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