EAQ Chapter 21 - EAQ cha 1 - Ch 1 yoder wise question bank Flashcards Ch 1 yoder wise question PDF

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The 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health advocated for having at least which percentage of the registered nurse population prepared at the baccalaureate level? 65% 70% 80% 100%

Rationale

The 2010 Institute of Medicine report The Future of Nursing: Leading Change, Advancing Health recommended that at least 80% of registered nurses be baccalaureate prepared, because evidence supports lower morbidity and mortality rates with a better-educated nursing workforce. The percentages 65% and 70% are lower than recommended, and 100% is higher than recommended. p. 24

Which education recommendation was made by the Institute of Medicine (IOM, now known as the National Academy of Medicine) in the 2010 report The Future of Nursing: Leading Change, Advancing Health? Doubling the number of nurses with a doctorate by 2020 Requiring a baccalaureate degree for all registered nurses by 2020 Increasing the percentage of nurses enrolled in advanced practice programs by 30% by 2030 Changing the entry-level requirement for initial preparation of nurses to a master’s degree by 2050

Rationale The 2010 IOM (now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health recommended that by 2020, the number of nurses with doctorate degrees should be doubled. The report recommended that by 2020, 80% of nurses should have a baccalaureate degree. The report did not make any recommendations concerning the percentage of nurses enrolled in advanced practice programs or the entry-level requirement for nurses. p. 24

Which element acknowledges nursing excellence and emphasizes empirical quality results? Six Sigma processes Outcomes management

Staff certification of practice Magnet Recognition Program ®

Rationale The Magnet Recognition Program is designed to acknowledge nursing excellence. From initial designation to redesignation, greater emphasis is placed on empirical quality results. Staff certification of practice, outcomes management, and Six Sigma processes are required for magnet recognition. p. 26

Which evidence-based nursing response was created to address nursing outcomes, including patient safety? Magnet Recognition Program® American Nurses Association (ANA) American Nurses Credentialing Center (ANCC) National Council of the State Boards of Nursing (NCSBN)

Rationale The Magnet Recognition Program ® was created as a result of the IOM’s raised awareness of patient safety and quality of care issues, and the focus of the program is on outcomes, including data and efforts related to patient safety. The ANA represents the interests of nurses. The NCSBN is the regulatory licensing agency for nursing. The Magnet Recognition Program ® is a credentialing program of the ANCC. Test-Taking Tip: Multiple-choice questions can be challenging, because students think they will recognize the right answer when they see it or that the right answer will somehow stand out from the other choices. This is a dangerous misconception. The more carefully the question is constructed, the more each of the choices will seem like the correct response. pp. 23, 26

Which organization recommended moving the chief nursing officer into the boardroom as a key spokesperson on patient safety and quality issues? Institute of Medicine The Joint Commission National Quality Forum Agency for Healthcare Research and Quality

Rationale The Institute of Medicine (2004) identified practices that had negative effects on patients which motivated them to recommend moving the chief nursing officer into the boardroom as a key spokesperson on patient safety and quality issues in "Keeping Patients Safe: Transforming the Work Environment of Nurses." The Joint Commission is a not-for-profit organization that accredits healthcare organizations internationally. The National Quality Forum is a membership-based organization related to quality measurement and reporting. The Agency for Healthcare Research and Quality is a federal agency devoted to improving quality, safety, efficiency, and effectiveness. p. 22

Which area of nursing leadership does the American Nurses Credentialing Center’s (ANCC’s) magnet program recognize? Democratic Facilitative Visionary Transformational

Rationale The ANCC’s magnet program recognizes transformational leadership. Democratic, facilitative, and visionary leadership are not types of leadership recognized in the ANCC’s magnet program.

