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PNR 400 - EXAM PREP QUESTIONS & ANSWERS

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The problem-solving process consists of 5 steps: - Answer -Identify the problem (assessment, diagnosis) Gather and analyze data (outcome identification) Generate alternatives & select an action (planning) Implement the selected action (implementation) Evaluate the action (evaluation) Sources of Power explain: Expert power: Legitimate power: Referent (charismatic) power: Reward power: - Answer -Expert power: derived from knowledge & skills ie expert nurses vs novice nurses Legitimate power: derived from the position of authority a person holds ie managers, CEO of an organization Referent (charismatic) power: derived from how much others respect & like a person Reward power: derived from a person's ability to bestow rewards on people ie offering incentives which greatly motivates employees Sources of Power explain: Coercive (Forced) power: Connection power: Information power: - Answer -Coercive (Forced) power: is the opposite of reward power. It is the ability of the power holder to remove something from a person or to punish them for not conforming with a request

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PNR 400 - EXAM PREP QUESTIONS & ANSWERS

Solutions for Climate Change - Answer -Adaptation, Mitigation, REDD

International Health - Answer -status among nations
Control of epidemics
Emphasizes differences

Global Health - Answer -transcends borders
Focuses on improving and promoting health
Integration of economies, societies and cultures

Global Health Agencies - Answer -WHO
United Nations Development Program (UNDP)
World Bank
United Nations Millennium Declaration

World Bank - Answer -loans to developing countries

United Nations Development Program - Answer -eradicate poverty and reduce
inequalities

Epidemiological Transition - Answer -transitioning from third world to first world
countries from infectious diseases to chronic, degenerative diseases

World Bank classifies countries by - Answer -Gross National Income

8 Millennium Development Goals [mdgs] - Answer -poverty
Gender equality
Education
Reduce mortality
Child health
Diseases
Environmental

Care delivery models - Answer -organize caring for patients

Models of Care - Answer -clients need vs. Nurse availability

Functional nursing - Answer -team per task

Modular nursing - Answer -Unit divided divides into teams per geographic space, lead
to RN

Primary nursing - Answer -same nurse every visit

,Methodologies for Quality Improvement - Answer -PDSA (Plan Do Study Act)

FOCUS Methodology
F — focus on an improvement job
O — organize a team that understands the process
C — clarify what is happening in the current process
U — understand the degree of change needed
S — select a solution for improvement

Balanced Scorecard
How do clients see us?
What must we excel at?
Can we continue to improve?
How do we look to funders?

Two strategies to accomplish decreased LOS include: Clinical pathways, Case
management. Explain - Answer -outline expected clinical course & outcomes for a
specific client type

For coordinating care & establishing goals from preadmission through discharge. Works
with all the disciplines to facilitate care

Sentinel Events/ Critical Incident - Answer -Is an unexpected incident (related to a
system or process deficiency) that results in a major & enduring loss to the client

Sentinel events require immediate investigation & response

Subcultures - Answer -emerging organizational values

Canadian Medical Association (CMA) integrated in quality care program.
True or False. - Answer -True

Adaptive Cultures - Answer -Employees change to please stakeholders, and assume
responsibility for the org's performance

Shared governance: - Answer -decentralization of leadership that fosters autonomous
decision making and professional nursing practice

Five stages that groups progress through - Answer -Forming
Storming begins to work together
Norming work more effectively as a team
Performing at a very high level
Adjourning moving off into different directions

, Initiates provincial universal public hospital insurance plan (known today as OHIP) -
Answer -1947: Saskatchewan

'Father' of medicare in Canada in 1962 - Answer -Tommy Douglas

Establish 5 basic principles of Canada Health Act - Answer -Universality available to all
eligible residents of Canada
Comprehensive coverage for hospital and physician services
Accessible without financial and other barriers; available to all Canadians on the basis
of need
Portable within the country and during travel abroad
Publicly Administered public authority administers and operates the plan on a non-profit
basis

Canada Health and Social Transfer (CHST) - Answer -is block funding that combines
health care/postsecondary education/social services/social assistance

Effort to allow provinces to provide reasonably comparable levels of service at
reasonably comparable levels of taxation

Who were instrumental in ensuring the passage of the bill that resulted in CHA -
Answer -Nurses & CNA

OPHA - Answer -the Ontario Public Health Association.
Legislated by the Health Protection and Promotion Act
Provide for the organization and delivery of public health programs and services, to
prevent the spread of disease, to promote and protect the health of the people of
Ontario.

28 ccacs operating across Ontario.
CCAC boundaries align with the geographic boundaries of Ontario's 14 Local Health
Integration Networks. Community Care Access Centre.
T or F - Answer -F
14

What agency are governed by a board of clients, community members, health providers
and community leaders, and enables health services to be more easily oriented towards
what community members identify as their most important needs. - Answer -
Community Health Centres - chcs
120 Primary health care centres in Ontario

Health can be categorized into four levels - Answer -Health Promotion
Disease and Injury Prevention (Protection)

Diagnosis and Treatment of Existing Health Problems (Primary, Secondary, Tertiary)
Rehabilitation

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