Which level of education does the Institute of Medicine (IOM) suggest 80% of nurses should have by 2020?
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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 needing to change proportionally with other academic levels.
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2. Which percentage of the registered nurse workforce, according to the 2010 Institute of Medicine (IOM, now known as the National Academy of Medicine) report The Future of Nursing: Leading Change, Advancing Health, should beeducated 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.
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3. Which statement describes cultural diversity?
Adaptation to a particular culture of a dominant group
A vast range of cultural differences among individuals or groups
The belief that one’s own ways are the best or preferred way to behave
The capacity to feel, convey, or react to ideas, habits, or traditions unique to a group of people
Rationale
Cultural diversity, is a vast range of cultural differences among individuals or groups. Acculturation is the process of adapting to a particular culture.
Ethnocentrism is the belief that one’s own ways are the best or preferred way to behave. The capacity to feel, convey, or react to ideas, habits, customs, or traditions unique to a group of people is the definition of cultural sensitivity.
Test-Taking Tip: Identify option components as correct or incorrect. This may help you identify a wrong answer.
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4. 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 o the entry-level requirement for nurses.
NSG 633 Chapter 2, Quality and Safety quiz 5. Which term refers to an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof?
Medication error
Risk adjustment
Sentinel event
Near Miss
Rationale
A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. A medication error may cause death or serious injury, but not all medication errors lead to death or serious injury. Risk adjustment is a process by which differences among patients or variables such as age or disease severity are weighted or adjusted for outcomes analyses or benchmarking efforts. A near miss is when an error almost occurs.
6. Which factor would the Consumer Assessment of Healthcare Providers and Systems Hospital Survey identify regarding patient perspectives on care experienced during a hospital stay? Select all that apply. One, some, or all responses may be correct.
Communication with physicians
The cost of hospital stay and billing accuracy
Cleanliness of the hospital environment
Discharge information
Medication Errors
Rationale
The Consumer Assessment of Healthcare Providers and Systems Hospital Survey includes patient perspectives about communication with physicians, discharge information, cleanliness of the hospital environment, communication with nurses, responsiveness of hospital staff, pain management, communication about medicines, and quietness of the hospital environment. Billing is a patient concern, but HCAHPS does not assess financial or billing issues, nor does it address medication errors.
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7. 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 aspects of leading and managing such 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.
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8. Which organization is responsible for issuing annual patient safety goals?
Institute of Medicine (IOM)
The Joint Commission (TJC)
Institute for Healthcare Improvement (IHI)
Quality and Safety Education for Nurses (QSEN)
Rationale
The organization responsible for issuing annual patient safety goals is The Joint Commission (TJC). The Institute of Medicine (IOM) is a non-profit organization devoted to providing leadership on healthcare and serves as an excellent source for leaders and managers to gain access to current research and publications devoted to healthcare. The Institute for Healthcare Improvement (IHI) is dedicated to rapidly improving care through a variety of mechanisms including rapid cycle change projects. Quality and Safety Education for Nurses (QSEN) is a project addressing the challenges of preparing future nurses with the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare systems within which they work.
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NSG 633 Chapter 2, Quality and Safety quiz 9. Which is a competency identified by Quality and Safety Education for Nurses (QSEN)? Select all that apply. One, some, or all responses may be correct.
Skills
Emotions
Reactions
Attitudes
Knowledge
Rationale
Competencies identified by Quality and Safety Education for Nurses (QSEN) include skills, attitudes, and knowledge learners need to develop to serve as safe practitioners. Emotions and reactions are not competencies identified by the QSEN program.
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10. 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.
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11. Which task would be appropriate for the nurse manager to delegate to a staff nurse when working with the quality improvement team?
Generate ideas for quality improvement efforts
Share information with other units about efforts being used
Your answer is incorrect
Provide support for a unit after a sentinel event has occurred
Schedule the rest of the staff for quality improvement measures
Rationale
The staff nurse would be capable of generating ideas for quality improvement efforts. Sharing information with other units and scheduling time for quality improvement measures is a task best suited to nurse managers. Providing support after a sentinel event should be the task of a senior leader, not the staff nurse.
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12. Which action is best for the quality improvement team to take after meeting with representatives from the hospital to discuss the increasing rate of medication errors and collecting data from the past 10 years?
13. Which action is best for the quality improvement team to take after meeting with representatives from the hospital to discuss the increasing rate of medication errors and collecting data from the past 10 years?
14. Which statement needs correction when discussing a recent near-miss event during a quality improvement meeting?
15. Which organization would a consumer contact to review information regarding the quality of care of a healthcare agency?
16. Which statement would be included in a presentation about the nurse manager’s benchmarking review of the occurrence of postoperative infections on the surgical unit compared with other organizations?
17. Which process would the nurse anticipate participating in after a sentinel event?
NSG 633 Chapter 2, Quality and Safety quiz …