Test-Taking Tip: Start by reading each of the answer options carefully. Usually at least one of them will be clearly wrong. Eliminate this one from consideration. Now you have reduced the number of response choices by one and improved the odds. Continue to analyze the options. If you can eliminate one more choice in a four-option question, you have reduced the odds to 50/50. While you are eliminating the wrong choices, recall often occurs. One of the options may serve as a trigger that causes you to remember what a few seconds ago had seemed completely forgotten. p. 26

Which entity developed an international set of standards that are relevant to many fields including health care and are used to guide accreditation globally? The Joint Commission (TJC) National Coalition Building Institute (NCBI) The National Guideline Clearinghouse (NGC) International Organization for Standardization (ISO)

Rationale The ISO is a network of 163 countries that have agreed on an international reference for quality requirements in business and service industries. Because ISO is relevant to many fields, and it is well recognized in Europe and elsewhere, these standards have high acceptability in global work. TJC is an independent, not-for-profit organization that accredits and certifies healthcare organizations in the United States. The NCBI is a not-for-profit leadership training organization focusing on diversity training and school violence prevention. The NGC, sponsored by the Agency for Healthcare Research and Quality, provides a large repository for international guidelines, offering free access to guideline summaries and links to full reports. p. 26

Which core concern of any healthcare organization, and therefore nurses, drives aspects of leading and managing? Safety Documentation

Communication Infection Control

Rationale The core concern of any healthcare organization, and therefore the core concern for nurses, is safety. Safety, and subsequently quality, should drive such aspects of leading and managing as staffing and budgeting decisions, personnel policies and change, information technology, delegation decisions, workplace environment, and personal practice. Communication is an important aspect of safety. Documentation is the recording of data that can be clustered and used to improve patient care services. Infection control is another important aspect of safety; the prevention of infection decreases hospital stays and the complications associated with other health conditions. Test-Taking Tip: Pace yourself during the testing period and work as accurately as possible. Do not be pressured into finishing early. Do not rush! Students who achieve higher scores on examinations are typically those who use their time judiciously. p. 21

Which concept was introduced by the Institute for Healthcare Improvement’s work, Transforming Care at the Bedside? Rapid cycle change QSEN competencies Choosing Wisely approach Magnet Recognition Program®

Rationale The Institute for Healthcare Improvement's work introduced the concept of rapid cycle change to improve care. Choosing Wisely is a multidisciplinary approach to helping patients make wise decisions begun by the American Board of Internal Medicine. A project known as Quality and Safety Education for Nurses (QSEN) serves as a repository for resources related to the knowledge, skills, and attitudes needed to serve as safe practitioners. The Magnet Recognition

Program® is a national designation designed to acknowledge nursing excellence. Test-Taking Tip: The most reliable way to ensure that you select the correct response to a multiple-choice question is to recall it. Depend on your learning and memory to furnish the answer to the question. To do this, read the stem, and then stop! Do not look at the response options yet. Try to recall what you know and, based on this, what you would give as the answer. After you have taken a few seconds to do this, then look at all of the choices and select the one that most nearly matches the answer you recalled. It is important that you consider all the choices and not just choose the first option that seems to fit the answer you recall. Remember the distractors. The second choice may look okay, but the fourth choice may be worded in a way that makes it a slightly better choice. If you do not weigh all the choices, you are not maximizing your chances of correctly answering each question. pp. 26-27

Which organization emphasizes outcomes including data and efforts related to patient safety? Institute of Medicine The Joint Commission National Quality Forum Magnet Recognition Program ®

Rationale The Magnet Recognition Program® emphasizes outcomes, including data and efforts related to patient safety. The Institute of Medicine identifies practices that have negative effects on patient safety and quality issues. The Joint Commission is a not-for-profit organization that accredits healthcare organizations internationally. The National Quality Forum is a membership-based organization related to quality measurement and reporting. p. 23

Which entity focused on outcomes was developed to recognize nursing excellence? Det Norske Veritas

The Joint Commission National Quality Forum Magnet Recognition Program ®

Rationale The Magnet Recognition Program ® is a national designation built on and evolving through research that recognizes nursing excellence. The Joint Commission is a not-for-profit organization that accredits healthcare organizations internationally. The National Quality Forum is a membership-based organization related to quality measurement and reporting. Det Norske Veritas is an international organization that provides accreditation in a variety of fields. p. 26

Which level of education does the Institute of Medicine (IOM) suggest 80% of nurses should have by 2020? Diploma Master’s degree Associate’s degree Baccalaureate degree

Rationale In the report Future of Nursing: Leading Change, Advancing Health (2010), the Institute of Medicine (IOM) recommends that 80% of nurses have a baccalaureate degree by 2020. The diploma, associate’s degree, and master’s degree were not identified by the IOM as needed to change proportionally with other academic levels. p. 24

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Chapter 2, Clinical Safety: The Core of Leading, … Yoder-Wise 7e Chapter 

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