Download Exam 3: NUR204/ NUR 204 (New 2025/ 2026 Update) Leadership & Management Review | Q&As and more Exams Nursing in PDF only on Docsity!
Exam 3: NUR204/ NUR 204 (New 2025/ 2026
Update) Leadership & Management Review |
Questions and Verified Answers| 100%
Correct| A Grade โ Fortis
QUESTION
what is important about float staff Answer: they must be able to perform the core competencies of the unit they are floating to
QUESTION
what is the patient classification system- staffing by acuity formula? Answer: nursing hours (all staff) in 24 hours divided by patient census
QUESTION
what kind of patient classification system?
- broad indicators such as bathing, diet, IV fluids, meds, and positioning to categorize PATIENT CARE ACTIVITIES Answer: critical indicator PCS
QUESTION
what kind of patient classification system?
- requires the nurse to note the FREQUENCY OF OCCURRENCE of specific activities, treatments, and procedures of each patient
Answer: summative task PCS
QUESTION
system that attempts to integrate efficiency of care, access, and cost of care Answer: managed care
QUESTION
process used by insurance companies to assess the need for medical care to assure that payment will be provided for the care Answer: utilization review
QUESTION
providers receive a fixed monthly payment regardless of services used by that patient during the month Answer: capitation
QUESTION
what type of managed care organization?
- pre-approval of care is required
- choice of physician is restricted Answer: HMO- health maintenance organization
predetermined payment schedules that reflect historical costs for the treatment of specific patient conditions Answer: diagnosis related group
QUESTION
hospitals receive a specified amount for each medicare patients admission, regardless of the actual cost of care Answer: prospective payment system
QUESTION
insurance for military dependents as well as for retirees and their dependents and survivors Answer: tricare
QUESTION
low cost coverage insurance for kids that earn to much to qualify for medicaid Answer: children's health insurance program- all kids
QUESTION
person pays out of pocket for insurance or through a company program Answer: private insurance
QUESTION
patient pays out of pocket for care
- uninsured Answer: private pay
QUESTION
5 best known models for organizing pt care Answer: 1 - total patient care 2 - functional nursing 3 - team/ modular nursing 4 - primary nursing 5 - case management
QUESTION
what kind of pt care?
- nurse assumes total responsibility for meeting pt needs while on duty
- no delegation Answer: total patient care
QUESTION
what kind of pt care?
- RN delegates a certain task to each person Answer: functional method
what kind of pt care?
- nurse that does not perform direct pt care
- nurse that identifies the most effective ways for a certain illness based on that pt Answer: case management
QUESTION
what do cade managers do? Answer:
- use a MAP to establish when nursing interventions should occur to get the pt treated cheap and fast
QUESTION
continuum of chronic illness care is established that includes early detection and early intervention Answer: disease management
QUESTION
- help with health care needs to the patient or their families
- have no administrative duties Answer: clinical nurse leader
QUESTION
what is a PPO plan? Answer:
- person can use a doc that is provided or that have to pay extra
QUESTION
what is a HMO plan? Answer:
- pt picks a PCP and the PCP will refer you to a specialist
QUESTION
method of reimbursement where medicare payment is based on a predetermined fixed amount Answer: prospective payment system
QUESTION
what are factors of quality of care that influence healthcare? Answer:
- errors
- ineffective treatments
- incompetent practitioners
QUESTION
- law designed to give customers more control over their healthcare by allowing them to make informed decisions when knowing all their options
- ability to compare and choose health insurance coverage that best meets their needs Answer: patient protection and affordable care act
Answer: 1 - retention of foreign objects 2 - falls 3 - suicide 4 - wrong pt, wrong side, wrong procedure 5 - delay in treatment 6 - criminal events 7 - operation. post op complications 8 - perinatal events 9 - med errors 10 - fire
QUESTION
unexpected occurrence that involves death or serious physical or psychological injury Answer: sentinel event
QUESTION
- activities that are used to evaluate, monitor, or regulate services rendered to customers
- performance is measured against the standards
- actions are taken to correct discrepancies Answer: quality control
QUESTION
hallmarks for effective quality control Answer: 1 - support from top administration 2 - commitment from the organization 3 - quality goals reflect excellence, not just the minimum 4 - process is continuous
QUESTION
difference in performance between top performing organization and the national average organization Answer: quality gap
QUESTION
identifies exactly why an event happens and makes sure the event does not happen again Answer: root cause analysis
QUESTION
breakdowns all the potential causes of the problem Answer: ishikawa root cause (fishbone)
QUESTION
how do you figure out the root cause Answer:
- ask why several times
- bring everyone involved in the care into for a non punitive way
QUESTION
#3 causes of having a sentinel event Answer:
Answer: quality assurance
QUESTION
targets ONGOING AND ALWAYS IMPROVING quality Answer: quality improvement
QUESTION
- continuous quality improvement
- individual is the focus on which production and service depend
- doing the right things, the right way, the first time
- problem preventing planning Answer: total quality management
QUESTION
- customer focused quality improvement
- complete elimination of waste to pursuit the most efficient method Answer: toyota production system
QUESTION
- statistical measurement that reflects how well a product or process is performing
- high the value= better performance Answer: six sigma approach
QUESTION
what does the six sigma approach do? Answer:
- decreases variation increases precision increases accuracy
- increases value decreases waste
QUESTION
activity or process that improves aspects of the patients health or experience of care that the PATIENT perceives as important Answer: value
QUESTION
work, effort, or activity that is necessary but do not add value to the patient Answer: non- value
QUESTION
time. effort, or resource that add nothing to a patients care Answer: waste
QUESTION
QUESTION
what does T mean in DOWNTIME of wastes? Answer: TRANSPORT
- moving patients around
- discharge delays
QUESTION
what does I mean in DOWNTIME of wastes? Answer: INVENTORY
- too much that they expire
QUESTION
what does M mean in DOWNTIME of wastes? Answer: MOTION
- excessive motion to complete a task
QUESTION
what does E mean in DOWNTIME of wastes? Answer: EXTRA PROCESSING
- unnecessary effort to complete a task
- duplicate charting
QUESTION
who is involved in quality control? Answer: everyone including the patient
QUESTION
hospital consumer assessment of healthcare providers and systems Answer: the patients perspective
QUESTION
leapfrog initiatives to prevent medical errors Answer:
- computer provider order entry
- evidence-based hospital referral
- ICU physician staffing
- leapfrog safe practice scores
QUESTION
informatics to improve the health of populations, communities, families, and individuals by optimizing information management and communication Answer: nursing informatics
QUESTION
- predetermined courses of progress that patients should make after admission for a specific diagnosis or surgery
- assesses, implements, and evaluates the cost- effectiveness of patient care
QUESTION
what does fiscal also mean Answer: financial
QUESTION
plan using numerical data to predict the activities for a period of time Answer: budget
QUESTION
what kind of budget?
- do not vary with volume
- example: martgage Answer: fixed
QUESTION
what kind of budget?
- vary with volume
- example: payroll Answer: variable
QUESTION
what kind of budget?
- example: staff/ shift, skill level Answer: controlled
QUESTION
what kind of budget?
- cannot manipulate
- example: depreciation of equipment Answer: non-controlled
QUESTION
what are the steps in budget planning? Answer: ADPIE
QUESTION
3 types of budgets Answer: 1 - personnel 2 - operating 3 - capital
QUESTION
what kind of budget?
- largest expense
- staff mix
