faced with promoting maximum functional status
43
Which of these is NOT an example of Code of Ethics
international Council of Nurses Code for Nurses
American Nurses Association Code of Ethics
wealth, power, fame and prestige
Implicit standards and values for the profession
44
Nonmaleficence means to:
take action
To help others further their own well-being by removing harm/threats
To abstain from injuring others
Do no harm-implies a duty not to inflict harm (Not taking action)
45
Which are true regaurding autonomy:
Principle of respect for a person: primary moral principle
Concepts of freedom and informed consent in this principle
Self governance
46
Cornerstones of Quality Management: “All one team”
belief in the people who are working to serve the customer
support for all employees to develop knowledge&skills in the science of QI
customer defines quality
47
Which is NOT one of the remaining 5 rules Guiding Improvement Initiatives?
Cooperation among clinicians is a priority
Needs are anticipated
Waste is continually decreased
Safety is a system priority
Transparency is necessary
Safety comes second to what the Nurse believes needs to be done
48
Stereotyping: Assigning certain beliefs and behaviors to groups without recognizing individuality.
False
True
49
What is whistle blowing, and what does it mean if you don't do it?
silence implies agreement with the harmful action or dangerous situation.
reporting a harmful or potentially dangerous action by a coworker
literally blowing a whistle
You get to keep a friend
50
Value-Based Purchasing
offers incentive to deliver services designed to improve patient outcomes
Value = quality measures + Patient experience + Cost of care
Hospital inpatient Medicare payments are reduced annually by 1-2%
Hospitals can be reimbursed based on performance results
51
What is NOT a way to use patient centered care
Lying to a patient to make them believe they have to do what a nurse wants
Providing education to make informed decisions
Developing care plans/discharge plans
Establishing “family advisory councils” to engage decision making
Incorporating user friendly technology to support patient education
52
Standardized Processes: “best known methods” or “best practices”
True
False
53
Worldview:
Provides a cohesive model for life
Encourages personal responsibility for living life
Does not allow people to have individual beliefs
Prepares one for making ethical choices
54
idea that a practice is right if it leads to the greatest possible balance of good consequences/least possible of bad
Utilitarianism
Deontology
55
Transcultural:Being grounded in 1’s own culture, but having the skills to be able to work in a multicultural environment
True
False
56
Veracity:
Truth telling
untrustworthy
Trust factor
lying
57
Nurses should not consider the dilemmas that might arise in a given practice setting
True
False
58
entire framework on which actions are based:
Values clarification
Value
Value system
Moral development
59
Recommended Standards for Culturally and Linguistically Appropriate Health Care Services (CLAS)
Provide clients access to bilingual staff
Recruit, retain, promote culturally competent staff
Comprehensive management strategy
Promote and support attitudes, behaviors, knowledge, and skills
Require and arrange ongoing cultural education
Inform of rights to interpreter service
60
National Hospital Inpatient Quality Measures:
There are no measures in place
Publicly reported performance data
“pay for performance”
TJC and CMS worked together→ Standardized Measures
61
Rights of Conscience
:
protects conscientious health care providers against discrimination
forces a patient to do what the healthcare provider thinks is best
allows the right to act according to the dictates of their consciences.
