Collaboration & Teamwork
Name three examples of 'Interprofessional Team Players'
Providers, nurses, nurse practitioners, physical therapists, respiratory therapists, dietitians, case managers, social workers
This type of medicine is practiced by medical doctors, registered nurses, psychologists, physical therapists, and other healthcare professionals.
Conventional Medicine
*Also referred to as Western Medicine
Which act was signed into law in 2010 to improve health care quality while lowering costs and expanding the Medicaid program?
Affordable Care Act
This act defines policies/procedures for nursing in each state
Nursing Practice Act
What is the act of a provider formally proposing treatment with another provider, in a different specialty area?
consultation
What are some components of complementary health approaches?
Nutritional
Psychological
Physical
Bioenergetic therapies
American Rescue Plan Act (2021)
This professional organization is involved with advancing the nursing profession by protecting the interests of nurses, promoting a safe and ethical work environment, and advocating on health care issues that affect the public.
American Nurses Association (ANA) Code of Ethics
What is the act of directing a client from a primary care provider to a specialist provider, with subsequent delegation of responsibilities for responsibility of care?
A. Continuity of Care
B. Collaborative Health Care
C. Referral
C. Referral
Complete the sentence.
Integrative therapies focus to treat the client through m____, b_____, and s______.
mind, body, and spirit
What is an adverse event that harms or causes the death of a patient and is reported to TJC?
Sentinel Event
What is the term to describe the maximum number of inpatient clients each nurse is assigned, sometimes mandated by the care area or state?
Nurse-to-patient ratio
What is a client-centered approach in which different health care teams come together and work toward a common goal?
A. Continuity of Care
B. Collaborative Health Care
C. Referral
B. Collaborative Health Care
This practice involves regulation of self by paying attention to, openness, and orienting immediate experiences to the present moment.
Mindfulness
Magnet hospitals are hospitals that have been recognized for their excellence in nursing and patient care by which credentialing organization?
American Nurses Credentialing Center (ANCC)
This act protects health information that could be used to identify an individual. This applies to all forms of health information that healthcare professionals and health plans transmit.
Health Insurance Portability Accountability Act (HIPAA)
What is the transition of a client from one provider to another, or from one level of care to another, that maintains client safety as a priority?
A. Referral
B. Discharge Planning
C. Continuity of care
C. Continuity of care
This practice is when an individual focuses attention on their body and clears the mind of normal streaming thoughts.
Meditation
What is the name of the survey sent via email to clients in order to measure access to care, wait times, client interactions with the health care team, and the visit itself?
The Press Ganey
Which act requires all healthcare organizations to inform clients of their right to make decisions regarding their care?
Patient Self-Determination Act (PSDA)
Which organization is an independent, non-for-profit, unbiased accreditation and certification agency that assesses quality client safety and care of health care organizations?
The Joint Commission (TJC)
This is a personal act, described as communicating through inward conversation, or communication with a higher power of choice.
Prayer
This type of insurance coverage is for individuals 65 years and older, or those who have had a disability for two years, or certain diagnoses.
Medicare
Think MediCARE- those who need extra CARE
Which administration sets and enforces standards for safe working conditions?
Occupational Safety & Health Admin (OSHA)
What does each letter of I-SBAR-R stand for?
I - Identify
S - Situation
B - Background
A - Assessment
R - Recommendations
R - Read back orders
Which type of treatment involves using long, thin, sterile needles to penetrate the skin and stimulate by hand and/or electronically anatomical points in the body?
Acupuncture
Which insurance program was designed for children who may not meet Medicaid's requirements but need health coverage?
CHIP
Children's Health Insurance Program
This provides the standard of care that meets regulatory and accreditation requirements and promotes safety.
Policies & Procedures Manuals (P&P)
A nurse is receiving a telephone order from a provider for a new medication for a client. Which of following actions should the nurse take FIRST?
