NUR 111 - EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS

1. What does CMS stand for? - ANSWER Centers for Medicare and Medicaid Services 2. How does CMS directly affect nurses? - ANSWER Look at the hospital as a whole. Tries to keep cost as low as possible. Put blame on hospital for facility related injuries/infections. Ties into HAI's (caudy/clapsy) 3. What recipients are eligible for MCR coverage? - ANSWER Adults 65 or older, just provides basic coverage. Must add parts for additional coverage. 4. What recipients are eligible for MCD coverage? - ANSWER Poverty, minors, federally funded. 5. What does CHIP stand for? - ANSWER Children's Health Insurance Program 6. What is the purpose of CHIP? - ANSWER It provides insurance for children of working parents who earn too much for Medicaid. 7. DHSR (Division of Health Service Regulation) - ANSWER All about regulation Oversee medical, mental, and adult care Can also do labs, EMS, and jails Very specific in regulating layout of nursing homes Have a lot of investigators listening to patient complaints 8. DHHS (Department of Health and Human Services) - ANSWER The national agency that deals with health in the United States. Monitor school nurses, NA1's, med techs, MA's, home violations, NAZ's (regulated by NCBON) as well as adult care and mental health. Make sure patient gets all services they qualify for and that the services are meeting the needs of the patient. 9. T/F:Both DHHS and DHSR are state organizations. - ANSWER True 10. Which organization put out national safety goals with the purpose of improving patient safety? - ANSWER TJC 11. What are the national patient safety goals? - ANSWER -identify patients correctly -improve staff communication -use medicine safely -use alarms safely -prevent infection -identify patient safety risks -prevent mistakes in surgery 12. An event is also sentinal if: - ANSWER -a patient receiving care, treatment, or services in a staffed around the clock care setting commits suicide within 72 hours of d/c (including ED) -unanticipated death of a full term infant d/c of an infant to the wrong family abduction of any pt receiving care, treatment, or services -any elopement or unauthorized departure of a patient from around the clock care leading to death, permanent harm, or severe temporary harm Admin of blood or blood products having unintended ABO and non-ABO incompatibilities, hemolytic transfusion reactions, or transfusions resulting in severe temporary harm, permanent harm, or death t-Rape, assault or homicide of a staff member, practitioner, visitor or vendor while on site at the hospital -Surgery or other invasive procedures performed at the wrong site, on the wrong patient 13. T/F: Every hospital must report sentinel events to TJC. - ANSWER True 14. Name the 2020 TJC National Patient Safety Goals: - ANSWER Identify pt correctly-2 methods Improve staff communication Use meds safely (label) (extra care co ag patients) (pass info along to correct staff members) Use alarms safely-beeping for a reason Prevent infection (handwashing) Identify pt safety risks (pts at risk for suicide) Prevent mistakes in surgery (right surgery, right patient, right location on the body) 15. RACE- - ANSWER rescue, alarm, confine, extinguish 16. PASS - ANSWER Pull, Aim, Squeeze, Sweep 17. Which organization accredits Health Care Facilities? - ANSWER The Joint Commission 18. What does ANA stand for? - ANSWER American Nurses Association 19. What is the role of the ANA? - ANSWER set forth ethical considerations in Nursing 20. What are the 4 main ethical principles? - ANSWER Respect for Autonomy Beneficience Non malaficience Distributive justice 21. Describe the meaning of the Respect for Autonomy principle of ethics. - ANSWER the ability to make decisions for self unless deemed incompetent or committed. 22. Describe the meaning of the Beneficence principle of ethics. - ANSWER Do good. Prevent or remove evil. 23. Describe non-maleficence principle of ethics. - ANSWER Do no harm. Do not inflict evil or harm. 24. Describe distributive justice principle of ethics. - ANSWER Equality of care 25. What are some ethical topics in healthcare today? - ANSWER stem cell research, abortion, organ trafficking, in vitro fertilization, placebo effects, cloning 26. What organization developed the 9 provisions of the code of ethics for nurses? - ANSWER ANA 27. What is ethics? - ANSWER A specialized area of philosophy dating back to Ancient Greece and earlier. 28. Describe the study of ethics. - ANSWER a systematic study of what is good and right measured against principles, virtues, and core values of a profession. 29. Scope of nursing ethics deals with: - ANSWER Character: who we should be Content: how we should act 30. The scope of nursing ethics also deals with duties and obligations of nurses to: - ANSWER patients other healthcare professionals the profession the wider public global humanity 31. Why is ethics relative to nursing? - ANSWER we serve vulnerable people impact patient well being have a promise to protect depend on public trust have a moral relationship with pt. that gives rise to ethical obligations 32. What are some desirable nursing traits? - ANSWER ability to focus inquisitive compassionate critical thinker positive team player 33. How do personal values align with the nursing profession? - ANSWER morality comprises personal values, character and conduct and those entering nursing bring their own moral values stemming from: religion, culture, family, education, life experience 34. What are the three branches of ethics? - ANSWER metaethics, normative ethics, applied ethics 35. Ethical Codes - ANSWER A system of principles governing morality and acceptable conduct 36. Define negligence. - ANSWER An unintentional wrong or failure. Can be act of omission or commission. Ex. fail to give patient meds Give wrong meds to wrong patient 37. Define malpractice. - ANSWER Unintentional wrong due to misconduct or lack of skill 38. Define the different steps in determining malpractice. - ANSWER 1)Duty-nurse/client relationship (nurse has a duty to the client 2)Breach of duty-Nurse doesn't carry out duty to pt 3)Causation-Nurse's failure to carry out duty causes pt injury 4)Injury-Pt was injured due to unintentional wrong 39. What are some types of intentional wrongs? - ANSWER Assault-intentional threat to harm Battery-physically touching/harming without consent Invasion of Privacy-violating HIPAA False imprisonment-Held after discharge by restraint 40. Define nursing accountability. - ANSWER The nurse is responsible for reasonable care and lifelong learning. 41. Nurse Practice Act - ANSWER statute in each state and territory that regulates the practice of nursing 42. OSHA (Occupational Safety and Health Administration) - ANSWER Regulate all work place environments. Require MSDS (incase of a spill, tells employee what to do. Must be logged!) Not specific to nursing. applies to any workplace environment 43. What is the Nurse Practicing Act specifically responsible for? - ANSWER rules, roles and educational requirements licensure requirements good samaritan law supervisor notification The Joint Commission (TJC) - ANSWER A private, not-for profit organization that evaluates and accredits hospitals and other healthcare organizations on the basis of predefined performance standards, requirements, policies, regulations, rules. Directly associated with survey/compliance Which organization adopted a formal Sentinel Event Policy in 1996 to help hospitals that experience serious adverse events improve safety and learn from those sentinel events? - ANSWER The Joint Commission (TJC)