WGU C157 Essentials of Advanced Nursing: Practice Questions and Answers Latest Updated 2024/2025 Scored A+

WGU C157 Essentials of Advanced Nursing: Practice Questions and Answers Latest Updated 2024/2025 Scored A+. Root Cause Analysis - ANSWER Examining and learning from a single event, often catastrophic. Using flowcharts and fishbone diagrams. Flow charts can also help the team design new processes. QSEN stands for - ANSWER Quality and Safety Education for Nurses QSEN and Systems thinking objective - ANSWER To move away from blaming individuals for adverse events and work to correct our systems and processes. QSEN indicates that MSNs should promote systems that - ANSWER reduce reliance on memory to make care safer. Examples: Checklists, worksheets, standard order sets, standardized timeliness, adding fields for documentation in records. These are reminders or prompts. Psychological Safety or Culture of Safety - ANSWER By reducing the emphasis on blame and shame, staff feel safe to report errors. Increased incident reports should result in more opportunities for organization learning. An increased number of incident reports do not mean increased number of incidences. - ANSWER This may be an indicator of psychological safety. Advanced Practice Role Key ideas: - ANSWER Support engagement of team members: Participate, Facilitate, Collaborate and Negotiate. Effective communication and leadership. Conflict resolution, shared decision making with patients. Shared governance with nurses and other staff. Patient centered care. Culture of safety and to think big. Culture of safety - ANSWER learn about human error and create better systems. Think BIG - ANSWER process from start to finish. Not just your part. Improving care for all, not just those in your department or hospital. Essentials of Masters Ed in Nursing - ANSWER Key Standard. Used to design MSN curriculum. Used by university surveyors to determine whether accreditation standards have been met. MSN - ANSWER Should have a deeper understanding of nursing or an expanded range of nursing knowledge compared to BSN or associate prepared nurses. Inter-Professional Collaboration - ANSWER Health professionals work together in small groups providing care. Examples: oncology, OR, end of life or primary care. Inter-Professional Collaboration team - ANSWER Although most patient care is done by the team of people, training is often focused on individual responsibilities and does not prepare for the complex settings. Team members are education in their health profession solo and likely have little knowledge of their team members' skill sets. WGU C157 Essentials of Advanced Nursing: Practice Questions and Answers Updated 2024/2025 | Scored A+ Act of collaboration in an inter-professional team might be best exemplified by - ANSWER defining patient goals individually and then coming together as a team to select the most important ones. Care is too complex today for a single discipline to direct all caregivers represented on the team. The advanced nursing role centers on acting with high level of integrity by - ANSWER giving power and respect to each team member's voice. Integrating individual differences. Resolving competing interests in order to safeguard each person's contribution. 2000 IOM report, To Err is Human - ANSWER Suggested that health professionals should be educated in teams using evidenced-based methods such as simulation and checklists. Results of educated in teams using evidenced-based methods such as simulation and checklists. - ANSWER People make fewer errors when they work in effective teams. Processes must be planned and standardized. Team members know their role and that of others. Teams members can look out for one another, noticing errors before they become an accident. Effective inter-professional teams - ANSWER members come to trust each other's judgments and attend to one another's safety concerns. Emotional Intelligence - ANSWER the awareness of the role emotion plays in personal relationships and the purposeful use of emotions to communicate, build rapport and motivate self and others. Change Agents - ANSWER People with high emotional intelligence are more effective on teams and can help make change transitions easier. A nurse who is a member of an QI team notices that another member rarely speaks during meetings. What is the responsibility of the nurse to this team member? - ANSWER Encourage the team member's participation in meetings. Patient Centered Care - ANSWER Begins by identifying the target of an intervention and then the level of practice. Target of intervention for Patient Centered Care - ANSWER Population of interest or population at risk. Population of interest for Patient Centered Care - ANSWER Essentially healthy, but who could benefit from health promotion activities. Population at risk for Patient Centered Care - ANSWER Common identified risk factor or risk-exposure that poses a threat to health. Level of Practice for Patient Centered Care - ANSWER Community, System or individual/family. Community for Patient Centered Care - ANSWER Changes community norms, community awareness, community attitudes, practices and behaviors. Measurement: what proportion of the population actually changed. System for Patient Centered Care - ANSWER Changes organizations, policies, laws, and power structures. The focus is not directly on individuals and communities but on the systems that impact them. Changing systems is the most effective and long-lasting why to impact population. Individual/family for Patient Centered Care - ANSWER Changes knowledge, attitudes, beliefs, practices and behaviors of individuals. Practice level is directed at individuals, alone or as part of a family, class or group. Example of a class or group: OB patients. Patient Centered Care think about Patient Experience - ANSWER Patients should be encouraged to be full participants in their care. Patients need support especially during care transitions. Patient Centered Care think about Ethical Communications - ANSWER Autonomy, Beneficence, Veracity, Justice Autonomy - ANSWER independence or freedom, as of the will or one's actions: the autonomy of the individual. Beneficence - ANSWER the doing of active goodness, kindness, or charity, including all actions intended to benefit others. Veracity - ANSWER a term often used in the medical profession, refers to the ethics of telling the truth and is one guide of the conduct of medical practitioners. Patient Centered Care think about Patient Education - ANSWER Communicate in plain language. Avoid medical terms or jargon. Provide written education to take home. Consider: Literacy or other barriers to learning. Advanced role or nurse advocate: - ANSWER MSN is positioned to advocate for those who are unable to have a voice in the decision-making process. Vulnerable patient populations - ANSWER elderly, infants, persons with reduced capacity for informed decision making and those who continue to need ongoing nursing care. MSN has skills to participate in policy formation - ANSWER to ensure that vulnerable patient populations have their needs addressed. Nursing Informatics - ANSWER has grown past the point where nurse simple help IT design EMR screens and choose equipment.