Chapter 18 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 18 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

Which situation is most likely to result in the nurse making a medication error?

1. The nurse has worked three 12-hour shifts in three days.
2. The nurse uses an online program to access medication information.
3. The nurse insists on documenting medication administration immediately after giving the medication.
4. The nurse prepares medications for administration in a secluded area.

Correct Answer: 1

Rationale 1: Some of the reasons for errors in this area are time pressures, fatigue, understaffing, lack of knowledge about the drug and/or the patient, documentation, and systems failure. This nurse may be fatigued secondary to long work hours and decreased sleep time.

Rationale 2: Lack of knowledge about the drug is a common reason for medication errors. This nurse is using an acceptable method to learn about the medication.

Rationale 3: The standard is to document the medication administration immediately after giving the medication. This nurse is trying to follow policy. Breakdowns in policy or systems can encourage error.

Rationale 4: Time pressure and constant interruption lead to error. This nurse has attempted to decrease these factors by working in a secluded area.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Quality and safety; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 01. Describe the science of improvement and implications for healthcare quality and

culture of safety.

Page:  p. 422

 

 

Question 2

Type: MCMA

Which organizations are subject to accreditation by the Joint Commission?

Standard Text: Select all that apply.

1. Hospitals
2. Long-term care facilities
3. Schools of nursing
4. Home care agencies
5. Office-based surgical practices

Correct Answer: 1,2,4,5

Rationale 1: The Joint Commission accredits hospitals.

Rationale 2: The Joint Commission accredits long-term care facilities.

Rationale 3: Schools of nursing are accredited by the National League for Nursing or the American Association of Colleges of Nursing.

Rationale 4: The Joint Commission accredits home care agencies.

Rationale 5: The Joint Commission accredits office-based surgical practices.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Quality and safety; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Describe Joint Commission accreditation and its relevance to quality improvement.

Page:  pp. 434-435

 

Question 3

Type: MCMA

The nurse has taken a position in the utilization review (UR) department of a hospital. This nurse can expect to be involved in evaluating which care components?

Standard Text: Select all that apply.

1. Was the care provided necessary?
2. How much medication did the patient receive?
3. How appropriate was the care provided?
4. How much did each procedure cost to provide?
5. How efficiently was care provided?

Correct Answer: 1,3,5

Rationale 1: Utilization review and management is the process that evaluates the necessity of the healthcare services provided for specific patients or patient populations.

Rationale 2: Medication reconciliation is done jointly by nursing and the pharmacy and is not a UR focus.

Rationale 3: UR evaluates the appropriateness of care provided.

Rationale 4: Cost should be a secondary factor in UR. The focus is quality of care.

Rationale 5: Efficiency of provision of care is evaluated by UR.

Global Rationale: NA

 

Cognitive Level: Analyzing

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Quality and safety; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: LO 04. Compare two methods used to measure and improve care and their relationship to

structure, process, or outcomes.

Page: p. 430