NMNC 1110 EXAM UPDATED SCRIPT ALL
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following factors can increase human risk for error?
-Predisposing mental and physiological states (e.g., fatigue, stress, dehydration,
hunger, and boredom)
-Factors that directly enable decision making (e.g., perception, attention, memory,
reasoning, and judgment)
-Factors that directly enable decision execution (e.g., communication and being able to
carry out the intended action)
-All of the above - ✔✔all of the above
✔✔You're caring for a patient with diabetes who was admitted to your hospital with an
elevated blood glucose level. She is on an insulin pump that is programmed to deliver
one unit of insulin per hour through her intravenous (IV) line.
How does this technology help make her care safer?
-The pump eliminates the need for providers to be involved in her care.
-The pump eliminates the possibility of a medication error.
-The pump helps automate a complex care process
-All of the above - ✔✔-The pump helps automate a complex care process
✔✔As a caregiver, which of the following common health IT issues would you be in the
best position to help solve?
,-Incomplete data entries into the computer
-Delays due to connectivity issues
-Out-of-date software
-None of the above - ✔✔-Incomplete data entries into the computer
✔✔Which of the following is the best example of using technology to improve safety and
prevent errors?
-Providing inpatients with electronic tablets so that they can keep in better touch with
the outside world
-Implementing redundancies, in which providers double-check each other's electronic
inputs
-Giving nursing assistants electronic tablets to ensure there's no delay in recording
patients' vital signs
-Switching to an electronic health record (EHR) platform that is of comparable quality
but lower cost - ✔✔-Giving nursing assistants electronic tablets to ensure there's no
delay in recording patients' vital signs
✔✔You enter a medication order in your hospital's EHR, and a warning screen pops up
saying that your patient's medication dose should be adjusted based upon her last lab
results. However, you know that the patient had a lab draw more recently — recorded at
a different clinic and therefore not available in your EHR — that showed different
values. When you attempt to move past the warning, the system will not allow you to
proceed.
What does this block best exemplify?
-How technology can be used to make patient care safer
-How technology can be used to make care more efficient
-How technology that dictates your work — rather than facilitates it — can introduce
unintended problems
-A and B (How technology can be used to make patient care safer AND How technology
can be used to make care more efficient) - ✔✔-How technology that dictates your work
— rather than facilitates it — can introduce unintended problems
✔✔Which of the following statements about bar-cording systems is true?
-They typically offer few benefits and merely promote workarounds.
-They can completely prevent medication errors.
-They can help providers keeps track of laboratory specimens, identify medications and
medical equipment, and identify patients.
-B and C (They can completely prevent medication errors AND They can help providers
keeps track of laboratory specimens, identify medications and medical equipment, and
identify patients.) - ✔✔-They can help providers keeps track of laboratory specimens,
identify medications and medical equipment, and identify patients.
✔✔culture of safety - ✔✔an environment that encourages open discussion of mistakes
and uses them to improve.
, ✔✔As a nurse practitioner in a small, rural urgent care clinic, you believe that your clinic
team works well together. Which of the following facts would best support your belief?
-Not a single complaint about unprofessional behavior has been filed by clinic members
over the past year.
-The providers work in rotating shifts and rarely need to transmit information from one
shift to the next.
-The team routinely takes a moment to discuss the plan and voice concerns before
doing a procedure.
-All of the above - ✔✔-The team routinely takes a moment to discuss the plan and voice
concerns before doing a procedure.
✔✔Which of the following is likely to be the most immediate result of building an
effective health care team?
-Safer care
-Elimination of waste in the system
-Fewer delays in care
-Less costly health care - ✔✔-Safer care
✔✔One reason it's critical for caregivers to improve their teams' effectiveness is:
-Effective teams reduce the risk of errors by providing a "safety net" for individual
caregivers.
-Effective teams limit the number of caregivers patients have to speak with, reducing
confusion among patients and families.
-Effective teams rely less on technology and more on human capabilities, thus leading
to better care.
-All of the above - ✔✔-Effective teams reduce the risk of errors by providing a "safety
net" for individual caregivers.
✔✔Critical language - ✔✔agreed-upon set of terms that indicates to all members of a
team that there is a problem, without placing blame or making an accusation. A
common example is the phrase "I need a little clarity."
✔✔closed-loop communication strategies - ✔✔help ensure no critical information is lost
during transitions of care
1. The sender concisely states information to the receiver.
2. The receiver then repeats back what he or she heard.
3. The sender then acknowledges that the repeat back was correct or makes a
correction.
4. The process continues until participants verify a shared understanding.
✔✔Which of the following actions is essential for closed-loop communication?
-The sender gives a great deal of detailed information to the receiver, making sure not
to leave anything out.
-The receiver responds to all information, even if it is only with an "okay" or "uh-huh," to
acknowledge that he has heard the sender.
