Deck 11: Quality Health Care, Policy and Law

Question 1

A Shared Governance committee is working on a project that focuses on ethical behavior. What would the committee identify as an instrument to ensure ethical behavior when providing patient care?

A) Individual practice
B) Graduate education
C) Years of experience
D) Continuing education Correct

Answer 1

Individual practice

Question 2

A nurse is becoming discouraged with the way patient care is being provided in a skilled nursing facility. Which action would help the nurse with the feelings of discouragement?

A) Provide the best care possible during the scheduled shift.
B) Focus on assigned patients only and not be concerned with other issues.
C) Remain educated on current issues and events that shape the nursing world.
D) Discuss feelings with the director of nursing and report the facility for unsafe practice. Correct

Answer 2

Remain educated on current issues and events that shape the nursing world.

Question 3

An organization is adopting processes of a high reliability organization. Which processes will help the nursing staff prevent errors? Standard Text: Select all that apply.

A) Being aware of risks
B) Responding to errors
C) Seeing the big picture
D) Blaming the right party
E) Seeking out information Correct

Answer 3

Being aware of risks
Responding to errors
Seeing the big picture
Seeking out information Correct

Question 4

The nurse manager is scheduling a session with a telephone vendor and the nursing staff to review different types of communication devices. What will be the manager's ultimate goal when making this decision?

A) Safer medication administration
B) Assistance with non-nursing duties
C) Ease of accessing patient data
D) Improved access of information Correct

Question 5

The nurse observes a physician provide twice the recommended dose of pain medication to a patient with a terminal illness. What should the nurse do about this situation?

A) Ask the physician why the medication was provided.
B) Report the physician to the medical director.
C) Focus on the best response for the patient.
D) Do nothing. Correct

Question 6

One state, through the state board of nursing, is considering joining the Nursing Licensure Compact (NLC). What impact will this decision have on the practice of nursing in that state?

A) Improvement in the number of nurses passing the state board exam
B) Smaller numbers of nurses requesting licensure in the state
C) More uniformity in laws within the nursing profession
D) Higher cost for a nursing license Correct

Question 7

The nurse is writing a letter to a congressman about legislation to protect whistleblowers. Which statement would the nurse emphasize as being important?

A) Media exposure
B) Employee protection
C) Violator consequences
D) Financial reimbursement Correct

Question 8

The nurse is aware of a practice that places patients at risk for infection. What would be the major reason for the nurse to blow the whistle on this care provider?

A) Cost
B) Patient advocacy
C) Overuse of antibiotics
D) Extending hospitalization Correct

Question 9

The nurse is providing a patient with the document Patient Care Partnership. What is included as a focus of this document?

A) To be free of torture
B) Receive fair treatment
C) The right to have a name
D) Help with billing issues Correct

Question 10

A nurse strives to provide ethical care to assigned patients. On which strategies will the nurse focus to achieve this goal? Standard Text: Select all that apply.

A) Safety
B) Wellness
C) Health promotion
D) Cost-containment
E) Limited use of resources Correct

Question 11

A patient with chronic illnesses desires to have a total knee replacement to improve knee pain. The primary care provider suggests the patient use palliative approaches for knee pain. The family says they support the patient's decision. What should be done about this situation?

A) Follow the patient's decision.
B) Follow the primary care provider's decision.
C) Suggest the ethics committee analyze the situation.
D) Recommend the patient utilize a different primary care provider. Correct

Question 12

A Shared Governance committee is identifying ways to improve the safety of patient care. What goals will the committee members keep in mind when making these decisions? Standard Text: Select all that apply.

A) Achieve safe staffing levels.
B) Build in break times for all staff.
C) Follow evidence-based care processes.
D) Examine increasing the use of technology.
E) Recognize that disciplinary action is an option. Correct

Question 13

After providing morning medications the nurse realizes that a medication error was made. What should the nurse do?

A) Evaluate the patient for effects of the medication error.
B) Document that medications were switched between patients.
C) Encourage the patient to ingest more water throughout the day.
D) Tell the truth and report the medication error according to policy. Correct

Question 14

Why would a nurse that is aware of an unsafe practice being conducted by another nurse hesitate to report this observation?

A) Someone else can report the observation
B) No time to find someone to report it to
C) Could inhibit trust and question loyalty
D) Not important since it did not harm the patient Correct

Question 15

The nursing staff is upset that a new protocol for a patient care procedures is being made an expectation of care. For what reasons would the protocol be disliked by the nurses? Standard Text: Select all that apply.

A) Being monitored
B) Steps not important
C) Cost of the protocol
D) Unable to skip steps
E) Being micromanaged Correct

Question 16

The family of a resident in a skilled nursing facility is requesting to transfer the patient because of unsafe nursing care. What unsafe nursing practices did the family observe? Standard Text: Select all that apply.

A) Nurses sitting in the nurses' station and patient call lights on
B) Breakfast trays being passed by staff wearing clean gloves
C) Inability to find a nurse to help with a patient problem
D) Dirty floors and overflowing trash bins and containers
E) Dressing supplies on the window seals Correct