WGU C157 Essentials of Advanced Nursing Practice Field Experience: Final Practice Exam Questions and Answers Updated 2024/2025 | Graded A+.

WGU C157 Essentials of Advanced Nursing Practice Field Experience: Final Practice Exam Questions and Answers Updated 2024/2025 | Graded A+. Vulnerable Populations: Vulnerable populations include patients who are racial or ethnic minorities, children, elderly, socioeconomically disadvantaged, underinsured or those with certain medical conditions Infants, children, older adults, the ill, the physically and mentally disabled, the illiterate and the poor 2. QIA: Quality Improvement Activity "An activity used to monitor, evaluate or improve the quality of health care delivered by the practice." 3. Definition of Quality Improvement: Quality improvement (QI) consists of systematic and continuous actions that lead to measurable improvement in health care services and the health status of targeted patient groups 4. The QI team has recommended the use of sound machine in each patient room to muffle the ambient noise on the unit. How should the MSN respond to this recommendation?: The MSN should search the literature to confirm that the recommendation is evidence-based. 5. Essentials of Master's Education in Nursing (Nursing Standard): Nursing Standard that: 1. Defines the essential elements of master's education for advanced practice roles in nursing. 2. Provides a framework for designing and assessing master's education programs WGU C157 Essentials of Advanced Nursing Practice Field Experience: Final Practice Exam Questions and Answers Updated 2024/2025 | Scored A+ 2 / 39 for advanced practice nursing. 6. National Patient Safety Goals: The NPSGs were established by the Joint Commission to help accredited organizations address specific areas of concern in regard to patient safety. 7. The Joint Commission: The Joint Commission accredits more than 20,000 health care organizations in the U.S. This accreditation is recognized by state agencies as a condition of licensure and receipt of Medicaid reimbursement. 8. Preventive Action: A proactive plan to prevent a potential occurrence of an adverse event. 9. Corrective Action: Corrective action is a reactive plan to prevent a re-occurrence of an adverse event. 10. Quantifiable Measure: Data-driven quality improvement indicator. 11. National League for Nursing Core Values: NLN Values Caring Integrity 3 / 39 Diversity Excellence 12. Magnet Conceptual Model Components: Transformational Leadership Structural Empowerment Exemplary Professional Practice New Knowledge, Innovation, & Improvements Empirical Quality Results 13. Magnet Hospitals: Higher percentages of satisfied RNs Lower RN turnover and vacancy Improved clinical outcomes Improved patient satisfaction 14. Magnet Recognition Program: ANCC program that recognizes healthcare organizations that provide excellence in nursing. 15. Definition of Bias: cause to feel or show inclination or prejudice for or against someone or something. 16. When can Bias occur: Can occur when non-random data is chosen for analysis, which influences the statistical significance of the test, or produces distorted results. 17. Convenience Sample: A subset of a population selected because the individuals are readily available and accessible. 18. Mission Statement: Describes the reason for the organizations's current existence. 19. Values Statement: Describes what an organization believes in and how it will behave. 4 / 39 20. Sampling: Selection of a representative subset of a population to predict the effects of a change on the whole population. 21. Random Sample: A subset of a population in which each individual of the subset had an equal probability / an equal chance of being chosen. 22. Deemed Status: In order for a health care organization to receive payment from Medicare or Medicaid programs, it must meet the eligibility requirements set forth in federal regulations. Health care organizations that achieve accreditation through a 'deemed status' survey conducted by the Joint Commission (or other recognized accrediting process or agency) are determined to have met Medicare and Medicaid requirements. 5 / 39 23. Nurse Stress, Burnout, or Overload: Often results from Poor Delegation Skills 24. Mortality Rate: The ratio of the number of patient deaths (numerator) per the total number of patients in a defined population (denominator). 25. Infection Rate: The frequency of occurrence of the new cases of infection within a defined population during a specified time frame 26. Definition of central tendency: In statistics, a central tendency is a central or typical value for a probability distribution. It may also be called a center or location of the distribution 27. 3 Measures of Central Tendency: Mode, Mean, Median 28. Mode: The value that appears most often in a set of data. 29. Preferred measure of central tendency: Mean or Average 30. Closing the Loop: A component of care coordination that ensures key information is exchanged during care transitions, referrals, or other patient transfers from provider-to-provider or organization-to-organization. Note: Submitting or transmitting information does NOT ensure receipt of information into the hands of an actual human being. 31. IHI Science of Improvement Model: Form the Team Set the Aim Establish the Measures Select the Changes Test the Changes - Pilot Study (Small Scale) - PDSA cycle begin Implement the Changes - Large Scale 6 / 39 Spread the Changes (to others) 32. Patient Population: The demographics and/or distinctive features of a group of patients being serviced: gender, age, ethnicity, socioeconomic status, rural, urban, chronic disease, acute illness, procedure, etc. 33. Delegation: Assigning responsibility or authority to a subordinate to carry out specific activities. The goals for the APN are to: 1. Make the best use of time and skills by relinquishing duties to others - the 'delegator' needs to stop being the 'doer' 2. Grow and develop team members to their full potential. 