Download NU 430: Final Exam Study Guide Part 1 - Questions With Complete Solutions and more Exams Nursing in PDF only on Docsity!
NU 430: Final Exam Study Guide Part 1
Questions With Complete Solutions
What are the 3 things that consent is based on? correct answer: - legal capacity
- voluntary action
- comprehension What term is this: determined by age and competency; defined by state statute, generally this age is 18 years; competency involves the ability to understand the consequences of actions or the ability to handle personal affairs? correct answer: legal capacity What term is this: the patient was not coerced by fraud, duress, or deceit into allowing the procedure or treatment; nurses serve as witnesses to the signing of the informed consent document; in this capacity they are attesting to the voluntary nature of the patient? correct answer: voluntary action What term is this: most difficult to ascertain; the law states that the patient must be given sufficient information, in terms he/she can reasonable be expected to comprehend, to make an informed choice? correct answer: comprehension What is some of the information required for informed consent? correct answer: - an explanation of the treatment/procedure to be performed and the expected results
- description of the risks involved
- benefits that are likely to result
- options to this course of action, including absence of treatment
- name of the person(s) performing the treatment/procedure
- statement that the patient may withdraw their consent at any time What term is this: a unit to measure employed persons or students in a way that makes them comparable although they may work or study a different number of hours per week? correct answer: Fixed FTE What term is this: these employees generally hold an exempt or salaried position, meaning their compensation does not depend on the unit's workload? correct answer: fixed FTE What term is this: held by those employees who are scheduled to work based on the workload of the unit; these employees are considered nonexempt or hourly wage employees, meaning their compensation depends on the actual number of hours worked in a given pay period? correct answer: variable FTE What model of care delivery is this: used to provide care to patients; because nursing care is often viewed primarily as a cost rather than source of revenue, institutions evaluate their method of providing patient care for the purpose of saving money while still providing quality care? correct answer: Nursing care delivery model What model of care delivery is this: used in the era of Florence Nightingale; one nurse provides total care for one patient during the entire work period; the physical, emotional, and technical
staff mix and increasing the ratio of unlicensed to licensed personnel? correct answer: team nursing What model of care delivery is this: a team leader, who is an RN, is responsible for coordinating a group of licensed and unlicensed personnel to provide patient care to a small group of patients; the members of the team report patient progress to the team leader, who then reports to the charge nurse? correct answer: team nursing What model of care delivery is this: an adaptation of the case method/total patient care, was developed as a method for organizing patient care delivery in which one RN functions autonomously as the patient's primary nurse throughout the hospital stay? correct answer: primary nursing What model of care delivery is this: brought the nurse back to direct patient care; nurse is accountable for the patients care 24 hours a day from admission through discharge; advocacy, assertiveness, confidence are desirable leadership attributes for this case delivery model? correct answer: primary nursing What model of care delivery is this: partnership model; an RN is paired with an assistant; the partner works with the RN consistently. When the partner is unlicensed, the RN allows the assistant to perform basic nursing functions with the state delegation rules; in some settings, the partnership is legitimized with an official contract to formalize the relationship? correct answer: primary nursing hybrid
What model of care delivery is this: another view or primary care; integrates principles of business and industry; the goals for this model include improving patient satisfaction and other patient outcomes, improving worker job satisfaction, and increasing efficiencies and decreasing cost? correct answer: primary nursing hybrid; patient focused, patient centered, or person centered care What model of care delivery is this: is defined as a philosophy, a process, a model, a concept, and a partnership that involves both the patient and healthcare providers including the nurse, arriving at some form of conclusion about the care of the patients' condition? correct answer: primary nursing hybrid; patient focused, patient centered, or person centered care What term is this: also called labor relations, is the joining together of employees for the purpose of increasing their ability to influence the employer and improve working conditions? correct answer: collective bargaining What term is this: it is a process of negotiations between employers and a group of employees aimed at reaching agreements to regulate working conditions? correct answer: collective bargaining What term is this defined by legislation: defined and protected by the National Labor Relations Act of 1935 and its amendments; the National Labor Relations Board oversees the act and those who come under its auspices; the NLRB ensures that employees can choose freely whether they want to be
What conflict resolution is this: withdrawing from not facing the problem leads to the problem resurfacing? correct answer: avoiding What conflict resolution is this: neglect their own need, goal, concern, element of self-sacrifice and serving others without question? correct answer: accommodating What conflict resolution is this: pursue own needs and goals ahead of others - using whatever power, creativeness of strategies to win? correct answer: competing What conflict resolution is this: requires maturity and confidence; negotiation is a learned skill developed over time? correct answer: compromising What conflict resolution is this: time-consuming but the most creative stand people work creatively and openly to find solutions that may fully satisfy all important concerns and goals to be achieved? correct answer: collaborating What is this: hours are paid that time is worked? correct answer: productive time What is this: hours are paid time that is not worked, such as vacation, holiday, orientation, and sick time? correct answer: nonproductive time What is needed before the number of FTE (full time equivalent) can be calculated? correct answer: number of productive hours
What is this: a formula driven calculation; UOS multiplies by the volume (patient days, or ED visits) equals hours available to create direct productive staffing plans; getting a ratio of patient to RN is essential; this is then applied to the total hours available and the support structure can be built accordingly? correct answer: nursing productivity What affects productivity? correct answer: decreasing the input or increasing output can increase productivity What is this: the verbal and written exchange of pertinent information during transitions of care? correct answer: handoff What is this: occurs during nurse change-of-shift report, transfer of patients between units or facilities, and reports between departments and between disciplines? correct answer: handoff What term is this: the transfer of responsibility for the performance of a task from one individual to another while retaining accountability for the outcome? correct answer: delegation What must comply with the law, such as the state NPA, and comply with the education and certification of the individual to which the task is delegated; most state NPAs address the concept of delegation, including some rules and regulations governing when and what tasks can be given? correct answer: the delegated task What are barriers to communication? correct answer: - fast pace
What term is this: a written statement that articulates the values and beliefs about the nature of the work required to accomplish the mission and the nature and rights of both the people being served and those providing the services? correct answer: philosophy What term is this: expresses the values and beliefs that members of the organization hold about their work, the people to whom they provide service, to themselves? correct answer: philosophy What is this: duty owed to the patient; which involves both the existence of the duty and the nature of the duty? correct answer: duty of care How does duty of care relate to managers? correct answer: nurse managers are directly responsible for ensuring that standards of care, as written in the hospital policy and procedure manuals, are current and that all nursing staff follow these standards of care. Should a standard of care be revised or changed, nurse managers must ensure that all staff are apprised of the revised standard. Same applies with new standards of care being implemented. The nurse manager may work with a clinical nurse educator in attaining the desired outcome? What term is this: one who defends or promotes the rights of others, changes systems to meet the needs of others, ensures respect, equity and dignity for others? correct answer: advocate What is this: requires the nurse to receive and be comfortable with conflict, and then mediate, negotiate, clarify, explain, and intervene; the nurse can be this by being a liaison between and
among individuals, families and the healthcare system? correct answer: advocate What is this: the collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet an individual's and family's comprehensive health needs through communication and available resources to promote quality cost effective outcomes? correct answer: case management What federal funding do hospitals get? correct answer: Medicare, Medicaid, private sectors (HMO, PPO, etc.). and other insurances that have clients in the hospital What are the 5 rights of delegation? correct answer: - right task
- right circumstance
- right person
- right direction/communications
- right supervision What are some causes of resistance to change? correct answer: - poor motivation to adopt new technologies
- reluctance and resistance are common when the change threatens personal security
