Nurs 304 Midterm Exam – Questions With Expert
Solutions
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Terms in this set (90)
A group of emergency department A. Identify an interprofessional group of individuals
nurses are asked to develop an action to help review current performance.
plan to improve the time between B. Compare current hospital emergency department
when a patient presents with chest data results to benchmark comparison information
pain and when the electrocardiogram reported on a national website.
is completed. Which of the following C. Post current hospital performance data results
would be helpful when working on a openly for staff in the nursing lounge.
QI effort like this? Select all that apply.
A. Identify an interprofessional group
of individuals to help review current
performance.
B. Compare current hospital
emergency department data results to
benchmark comparison information
reported on a national website.
C. Post current hospital performance
data results openly for staff in the
nursing lounge.
D. Identify whose fault it is when the
electrocardiogram is not being done
quickly for patients with chest pain.
E. Create a system to report
colleagues that create a delay in
electrocardiogram completion.
,2. A staff nurse is interested in making A. Explore the IHI website (www.IHI.org), which
QI in the overall care of patients with includes white papers, evidence-based protocols,
heart failure. Where would be most blogs, and improvement stories that can be applied
helpful to look for data and to patients with heart failure.
information to begin work for these
improvements?
A. Explore the IHI website
(www.IHI.org), which includes white
papers, evidence-based protocols,
blogs, and improvement stories that
can be applied to patients with heart
failure. B. Review the National Cancer
Institute's website, which includes facts
and statistics related to cancer care,
resources, and latest research
developments.
C. Review drug companies' websites
to see if there are any new
medications available to treat heart
failure.
D. Google "heart failure" to see if you
can get access to the latest treatment
options for this patient population.
,3. An 87-year-old patient was Apologize, and assure the family that the attending
admitted to an acute care hospital physician and the nurse manager will be notified they
with an advanced directive that have arrived and will be coming to speak with them.
stipulates that the patient not be
resuscitated in the event of a cardiac
or respiratory arrest. On Day 3 of the
patient's hospitalization, the patient
experiences a cardiac arrest and a
code blue is called.When notified of
the event, the family is very upset.
what should the nurse caring for the
patient do?
Apologize, but state that the patient
was a full code, which means he must
be resuscitated.
Apologize, and assure the family that
the attending physician and the nurse
manager will be notified they have
arrived and will be coming to speak
with them.
Notify the family that the advance
directive is not legal or binding and
that the family needed to tell the
nurse specifically that the patient did
not want to be resuscitated.
Tell the family to try to focus on the
positive, that their family member is
still alive.
4. A new graduate nurse is learning Core measures
what it means to have the hospital Safe practice measures
accredited by TJC. Which of the Process improvement efforts
following are Joint Commission quality
compliance requirements? Select all
that apply.
Billing models
Core measures
Safe practice measures
Process improvement efforts
Disciplinary standards to address
errors
, Errors in healthcare happen for a A. A patient is misdiagnosed at the time of admission.
multitude of reasons. Which of the B. Nurses are working with an infusion pump they are
following are possible reasons unfamiliar with.
patients might experience a C. The nursing unit is short-staffed for the day.
healthcare error? Select all that apply. D. Staff are fatigued nearing the end of a shift.
A. A patient is misdiagnosed at the
time of admission.
B. Nurses are working with an infusion
pump they are unfamiliar with.
C. The nursing unit is short-staffed for
the day.
D. Staff are fatigued nearing the end
of a shift.
E. Staff adhere to processes as
outlined in the policy and procedure
manual.
6. What is a common cause of errors C. Communication between caregivers
within healthcare settings?
A. Uncaring professionals
B. Incompetent caregivers
C. Communication between
caregivers
D. Disorganized processes within the
system
7. The nurse is participating in a team C. Patient-centered care
meeting with the patient, dietitian,
physician, and social worker. The nurse
recalls that the patient had expressed
that spirituality was important to her. A
pastoral care representative is not
present and the nurse contacts
pastoral care to be included in the
meeting. This inclusion is an example
of implementing which QSEN
competency?