34. SMART goal: Specific - Measurable - Achievable - Realistic - Time-Limited 7 / 39 35. Trend: A pattern of gradual change in a series of data points demonstrating movement in a certain direction over time, represented by a line or curve on a graph. 36. Violation: Deliberate or intentional choice by an individual to diverge from an accepted process, policy, standard, rule or regulation. 37. Strategic Planning: An organization's process of defining its strategy, or direction, and making decisions on allocating its resources to pursue this strategy. Quality Improvement should be integrated into the Strategic Plan. 38. Lapse: The plan was good, but memory of all the steps of the plan was poor. (Staff intended to perform the process as planned but forgot a step in the process). 39. Slip: The plan was good, but execution was poor. (Staff intended to perform the process as planned and remembered the steps, but failed to do it correctly). 40. Mistake: The plan was poor, but execution was good. (Staff followed a poorly planned process) 41. Intervention: A step implemented in a QI plan to redesign a process or system and affect a particular change. 42. Transformational Leader: Is ready, willing, and able to inspire and lead people where they need to go (not merely where they want to go). An agent for change who has vision, influence, clinical knowledge, and professional nursing expertise, and who also sees that transformation may involve 'shaking things up' to birth new ideas and innovations. 43. Participatory Leadership: An approach where leaders interact with other 8 / 39 participants as peers, engaging them in the decision-making process and playing an equal role in the process as others and jointly carrying out the problem solving activities. 44. Consultative Leadership: A style where leaders engage subordinates/peers in the decision-making and problem-solving process, but ultimately make the final decisions for the team. 45. Autocartic Leadership: A clear top-down approach where a single individual has complete power of decision-making and little discussion is had for external input. 9 / 39 46. Democratic Leadership: An open style of running a team where leaders facilitate discussion among all my members encourage ideas to be shared, and consider everyone's input in order to make final decisions for the team. 47. When is it appropriate to collect and use data?: A. Before the QI project, to prove a problem exists. B. During the QI project, to answer questions questions about the cause an help prioritize the implementation of improvements. C. After the implementation of the improvement to maintain the gain. 48. Outlier: A data points that lies outside the overall pattern of a distribution 49. Defining the need: In the clinical setting, defining the need and asking a question could lead to a quality improvement project., a research study, or implementation of evidence-based practice. 50. Normal Distribution of Data: In a graph, this is demonstrated by continuous distribution of data that is "bell-shaped". In a normal distribution, data are more likely to be at or near the mean. 51. Target Populations: The group of patients that re the intended recipient of an intervention. 52. Variance and Distributions: Adopting a shared vision Team building Relinquishing administrative control Rewarding performance that adheres to high standards 53. Healthcare Associated Infection - Stats: One of the leading causes of death in the U.S. Approximately 1 in 3 HAI's are preventable. EMAIL ME: For help with report, Assignment, Essay and thesis writing. 10 / 39 HAI are responsible for (2002 data): 1.7 million HAI every year 99,000 deaths every year Costs to U.S. health care budget are $5-10 billion annually 54. Strategic Plan: The process used by an organization to determine its direction and goals, and to decide how to allocate resources to pursue this strategy. 55. Care Coordination Activities: Establishing accountability and agreeing on responsibility. Communicating / sharing knowledge Helping with transitions of care Assessing patient needs and goals Creating a proactive care plan 11 / 39 Monitoring and followup, to respond to changes in patients' needs. Supporting patients' self-management goals. Linking to community resources. Working to align resources with patient and population needs. 56. Care Coordination: Deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. 57. Care Coordination Strategies: Teamwork Care management Medication Management Health Information Technology Patient-centered medical home 58. Care Transition: The movement patients make between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. 59. 4 Stages of Team Development: 1 - Forming - the team is brought together 2 - Storming - The conflict-ridden stage of team development 3 - Norming - Team members begin to resolve differences 4 - Performing - team members begin to obtain results 60. Form the Team: In the IHI model for improvement, a team of stakeholders needs to be appointed before we can set the aim/goal, establish measures, or select our changes. 61. Leadership Rounds: An opportunity for senior leaders, like the CEO, to demonstrate their organization's commitment to building a culture of safety by 12 / 39 engaging in direct communications with front line staff. 62. Balanced Scorecard: Performance Management tool that: focuses on the strategic agenda of the organization has a small number of data items to monitor