NUR4590 EXAM 1 Study Guide Questions With Complete
Solutions
A business approach that ensures a competitive advantage over
similar enterprises
involves conducting an environmental scan, knowing the
competition, establishing goals,
setting targets, developing an action plan, implementing the
plan, and evaluating success.
Which of the following statements is correct Correct Answers
Strategic management involves strategic planning and
implementation
A client becomes confused after surgery. He is in a room
farthest away from the
nurses' station. The client tries to get out of bed several times
during the shift. The nurse
informs the physician and obtains an order for soft restraints. In
addition she moves the
client close to the station and assigns a sitter to watch him.
Which of the following did
the nurse utilize? Correct Answers A. Clinical judgment
B. Clinical decision making
A collaborative process of assessment, planning, facilitation,
care coordination,
evaluation, and advocacy for options and services to meet
multiple service needs of
clients and families is known as: Correct Answers Case
management
,A continuous improvement process which engages clinicals at
the bedside in the design
and implementation of new work practices describes? Correct
Answers Transforming Care at Bedside (TCAB)
a deliberate effort to improve the system would be considered?
Correct Answers A planned change
A family member of a patient files a complaint that her mother's
dentures were
lost when the patient was transferred from one unit to another.
The risk management
department interviews the patient and the staff nurses who cared
for the patient. Which of
the following problem-solving techniques was used? Correct
Answers Direct intervention
A long-term care facility has been busy for several months with
patients who have
a very high acuity. Nurses have been working double shifts. The
nurses have been given
the task of determining whether they would like to implement an
on-call program and
determine guidelines for implementation, if most nurses believe
that it is the best
solution. This example depicts which type of decision-making
tool? Correct Answers Shared governance
A med surg unit forms a team of nurses to implement bedside
rounds at shift
,change. The nurses research the efficacy of bedside rounding
and determine that this
evidence based practice will lead to improved communication of
client status. What type
of change is described? Correct Answers Transforming the
Care at the Bedside (TCAB)
A multidisciplinary team makes a decision to develop a plan for
the use of
thrombolytics in the emergency medical service system.
Questions are asked such as, "Is
the client a candidate for thrombolytic therapy? Does the client
have a history of
gastrointestinal bleeding? Has the client ever had a stroke? Does
the client have any
bleeding disorders?" Which of the following decision-making
strategies would work best
in this situation? Correct Answers Decision tree
A number of decision-making strategies have been identified for
clinical and managerial
decision making. An effective strategy for nurse managers to
select in examining possible
causes related to delivery of services would be Correct Answers
fish bone charts
A nurse manager has ordered equipment for a new unit. The
company has sent
two notices that the equipment is on back order. The nurse
manager is debating whether
, to wait for the equipment on back order or to cancel the order
and go with another
company. She discusses this issue with another nurse manager
and they determine that
the equipment is urgent for patient safety in the new unit. The
manager orders the
necessary equipment from another company even though it is
slightly more expensive.
This is an example of: Correct Answers prioritization
A patient has arrived at the critical care unit with a head injury.
On admission, the
patient is talking and is a little drowsy but oriented. Two hours
later, the nurse discovers
that the patient is talking at a rapid pace and keeps repeating his
words. When the nurse
recognizes the change and deploys the rapid response team and
physician, which skill is
being demonstrated? Correct Answers Clinical judgment
A patient just had a stroke and they are complaining of a
massive headache. The
nurse asks the unit coordinator to contact the healthcare
provider. What kind of
leadership style is this? Correct Answers authoritarian
A quality and decision support technique that uses data to build
process-improvement
models with the goal to eliminate defects in safety and quality
is? Correct Answers Six Sigma
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