NR446 exam 1 review
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS [LATEST
2026-2027]
Procedures - CORRECT ANSWER-how to get things done within that policy, instruct you how to
do things
Rules - CORRECT ANSWER--define actions
-form policies and procedures
-allow only once choice of action
strategic planning - CORRECT ANSWER-Long-term planning that provides broad goals and
directions for the entire business.
Contemporary Adaptation of Lewins Model - Stages of Change MOdel - CORRECT ANSWER-
Stage 1: Pre-contemplation: no current intention to change
Stage 2: Contemplation: individual considers making a change
,Stage 3: Preparation: there is intent to make a change in the near future
Stage 4: Action: individual modifies behavior
Stage 5: Maintenance: change in maintained and relapse is avoided
Rational Empirical Strategy - CORRECT ANSWER--using evidence, research, hard evidence
-ex: smoking causes lung cancer, why they need to do the change
normative-reeducative strategy - CORRECT ANSWER--social norms, groups norms and positive
peer pressure to cause change
Power-coercive strategies - CORRECT ANSWER-Change agent strategies based on the
application of power by legitimate authority, economic sanctions, or political clout.
-using power to make change
Steps to time management - CORRECT ANSWER-1. Allow time for planning and establish
priorities
2. complete the highest priority task whenever possible and finish one task before starting
another
3. reprioritize based on the remaining tasks
three categories of prioritization - from a leader-manager - CORRECT ANSWER-- dont do
- do later (part of a larger plan)
- do now (day to day operations)
cost containment - CORRECT ANSWER-procedures used to control costs or expenses, efficiency,
not having waste, provide care and still yield a profit
,cost effective - CORRECT ANSWER-not the same as being inexpensive, producing good results
for money spent, the product is worth the price
The workforce or personnel budget - CORRECT ANSWER-largest of budget expenditures,
because health care is labor intensive,
operating budget - CORRECT ANSWER-how the facility can operate, bills that need to get paid.
supplies are a big expense
capital budget - CORRECT ANSWER-plan for the purchase of buildings or major equipment,
assets, big-ticket items, capital is another word for investment, investment in "stuff"
incremental budgeting - CORRECT ANSWER-flat percentage increase method, multiplying
current year expenses by a certain figure, usually the inflation rate or consumer price index, the
budget for the coming year may be projected. Doesnt assess current coniditon of patient budget
-giving a raise
Zero-based budget - CORRECT ANSWER-justify budget every year, labor-intensive for nursing
managers
flexible budgeting - CORRECT ANSWER--flexes with the census
-volume based
-money allocated in real time
performance budgeting - CORRECT ANSWER--emphasizes outcomes and results instead of
activities or outputs (earn your keep)
-efficiency
-a good way to motivate
, critical pathways - CORRECT ANSWER--clinical pathways
-a strategy for assessing, implementing, evaluating the cost-effectiveness of patient care
-everything that needs to occur in care
-if you dont hit the timeframe, there is a variance (positive or negative)
-standard of care, EBP
Medicare - CORRECT ANSWER-A federal program of health insurance for persons 65 years of
age and older, or have specific catastrophic illnesses, have to pay into medicare, not for free
-Part A: inpatient hospital
-Part B: supplemental for outpatient care (80/20 - not completely free)
-Part C: allows to join some sort of managed care program to cover 20% of copay of part B.
-Part D: prescription meds
Medicaid - CORRECT ANSWER-A federal and state assistance program that pays for health care
services for people who cannot afford them.
-long term care for seniors
Centers for Medicare and Medicaid Services (CMS) - CORRECT ANSWER-a federal agency within
the U.S. Department of Health and Human Services that is responsible for Medicare and
Medicaid, among many other responsibilities.
-do the reimbursements for those who qualify
-CMS sets qualities for reimbursements for hospitals, etc.
