ANSWERS
Nursing Organizations Alliance & Healthful Practice/Work Environment - Answer-
Collaborative, communication rich, accountability, adequate staffing, presence of quality
leadership, shared decision-making, encourage growth/development, recognize the
value/salary of nurses, and recognition by nurses
High-Middle-Low Performance Management - Answer- Like our eval ratings; Low
should be told to improve or corrective action; Middle should be grown; High should be
thanked
Appreciative Inquiry - Answer- Searching for the best in people/organizations; positive
psychology; focus on what is already working and build from there
4-D's: discover, dream, design, destiny
AIDET - Answer- acknowledge, introduce, duration, explanation, thank you - steps to
achieving best customer service/patient satisfaction
Rehabilitation Act - Answer- Prohibits discrimination against people because of their
disability
Calculating FTE's Without Staffing Ratios - Answer- (ADC x 365) x HPPD / 2080
Indirects add at the end
3 Basic Requirements for Change - Answer- 1. Planning for change
2. Assessing change forces
3. Implementing the change
Purposeful/Hourly Rounding - Answer- Try to improve patient experience by rounding
every hour to accomplish tasks, ask for needs, answer questions, be present, 4 p's, and
assess environment
Taxonomy of Learning Domains - Answer- 1. Cognitive Domain - mental skills and
knowledge
2. Affective Domain - feelings, emotions, and attitudes
3. Psychomotor Domain - motor skills and coordination
, AACN Synergy Model - Answer- Applying nurse competencies to patient needs: when
they meet there is synergy which creates good patient outcomes and good nurse well-
being
Decile - Answer- Splitting ranking into 10 points that each represent 10%; 2 would be
20% and 9 would be 90%
Rogers' Stages of Innovation - Answer- Agenda, matching, redefining/restructuring,
clarifying, routinizing
People react as innovators, early adopters, early majority, late majority, and laggards
Thompson Change Theory - Answer- Forming, storming, norming, performing
Design & Implementation of Planned Changes - Answer- 1. Ample time for
planning/implementing
2. Staff have necessary skills/knowledge
3. Resources needed are in place
ROI Calculation - Answer- (Cost$ - Benefit$)/ Cost$
DRGs - Answer- Diagnostic-Related Groups: payment rate based on specific diagnoses
Prospective Payment System - Answer- Used by Medicare-participating hospitals:
pretreatment diagnosis billings based on DRGs; rate decided ahead of time between
insurance companies and hospitals
Exclusive Provider - Answer- Used by HMO's: insurance coverage for contracted
providers or institutions
HMOs - Answer- Health maintenance organizations: comprehensive healthcare to
people who pay a fee for a fixed period of time
Capitation - Answer- Fixed rate paid to provider per member per month for healthcare
services; set fee paid by insurance company per month for all the patient needs
PPOs - Answer- Preferred provider organizations: special reduced rate for services
when customers use certain providers approved by the insurance company; usually fee-
for-service
IPAs - Answer- Individual provider arrangements: provide care in their offices for
prepaid plans; coalition of physicians who serve HMO patients and third-party patients
Fulltime FTE Hours - Answer- 2080 hours (1.0 @ 40 hours per week)