A. Teamwork and collaboration
B. Safety
C. Patient-centered care
D. Informatics
Solutions
Save
Terms in this set (90)
A group of emergency department A. Identify an interprofessional group of individuals
nurses are asked to develop an action to help review current performance.
plan to improve the time between B. Compare current hospital emergency department
when a patient presents with chest data results to benchmark comparison information
pain and when the electrocardiogram reported on a national website.
is completed. Which of the following C. Post current hospital performance data results
would be helpful when working on a openly for staff in the nursing lounge.
QI effort like this? Select all that apply.
A. Identify an interprofessional group
of individuals to help review current
performance.
B. Compare current hospital
emergency department data results to
benchmark comparison information
reported on a national website.
C. Post current hospital performance
data results openly for staff in the
nursing lounge.
D. Identify whose fault it is when the
electrocardiogram is not being done
quickly for patients with chest pain.
E. Create a system to report
colleagues that create a delay in
electrocardiogram completion.
,2. A staff nurse is interested in making A. Explore the IHI website (www.IHI.org), which
QI in the overall care of patients with includes white papers, evidence-based protocols,
heart failure. Where would be most blogs, and improvement stories that can be applied
helpful to look for data and to patients with heart failure.
information to begin work for these
improvements?
A. Explore the IHI website
(www.IHI.org), which includes white
papers, evidence-based protocols,
blogs, and improvement stories that
can be applied to patients with heart
failure. B. Review the National Cancer
Institute's website, which includes facts
and statistics related to cancer care,
resources, and latest research
developments.
C. Review drug companies' websites
to see if there are any new
medications available to treat heart
failure.
D. Google "heart failure" to see if you
can get access to the latest treatment
options for this patient population.
,3. An 87-year-old patient was Apologize, and assure the family that the attending
admitted to an acute care hospital physician and the nurse manager will be notified they
with an advanced directive that have arrived and will be coming to speak with them.
stipulates that the patient not be
resuscitated in the event of a cardiac
or respiratory arrest. On Day 3 of the
patient's hospitalization, the patient
experiences a cardiac arrest and a
code blue is called.When notified of
the event, the family is very upset.
what should the nurse caring for the
patient do?
Apologize, but state that the patient
was a full code, which means he must
be resuscitated.
Apologize, and assure the family that
the attending physician and the nurse
manager will be notified they have
arrived and will be coming to speak
with them.
Notify the family that the advance
directive is not legal or binding and
that the family needed to tell the
nurse specifically that the patient did
not want to be resuscitated.
Tell the family to try to focus on the
positive, that their family member is
still alive.
4. A new graduate nurse is learning Core measures
what it means to have the hospital Safe practice measures
accredited by TJC. Which of the Process improvement efforts
following are Joint Commission quality
compliance requirements? Select all
that apply.
Billing models
Core measures
Safe practice measures
Process improvement efforts
Disciplinary standards to address
errors
, Errors in healthcare happen for a A. A patient is misdiagnosed at the time of admission.
multitude of reasons. Which of the B. Nurses are working with an infusion pump they are
following are possible reasons unfamiliar with.
patients might experience a C. The nursing unit is short-staffed for the day.
healthcare error? Select all that apply. D. Staff are fatigued nearing the end of a shift.
A. A patient is misdiagnosed at the
time of admission.
B. Nurses are working with an infusion
pump they are unfamiliar with.
C. The nursing unit is short-staffed for
the day.
D. Staff are fatigued nearing the end
of a shift.
E. Staff adhere to processes as
outlined in the policy and procedure
manual.
6. What is a common cause of errors C. Communication between caregivers
within healthcare settings?
A. Uncaring professionals
B. Incompetent caregivers
C. Communication between
caregivers
D. Disorganized processes within the
system
7. The nurse is participating in a team C. Patient-centered care
meeting with the patient, dietitian,
physician, and social worker. The nurse
recalls that the patient had expressed
that spirituality was important to her. A
pastoral care representative is not
present and the nurse contacts
pastoral care to be included in the
meeting. This inclusion is an example
of implementing which QSEN
competency?
A. Teamwork and collaboration
B. Safety
C. Patient-centered care
D. Informatics
