Exam A-1

Question 1

Felony

Answer 1

A serious violation of criminal law

Question 2

Misdemeanor

Answer 2

An infraction of criminal law

Question 3

Libel

Answer 3

Written defamation of character

Question 4

Role of OHSA (Occupational Health and Safety Administration)

Answer 4

Responsible for ensuring safe working conditions for all occupations.

Question 5

Failing to report the abuse of Controlled substances by another nurse would be what type of breach of conduct?

Answer 5

Misdemeanor

Question 6

If a medication error occurs, the nurse involved is responsible for…

Answer 6

Instituting immediate corrective action. This means notifying a physician so the doctor can order the corrective action. The nurse will also need to fill out an incident report.

Question 7

Changing a patient’s written medical order by the nurse can be considered what type of behavior?

Answer 7

Criminal

Question 8

The nurse changing a patient’s written medical order would be a violation of…

Answer 8

Federal controlled substance legislation

Question 9

Quality assurance process

Answer 9

Focuses on the clinical aspects of the providers care. It is frequently used in response to an identified problem. It may include things like having patients and families fill out surveys about specific experiences.

Question 10

Four characteristics of negligence

Answer 10

1. Harm or injury must have occurred to the individual
2. Duty to act: must have had a responsibility or duty toward the person harmed
3. Breach of duty: must have failed to fulfill his/her responsibility
4. Causation: the harm or injury must have been caused by the breach of duty

Question 11

Malpractice

Answer 11

Professional negligence, liability resulting from improper practice based on the standards of care for the profession

Question 12

Leadership style that encourages input from workers when making decisions. It represents the general consensus, a middle ground.

Answer 12

Democratic/participative leadership

Question 13

Leadership style where the majority of decisions are made by the manager with little or no input from workers.

Answer 13

Autocratic/authoritative

Question 14

Laissez faire/permissive leadership

Answer 14

Little or no direction or guidance provided. Provides maximum freedom for individuals.

Question 15

Leadership style that providers structure when necessary but provides freedom and group participation when appropriate.

Answer 15

Multicratic leadership

Question 16

PEW Health professions commission findings in 1995

Answer 16

Recommended differentiated practice. That the role of the associate degree RN be different than that of the BSN.

Question 17

The practice of structuring roles on the basis of education, experience and competence.

Answer 17

Differentiated practice

Question 18

Healthcare delivery system in which services are controlled and monitored carefully to ensure that neither too much not too little care is provider and that costs are minimized. Manages patients interaction with the entire healthcare system from diagnostics to hospitalization to rehab to home health.

Answer 18

Case management

Question 19

System in which nurse provides direct care for the patient in one setting and is responsible 24/7 for that pt. Primary nurse creates care plan which is followed by associate nurses when the Primary nurse is off.

Answer 19

Primary care nursing

Question 20

Each nurse is assigned one task (i.e. bandaging, temp measurement, etc) and the nurse performs that task for every pt in the unit. Allows for efficient care of many pts.

Answer 20

Functional method of nursing care

Question 21

The first care delivery system in which the nurse lived with her pt and was responsible for 100% of their needs.

Answer 21

Case method

Question 22

Team nursing

Answer 22

Pt centered care where each unit has two or more teams composed of providers with various certification levels (CNA, RN, LPN, etc). RN is the team leader. Team members works together to provide comprehensive care.

Question 23

RN is assigned to all the care needs of a group of 4-6 patients. Care is focused on the total person.

Answer 23

Total patient care

Question 24

Pt care is provided by an RN paired with either an LPN or CNA. The RN establishes care plan and provides RN level care while the lower certification follows the care plan to their skill level.

Answer 24

Partnership model of nursing care

Question 25

Pt care units are divided into modules. The same team of providers are consistently assigned to a particular module with the RN being the leader of the module.

Answer 25

Module system of nursing care

Question 26

DRGs Diagnosis related groups

Answer 26

used to determine the overall medicare reimbursement amount for a pt with a certain diagnosis during a hospital stay

Question 27

outliers related to DRGs

Answer 27

cases where a pt’s length of stay significantly exceeds the average

Question 28

used to determine how much Medicare will reimburse to the hospital foa pt with a specific diagnosis

Answer 28

diagnosis related groups - DRGs

Question 29

how do DRGs help control healthcare costs?

Answer 29

providers are pressured to disharge the pt within the average length of time for that DRG because if the pt stays longer, the hospital eats the cost

Question 30

what negative effect can DRGs have on pt care?

Answer 30

Pt’s may be prematurely discharged because the hospital gets paid the full amount for that diagnosis but pt care is cheaper if the pt is d/c early. Therefore, the hospital makes more money.

Question 31

pt’s discharged early may require more of what type of care?

Answer 31

home health care

Question 32

RUGs - Resource Utilization Groups

Answer 32

categorie used to determine the prospective payment for nursing home clients. used to determine the average daily cost of care.

Question 33

what federal agency mandates that employers provide gloves, eye protection, etc for “universal precautions”

Answer 33

OSHA (occupational safety and health administration)

Question 34

agency that accredits healthcare institutions and agencies that meet specific quality criteria

Answer 34

JCAHO - joint commission on accreditation of healthcare organizations

Question 35

federal agency that falls under the dept of health and human services (DHHS) that is responsible for protecting public health and safety through the control and prevention of disease, injury and disablity

Answer 35

CDC - Centers for Disease Control and Prevention

Question 36

the cabinet level administrative unit of the Federal government that has four major service divisions and many different sections. Many Federal healthcare agencies fall under its direction.

Answer 36

DHHS - Dept of Health and Human Services