62
organizations voluntarily seek TJC accreditation to show that they achieved a “gold seal of approval” in quality&safety
False
True
63
The AACN five competencies to serve as a framework for integrating cultural content into existing curricula
:
Sticking to their own methods and not considering other cultures
Participate in continuous cultural competence development
Advocate for social justice
Use relevant data sources&best evidence in giving culturally competent care
Apply knowledge of social cultural factors that affect nursing &health care
Promote achievement of safe& quality outcomes of care 4 diverse populations
64
acting in accordance with fair treatment regardless of economic status, race,ethnicity, age, citizenship, disability,sex
Autonomy
Altruism
Human dignity
Social justice
65
Economic and Social Changes:
ALL OF THESE
NONE OF THESE
More minorities lack health care and live in higher percentage poverty
Higher costs and lower wages for minority groups
Unemployment
Residential segregation
66
Regulatory Organizations
Required
State licensing require quality management activities&set quality standards
Voluntary
The Joint Commission (TJC)
67
a process by which people attempt to examine the values they hold and how those values function as a part of the whole
Value
Moral development
Value system
Values clarification
68
Cultural Assessments
Cultural client nutrition assessment
Cultural beliefs about sickness and cures
Child nutrition assessment
Cultural client assessment
Cultural self-assessment
69
Quality Improvement [QI] : Assessment and improvement of work processes while focusing on what customers need and want
False
True
70
What are two IOM reports
To Err Is Human: Building a Safer Health System [2000report]
Crossing the Quality Chasm: A New Health System for the 21st Century
View from an Er nurse: A different perspective on healthcare
71
What do Institutional Ethics Committees do
Serve as consultants to provide guidance in ethical dilemmas
Determine what ethics a person must use
Aid in policy development
Provide ethics education
72
What is not considered a dilemma for health professionals
Right to decide (patient autonomy), and Informed consent
Stem cell research(especially embryonic)&Therapeutic /reproductive cloning
Surrogate motherhood & Organ transplantation
Alternative treatment issues and Sexual reassignment
Life and death/Quality of life
Donating blood to patients in need
73
Ethical Theory is a system of principles by which a person can determine what ought and ought not to be done
True
False
74
Prejudice: Preconceived, deeply held, usually negative, judgment formed about other groups
True
False
75
Cornerstones of Quality Management: Quality
customer defines quality
belief in the people who are working to serve the customer
support for all workers to develop knowledge& skills in the science of QI
76
Responsibility for Cultural Care by Health Care Facilities
None of these
Employ or consult transcultural clinical specialists
Provide resources for education and practice
Offer continuing education programs about cultural issues
77
Purpose of ethical principles:
Provides an analytical framework by which moral problems can be evaluated
Allows people to push their beliefs on others
Permits people to take a consistent position on specific or related issues
Establishes common ground among nurse, patient, & family
78
Medical errors and sentinel events are the same thing
True
False
79
Role of Regulatory and Accrediting Agencies in Promoting Patient Safety
Centers for Medicare and Medicaid Services (CMS) “never events”
Implement IOM standards
National Patient Safety Goals (NPSGs)
The Joint Commission (TJC) sentinel event standard
80
Bioethics is the study of ethical issues and decision making associated with the use of living organisms
True
False
81
idea that humans are rational and act out of principles that are consistent/objective& compel them to do what is right
Utilitarianism
Deontology
82
What are the principal elements that provide a framework for ethical conduct:
nurses and global health
nurses and the profession
nurses and practice
nurses and patients or other people requiring care or services
83
AACN=American Association of College of Nursing
True
False
84
Root cause analysis pinpoints system faults for proactive prevention.
False
True
85
respect for inherent worth and uniqueness of individuals and populations
Social justice
Autonomy
Human dignity
Integrity
86
Sentinel events include a death,permanent harm, or severe harm
True
False
87
Do good (taking action)/Promotes goodness, kindness, and charity/Provides benefits to others by promoting their good
Beneficence
Nonmaleficence
88
Patient Safety:
Quality Improvement is essential to improve safety and reduce health care errors
False
True
89
A Bioethical Dilemma is the uncertainty about the best course of action due to conflicting options or moral ambiguity.
False
True
90
concern for the welfare of others
:
Integrity
Autonomy
Altruism
Social justice
91
Nursing ethics is a system of principles concerning the actions of the nurse in relation to :
other health care providers
policymakers
society
patients/families
92
In Nursing profession:
Cultural competency has nothing to do with nursing
The effect of cultural diversity on outcomes of health care is recognized
Nurses can be better advocate for clients when they understand them
Nursing is not important
93
What are the first 5 Rules Guiding Improvement Initiatives?
Care is based on continuous healing relationships
Care is customized according to patient needs and values
Knowledge is shared and information flows freely
Decision-making is in the spur of the moment
Decision-making is evidence based
The patient is the source of coontrol
