ESTUDY NSG 441 - LEADERSHIP – MIDTERM QUESTIONS & ANSWERS (2024/2025) (VERIFIED ANSWERS) 1. What are the QSEN competencies? A) Provide patient -centered care B) Work in interdisciplinary teams C) Employ evidence -based practice D) Apply quality improvement E) Utilize informatics F) Safety Answer: A) Provide patient -centered care, B) Work in interdisciplinary teams, C) Employ evidence -
based practice, D) Apply quality improvement, E) Utilize informatics, F) Safety 2. What are the IOM competencies? A) Provide patient -centered care B) Work in interdisciplinary teams C) Employ evidence -based practice D) Apply quality improvement E) Utilize informatics Answer: A) Provide patient -centered care, B) Work in interdisciplinary teams, C) Employ evidence -
based practice, D) Apply quality improvement, E) Utilize informat ics 3. Discuss the development of the Patient Protection and Affordable Care Act (ACA) as measures to address barriers experienced within the U.S. health -care system. - Enacted into law in 2010 - Goal: reducing the number of uninsured people in the US by expanding Medicaid & implementing healthcare changes - Provisions include: A) Elimination of pre -existing conditions as a means of denial for insurance B) No annual limits on coverage C) Mandated coverage by employers with at least 50 full -time employees D) Extension of coverage to adult children to age 26 with individual and group health policies E) Inclusion of preventive services without cost sharing F) Essential health benefits like ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative services and devices, laboratory serv ices, preventive and wellness services, and chronic disease management. ESTUDY Answer: A) Elimination of pre -existing conditions as a means of denial for insurance, B) No annual limits on coverage, C) Mandated coverage by employers with at least 50 full -time employees, D) Extension of coverage to adult children to age 26 with individual and group health policies, E) Inclusion of preventive services without cost sharing, F) Essential health benefits like ambulatory patient services, emergency services, hospital ization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative services and devices, laboratory services, preventive and wellness services, and chronic disease management. 4. Compare and contrast the differences between Medicare, Medicaid, and private healthcare insurance. - Medicare: A) Provides health insurance for disabled persons and persons over the age of 65 B) Eligibility without a disability requires a minimum of 10 years of w ork and payment into the Medicare Trust Fund - Medicaid: A) Provides health care primarily for children (through the Children's Health Insurance Program - CHIP), nondisabled adults, and pregnant women Answer: Medicare: A) Provides health insura nce for disabled persons and persons over the age of 65, B) To be eligible without a disability, must have worked a minimum of 10 years and paid into the Medicare Trust Fund; Medicaid: A) Provides health care primarily for children (through the Children's Health Insurance Program - CHIP), nondisabled adults, and pregnant women 5. Highlight the role of nurse leaders and managers, and nurses overall, in the area of health policy. A) Understand the implications of ineffective access to the health -care syst em B) Fully investigate barriers within the system to ensure that care is safe, timely, efficient, equitable, evidence -based, and patient -centered Answer: A) Understand the implications of ineffective access to the health -care system, B) Fully inves tigate barriers within the system to ensure that care is safe, timely, efficient, equitable, evidence based, and patient centered 6. Discuss the impact organizational structure and culture have on patient safety, quality of care, and nurse satisfaction. A) Outlines who is accountable and responsible for the work in an organization and subsequently helps define working relationships B) Typically there is a hierarchical structure that reflects: - Chain of command —refers to a formal line of author ity from the top to the bottom of the organization, with each unit connected to another - Unity of command —suggests that each individual employee is accountable to only one manager, with expectations clearly defined and well understood
based practice, D) Apply quality improvement, E) Utilize informatics, F) Safety 2. What are the IOM competencies? A) Provide patient -centered care B) Work in interdisciplinary teams C) Employ evidence -based practice D) Apply quality improvement E) Utilize informatics Answer: A) Provide patient -centered care, B) Work in interdisciplinary teams, C) Employ evidence -
based practice, D) Apply quality improvement, E) Utilize informat ics 3. Discuss the development of the Patient Protection and Affordable Care Act (ACA) as measures to address barriers experienced within the U.S. health -care system. - Enacted into law in 2010 - Goal: reducing the number of uninsured people in the US by expanding Medicaid & implementing healthcare changes - Provisions include: A) Elimination of pre -existing conditions as a means of denial for insurance B) No annual limits on coverage C) Mandated coverage by employers with at least 50 full -time employees D) Extension of coverage to adult children to age 26 with individual and group health policies E) Inclusion of preventive services without cost sharing F) Essential health benefits like ambulatory patient services, emergency services, hospitalization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative services and devices, laboratory serv ices, preventive and wellness services, and chronic disease management. ESTUDY Answer: A) Elimination of pre -existing conditions as a means of denial for insurance, B) No annual limits on coverage, C) Mandated coverage by employers with at least 50 full -time employees, D) Extension of coverage to adult children to age 26 with individual and group health policies, E) Inclusion of preventive services without cost sharing, F) Essential health benefits like ambulatory patient services, emergency services, hospital ization, maternity and newborn care, mental health and substance use disorder services, prescription drugs, rehabilitative services and devices, laboratory services, preventive and wellness services, and chronic disease management. 4. Compare and contrast the differences between Medicare, Medicaid, and private healthcare insurance. - Medicare: A) Provides health insurance for disabled persons and persons over the age of 65 B) Eligibility without a disability requires a minimum of 10 years of w ork and payment into the Medicare Trust Fund - Medicaid: A) Provides health care primarily for children (through the Children's Health Insurance Program - CHIP), nondisabled adults, and pregnant women Answer: Medicare: A) Provides health insura nce for disabled persons and persons over the age of 65, B) To be eligible without a disability, must have worked a minimum of 10 years and paid into the Medicare Trust Fund; Medicaid: A) Provides health care primarily for children (through the Children's Health Insurance Program - CHIP), nondisabled adults, and pregnant women 5. Highlight the role of nurse leaders and managers, and nurses overall, in the area of health policy. A) Understand the implications of ineffective access to the health -care syst em B) Fully investigate barriers within the system to ensure that care is safe, timely, efficient, equitable, evidence -based, and patient -centered Answer: A) Understand the implications of ineffective access to the health -care system, B) Fully inves tigate barriers within the system to ensure that care is safe, timely, efficient, equitable, evidence based, and patient centered 6. Discuss the impact organizational structure and culture have on patient safety, quality of care, and nurse satisfaction. A) Outlines who is accountable and responsible for the work in an organization and subsequently helps define working relationships B) Typically there is a hierarchical structure that reflects: - Chain of command —refers to a formal line of author ity from the top to the bottom of the organization, with each unit connected to another - Unity of command —suggests that each individual employee is accountable to only one manager, with expectations clearly defined and well understood
