Question 1

The nursing staff working on a Transforming Care at the Bedside unit is implementing a test of change. Which is a characteristic of this test?
A) All staff implements the change immediately.
B) The change is implemented by day shift only.
C) The change is implemented for at least a month.
D) The outcome from the change is discussed at a biannual meeting. Correct

Accepted Answer

Implementing a test of change in a Transforming Care at the Bedside unit typically involves all staff implementing the change immediately. This approach ensures that the change is integrated into daily routines quickly, allowing for immediate feedback and adjustments.

Question 2

The staff on a Transforming Care at the Bedside unit is implementing a morning huddle. Which outcomes indicate an improvement in patient-centered care? Standard Text: Select all that apply.
A) Improved communication
B) Less waste of patient care supplies
C) Less time spent questioning orders
D) Less time spent locating physicians
E) Early identification of patient safety issues Correct

Accepted Answer

A,C,D,E

Question 3

The nurse manager identifies changes in the staff since Transforming Care at the Bedside was implemented. Which changes does the manager identify as an improvement in vitality and teamwork? Standard Text: Select all that apply.
A) More apathy
B) Less blaming
C) More conflict
D) Less cynicism
E) More complaining Correct

Accepted Answer

Transforming Care at the Bedside initiatives aim to improve the work environment for nurses, leading to enhanced teamwork and vitality. Less blaming (B) and less cynicism (D) are positive outcomes indicating improved relationships and a more positive outlook among staff, which are signs of improved teamwork and vitality.

Question 4

The director of nursing notes that the number of voluntary staff terminations has decreased on the care areas following Transforming Care at the Bedside. What does the director identify as a reason for the reduction in turnover?
A) More time spent in non-nursing activities
B) More time spent documenting patient care
C) Less time to experiment with solutions
D) More staff empowerment Correct

Accepted Answer

The director attributes the decrease in turnover to "more staff empowerment," indicating that employees have been given more authority and autonomy in their roles, which has led to higher job satisfaction and retention rates.

Question 5

The nurse manager wants to learn how the nursing staff is responding to the process Transforming Care at the Bedside. Which approach can the manager use to learn more about the process from the staff?
A) Listen to morning report.
B) Attend morning huddles.
C) Conduct a focus group.
D) Observe the staff provide care. Correct

Accepted Answer

Conducting a focus group will allow the nurse manager to gather in-depth information from the nursing staff about their experiences with the Transforming Care at the Bedside process. This approach will provide an opportunity for staff members to openly discuss their thoughts, opinions, and concerns, which can help the manager identify areas of improvement for the process. Listening to morning report or attending morning huddles will not provide the same level of detailed feedback, and observing the staff provide care may not capture their perspectives on the process itself.

Question 6

The nurse manager, implementing Transforming Care at the Bedside, wants to improve value-added processes. Why would the manager ask nurses to participate in this process?
A) Nurses have the most time.
B) Nurses spend the most time in non-care related activities.
C) Nurses know which staff wastes the most time.
D) Nurses know what the physicians want. Correct

Accepted Answer

Nurses are directly involved in patient care and can identify non-care related activities that can be streamlined to improve efficiency and value-added processes.

Question 7

A healthcare organization is planning to implement Transforming Care at the Bedside. When discussing this care approach, what would hospital administrators identify as the focus? Standard Text: Select all that apply.
A) Prevent staff turnover
B) Eliminate inefficiencies
C) Control the cost of patient care
D) Decrease nonclinical demands on nurses
E) Improve communication with physicians Correct

Accepted Answer

The answer of A healthcare organization is planning to implement...

Question 8

The nursing staff is working through the rapid cycle change process about a problem with supplies that occurs when changing patients' dressings. Which activity exemplifies the implementation of a solution?
A) Generic dressing change supplies placed on a mobile cart
B) Central Distribution contacted regarding supply cart stocking times
C) Staff explains the importance of having supplies when they are needed
D) Staff agrees the use of a mobile cart improved the dressing change process Correct

Accepted Answer

Placing generic dressing change supplies on a mobile cart directly addresses the problem by ensuring that supplies are readily available when needed, exemplifying the implementation of a solution.

Question 9

The nursing staff on a patient care area wants to implement a change to a care process. What role will the nurse manager have with the implementation of this change?
A) Discuss the change with the hospital administrator.
B) Make sure all nursing staff is engaged in the process.
C) Expect the nursing staff to make the change independently.
D) Obtain permission for the change from the medical director. Correct

Accepted Answer

The nurse manager plays a crucial role in implementing changes to care processes. In this scenario, the nurse manager should ensure that all nursing staff on the patient care area are engaged in the change process. This will help to ensure that the change is well understood and implemented effectively.

Answer: A, B 
 The nurse manager should discuss the change with the hospital administrator to ensure that it aligns with the organization's strategic objectives and to secure any necessary resources to support the implementation. Additionally, the nurse manager should make sure that all nursing staff is engaged in the change process to promote a culture of ownership and accountability.

Question 10

The professors in a school of nursing are identifying ways to implement the principles of Transforming Care at the Bedside into the nursing curriculum. Which content would be important for the students to learn about this process?
A) Teach how to implement morning huddles.
B) Outline the four focus areas within the process.
C) Explain that the entire focus is to provide safe and reliable care.
D) Encourage talking about the process with nursing staff during clinical. Correct

Accepted Answer

Understanding the four focus areas (leadership, frontline empowerment, patient-centeredness, and quality improvement) is essential for implementing the principles of Transforming Care at the Bedside into the nursing curriculum.