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following factors can increase human risk for error?
-Predisposing mental and physiological states (e.g., fatigue, stress, dehydration,
hunger, and boredom)
-Factors that directly enable decision making (e.g., perception, attention, memory,
reasoning, and judgment)
-Factors that directly enable decision execution (e.g., communication and being able to
carry out the intended action)
-All of the above - ✔✔all of the above
✔✔You're caring for a patient with diabetes who was admitted to your hospital with an
elevated blood glucose level. She is on an insulin pump that is programmed to deliver
one unit of insulin per hour through her intravenous (IV) line.
How does this technology help make her care safer?
-The pump eliminates the need for providers to be involved in her care.
-The pump eliminates the possibility of a medication error.
-The pump helps automate a complex care process
-All of the above - ✔✔-The pump helps automate a complex care process
✔✔As a caregiver, which of the following common health IT issues would you be in the
best position to help solve?
,-Incomplete data entries into the computer
-Delays due to connectivity issues
-Out-of-date software
-None of the above - ✔✔-Incomplete data entries into the computer
✔✔Which of the following is the best example of using technology to improve safety and
prevent errors?
-Providing inpatients with electronic tablets so that they can keep in better touch with
the outside world
-Implementing redundancies, in which providers double-check each other's electronic
inputs
-Giving nursing assistants electronic tablets to ensure there's no delay in recording
patients' vital signs
-Switching to an electronic health record (EHR) platform that is of comparable quality
but lower cost - ✔✔-Giving nursing assistants electronic tablets to ensure there's no
delay in recording patients' vital signs
✔✔You enter a medication order in your hospital's EHR, and a warning screen pops up
saying that your patient's medication dose should be adjusted based upon her last lab
results. However, you know that the patient had a lab draw more recently — recorded at
a different clinic and therefore not available in your EHR — that showed different
values. When you attempt to move past the warning, the system will not allow you to
proceed.
What does this block best exemplify?
-How technology can be used to make patient care safer
-How technology can be used to make care more efficient
-How technology that dictates your work — rather than facilitates it — can introduce
unintended problems
-A and B (How technology can be used to make patient care safer AND How technology
can be used to make care more efficient) - ✔✔-How technology that dictates your work
— rather than facilitates it — can introduce unintended problems
✔✔Which of the following statements about bar-cording systems is true?
-They typically offer few benefits and merely promote workarounds.
-They can completely prevent medication errors.
-They can help providers keeps track of laboratory specimens, identify medications and
medical equipment, and identify patients.
-B and C (They can completely prevent medication errors AND They can help providers
keeps track of laboratory specimens, identify medications and medical equipment, and
identify patients.) - ✔✔-They can help providers keeps track of laboratory specimens,
identify medications and medical equipment, and identify patients.
✔✔culture of safety - ✔✔an environment that encourages open discussion of mistakes
and uses them to improve.
, ✔✔As a nurse practitioner in a small, rural urgent care clinic, you believe that your clinic
team works well together. Which of the following facts would best support your belief?
-Not a single complaint about unprofessional behavior has been filed by clinic members
over the past year.
-The providers work in rotating shifts and rarely need to transmit information from one
shift to the next.
-The team routinely takes a moment to discuss the plan and voice concerns before
doing a procedure.
-All of the above - ✔✔-The team routinely takes a moment to discuss the plan and voice
concerns before doing a procedure.
✔✔Which of the following is likely to be the most immediate result of building an
effective health care team?
-Safer care
-Elimination of waste in the system
-Fewer delays in care
-Less costly health care - ✔✔-Safer care
✔✔One reason it's critical for caregivers to improve their teams' effectiveness is:
-Effective teams reduce the risk of errors by providing a "safety net" for individual
caregivers.
-Effective teams limit the number of caregivers patients have to speak with, reducing
confusion among patients and families.
-Effective teams rely less on technology and more on human capabilities, thus leading
to better care.
-All of the above - ✔✔-Effective teams reduce the risk of errors by providing a "safety
net" for individual caregivers.
✔✔Critical language - ✔✔agreed-upon set of terms that indicates to all members of a
team that there is a problem, without placing blame or making an accusation. A
common example is the phrase "I need a little clarity."
✔✔closed-loop communication strategies - ✔✔help ensure no critical information is lost
during transitions of care
1. The sender concisely states information to the receiver.
2. The receiver then repeats back what he or she heard.
3. The sender then acknowledges that the repeat back was correct or makes a
correction.
4. The process continues until participants verify a shared understanding.
✔✔Which of the following actions is essential for closed-loop communication?
-The sender gives a great deal of detailed information to the receiver, making sure not
to leave anything out.
-The receiver responds to all information, even if it is only with an "okay" or "uh-huh," to
acknowledge that he has heard the sender.