Prospective Payment System - CORRECT ANSWER-the payment amount or reimbursement with
a set rate for certain procedures is known in advance
-expected reimbursement based on DRG's
DRG's - CORRECT ANSWER--Diagnosis Related Groups
QUESTIONS AND VERIFIED
CORRECT ANSWERS
GRADED A+ 100%
GUARANTEED PASS [LATEST
2026-2027]
Procedures - CORRECT ANSWER-how to get things done within that policy, instruct you how to
do things
Rules - CORRECT ANSWER--define actions
-form policies and procedures
-allow only once choice of action
strategic planning - CORRECT ANSWER-Long-term planning that provides broad goals and
directions for the entire business.
Contemporary Adaptation of Lewins Model - Stages of Change MOdel - CORRECT ANSWER-
Stage 1: Pre-contemplation: no current intention to change
Stage 2: Contemplation: individual considers making a change
,Stage 3: Preparation: there is intent to make a change in the near future
Stage 4: Action: individual modifies behavior
Stage 5: Maintenance: change in maintained and relapse is avoided
Rational Empirical Strategy - CORRECT ANSWER--using evidence, research, hard evidence
-ex: smoking causes lung cancer, why they need to do the change
normative-reeducative strategy - CORRECT ANSWER--social norms, groups norms and positive
peer pressure to cause change
Power-coercive strategies - CORRECT ANSWER-Change agent strategies based on the
application of power by legitimate authority, economic sanctions, or political clout.
-using power to make change
Steps to time management - CORRECT ANSWER-1. Allow time for planning and establish
priorities
2. complete the highest priority task whenever possible and finish one task before starting
another
3. reprioritize based on the remaining tasks
three categories of prioritization - from a leader-manager - CORRECT ANSWER-- dont do
- do later (part of a larger plan)
- do now (day to day operations)
cost containment - CORRECT ANSWER-procedures used to control costs or expenses, efficiency,
not having waste, provide care and still yield a profit
,cost effective - CORRECT ANSWER-not the same as being inexpensive, producing good results
for money spent, the product is worth the price
The workforce or personnel budget - CORRECT ANSWER-largest of budget expenditures,
because health care is labor intensive,
operating budget - CORRECT ANSWER-how the facility can operate, bills that need to get paid.
supplies are a big expense
capital budget - CORRECT ANSWER-plan for the purchase of buildings or major equipment,
assets, big-ticket items, capital is another word for investment, investment in "stuff"
incremental budgeting - CORRECT ANSWER-flat percentage increase method, multiplying
current year expenses by a certain figure, usually the inflation rate or consumer price index, the
budget for the coming year may be projected. Doesnt assess current coniditon of patient budget
-giving a raise
Zero-based budget - CORRECT ANSWER-justify budget every year, labor-intensive for nursing
managers
flexible budgeting - CORRECT ANSWER--flexes with the census
-volume based
-money allocated in real time
performance budgeting - CORRECT ANSWER--emphasizes outcomes and results instead of
activities or outputs (earn your keep)
-efficiency
-a good way to motivate
, critical pathways - CORRECT ANSWER--clinical pathways
-a strategy for assessing, implementing, evaluating the cost-effectiveness of patient care
-everything that needs to occur in care
-if you dont hit the timeframe, there is a variance (positive or negative)
-standard of care, EBP
Medicare - CORRECT ANSWER-A federal program of health insurance for persons 65 years of
age and older, or have specific catastrophic illnesses, have to pay into medicare, not for free
-Part A: inpatient hospital
-Part B: supplemental for outpatient care (80/20 - not completely free)
-Part C: allows to join some sort of managed care program to cover 20% of copay of part B.
-Part D: prescription meds
Medicaid - CORRECT ANSWER-A federal and state assistance program that pays for health care
services for people who cannot afford them.
-long term care for seniors
Centers for Medicare and Medicaid Services (CMS) - CORRECT ANSWER-a federal agency within
the U.S. Department of Health and Human Services that is responsible for Medicare and
Medicaid, among many other responsibilities.
-do the reimbursements for those who qualify
-CMS sets qualities for reimbursements for hospitals, etc.
Prospective Payment System - CORRECT ANSWER-the payment amount or reimbursement with
a set rate for certain procedures is known in advance
-expected reimbursement based on DRG's
DRG's - CORRECT ANSWER--Diagnosis Related Groups