Question 11

A hospital administrator is planning to implement Transforming Care at the Bedside in a healthcare organization. Which outcomes will the administrator expect after the implementation of this process? Standard Text: Select all that apply.
A) Increased reimbursement
B) Reduction in patient falls
C) Less cost to replace staff
D) Better outcomes with codes
E) Improved physician satisfaction Correct

Accepted Answer

Transforming Care at the Bedside aims to improve patient safety and care quality, which can lead to a reduction in patient falls (B), better outcomes during medical emergencies (D), and less staff turnover due to improved work conditions, thus reducing costs to replace staff (C).

Question 12

The nurse manager is evaluating the impact of Transforming Care at the Bedside on a patient care area. Which statement indicates the program is being well-received by the nursing staff?
A) "This is just one more way to keep nurses quiet."
B) "I feel respected when I provide patient care."
C) "No one listens to my complaints anymore."
D) "It will be done for a while and then fade away." Correct

Accepted Answer

The statement "I feel respected when I provide patient care" indicates that the nursing staff feels positively about the Transforming Care at the Bedside program.

Question 13

The nurse manager is implementing the rapid cycle change process on a Transforming Care at the Bedside care area. Place in order the steps in which the manager will instruct the staff on this process.Standard Text: Click and drag the options below to move them up or down.Choice
A) Solution piloted
B) Select a solution
C) Change adopted
D) Analyze problems
E) Brainstorm solutions Correct

Accepted Answer

The correct order of the rapid cycle change process is to first analyze problems, brainstorm solutions, pilot the selected solution, then adopt the change.

Question 14

The nursing instructor is reviewing the process of Transforming Care at the Bedside with a group of students preparing for graduation. Which statement exemplifies a belief about the process?
A) Nurses have little power or control over patient care.
B) There is more than one "right" way to do something.
C) Quality care occurs when physicians' orders are followed.
D) This is the latest fad in providing care to patients. Correct

Accepted Answer

Transforming Care at the Bedside (TCAB) is a process that aims to empower frontline nurses to identify and implement changes in patient care that will have a positive impact on safety, quality, and patient outcomes. This process recognizes that there are often multiple "right" ways to do something, and that nurses have both the power and the responsibility to improve the care they provide. It is not a fad, but rather a framework for ongoing quality improvement. The other statements are incorrect and do not align with the goals of TCAB.

Question 15

Transforming Care at the Bedside was recently implemented on a patient care area. Which initial outcome is an indication that safe and reliable care is being implemented on this care area?
A) Increase in reporting of adverse events
B) Decrease in reporting of adverse events
C) Increase in medication errors
D) Decrease in patient complaints of pain Correct

Accepted Answer

An increase in reporting of adverse events often indicates a culture of safety where staff feel comfortable reporting issues, which is a positive sign of implementing safe and reliable care.

Question 16

A patient on a Transforming Care at the Bedside unit does not like an assigned room and wants to be able to look out the window to see the weather outside. Which action would the nurse take to support patient-centered care?
A) Tell the charge nurse that the patient wants a different room.
B) Explain to the patient that no additional rooms are available at this time.
C) Describe the current weather and suggest that the patient focus on getting well.
D) Work with the admitting department to find the patient a room with a window view. Correct

Accepted Answer

The best way to support patient-centered care in this situation is to work with the admitting department to find a room that meets the patient's preferences. This demonstrates the nurse's commitment to advocating for the patient's individual needs and preferences, which is a key component of patient-centered care. Simply telling the charge nurse or suggesting the patient focus on getting well does not address the patient's expressed needs and desires, and explaining that no other rooms are available does not offer any potential solutions or avenues for resolution.

Quiz 8: Transforming Care at the Bedside Tcab Experience: Innovations, Improvements, and Quality

The nursing staff working on a Transforming Care at the Bedside unit is implementing a test of change. Which is a characteristic of this test?

The staff on a Transforming Care at the Bedside unit is implementing a morning huddle. Which outcomes indicate an improvement in patient-centered care? Standard Text: Select all that apply.

The nurse manager identifies changes in the staff since Transforming Care at the Bedside was implemented. Which changes does the manager identify as an improvement in vitality and teamwork? Standard Text: Select all that apply.

The director of nursing notes that the number of voluntary staff terminations has decreased on the care areas following Transforming Care at the Bedside. What does the director identify as a reason for the reduction in turnover?

The nurse manager wants to learn how the nursing staff is responding to the process Transforming Care at the Bedside. Which approach can the manager use to learn more about the process from the staff?

The nurse manager, implementing Transforming Care at the Bedside, wants to improve value-added processes. Why would the manager ask nurses to participate in this process?

A healthcare organization is planning to implement Transforming Care at the Bedside. When discussing this care approach, what would hospital administrators identify as the focus? Standard Text: Select all that apply.

The nursing staff is working through the rapid cycle change process about a problem with supplies that occurs when changing patients' dressings. Which activity exemplifies the implementation of a solution?

The nursing staff on a patient care area wants to implement a change to a care process. What role will the nurse manager have with the implementation of this change?

The professors in a school of nursing are identifying ways to implement the principles of Transforming Care at the Bedside into the nursing curriculum. Which content would be important for the students to learn about this process?

A hospital administrator is planning to implement Transforming Care at the Bedside in a healthcare organization. Which outcomes will the administrator expect after the implementation of this process? Standard Text: Select all that apply.

The nurse manager is evaluating the impact of Transforming Care at the Bedside on a patient care area. Which statement indicates the program is being well-received by the nursing staff?

The nursing instructor is reviewing the process of Transforming Care at the Bedside with a group of students preparing for graduation. Which statement exemplifies a belief about the process?

Transforming Care at the Bedside was recently implemented on a patient care area. Which initial outcome is an indication that safe and reliable care is being implemented on this care area?

A patient on a Transforming Care at the Bedside unit does not like an assigned room and wants to be able to look out the window to see the weather outside. Which action would the nurse take to support patient-centered care?