A. Notify the pharmacy of the new prescription
B. Write down the order
C. Check that the medication does is correct
B. Write down the order
A nurse is caring for a client who asks about using aromatherapy for sleep and anxiety. Which essential oils could be recommended?
Lavender and Tea Tree Oil
A nurse in a provider's office is speaking with a client who needs a refill for a prescription that has expired. The nurse should identify that which of the following team members can assist the client with the refill?
A. APRN
B. PA
C. Physician
D. Registered Nurse
A, B, C
Administration for Children and Families (ACF)
Name three barriers of collaboration
Hierarchy of roles
Lack of knowledge of roles
Poor communication
Lack of trust
Lack of cultural competency
Inability to resolve conflicts
A nurse is caring for a client who asks about using aromatherapy for nausea. Which essential oils could be recommended?
Peppermint, ginger, and orange
A nurse is hired to be a case manager in a facility. What services can the nurse expect to perform?
A. Administering medications
B. Facilitate transfer of clients
C. Wound care
B. Facilitate transfer of clients
A nurse is teaching a newly licensed nurse about an OSHA standard that is engineer controlled to minimize needlestick injuries. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
A. "Documenting the number of needlestick injuries in the facility is an example of an OSHA standard that is engineer controlled."
B. "Needleless IV tubing for IV infusions is an example of an OSHA standard that is engineer controlled."
C. "Recapping the needle on a syringe after administering an injection is an example of an OSHA standard that is engineer controlled."
"Needleless IV tubing for IV infusions is an example of an OSHA standard that is engineer controlled."
Rationale: Needleless IV systems are considered by OSHA to be an engineered control for facilities to use. These systems minimize the risk of exposure to sharps due to no needles being required to access the IV tubing.
What is the difference between lateral violence and vertical violence?
Lateral violence is incivility that is peer-to-peer.
Vertical violence is incivility that is supervisor to employee, or vice versa.
In regards to massage, what type of clients should not receive this type of complementary treatment?
Clients taking anticoagulant medications or those who have low platelet count.
A nurse in a clinic is caring for a client who is going to require 7 days of IV antibiotics and dressing changes for cellulitis. Which of the following care facilities should the nurse anticipate the client be admitted to?
A. Skilled nursing facility
B. Long-term care hospital
C. Acute care hospital
D. Assisted living facility
C. Acute care hospital
A nurse is a member of the facility's quality improvement committee. The committee is concerned with the increase in the number of catheter-associated urinary tract infections (CAUTI) at the facility. Which of the following agencies should the nurse use to find best-practice guidelines for the care of clients with indwelling urinary catheters?
A. Food and Drug Administration (FDA)
B. Occupational Safety and Health Administration (OSHA)
C. Centers for Disease Control (CDC)
C. Centers for Disease Control (CDC)
Rationale: The CDC has developed guidelines for the prevention of CAUTIs and other common hospital-acquired infections. The CDC is responsible for research and development of protocols to prevent and help treat infections.
This policy has been adopted by many organizations to describe null, or an absolute, no tolerance for incivility, bullying, etc.
Zero-Tolerance Policy
Healing touch and therapeutic touch have been found to reduce agitation and restlessness in which type of patients?
Patients suffering with dementia
A nurse in a provider's office is calling a client's insurance company to obtain permission prior to scheduling a magnetic resonance imaging (MRI) test. Which of the following is the nurse obtaining?
A. Fee-for-service
B. Precertification
C. Diagnosis-related group (DRG)
B. Precertification
A nurse is participating in a high school career day and is teaching about accreditation of nursing programs. Which of the following statements should the nurse make?
A. "Nurses who graduate from accredited nursing programs will have more employment opportunities."
B. "Nurses who graduate from accredited nursing programs possess better nursing skills."
C. "Graduates of non-accredited nursing programs are unable to take the licensure exam."
A. "Nurses who graduate from accredited nursing programs will have more employment opportunities."
Rationale: According to the Accreditation Commission, employers are more likely to hire nurses that graduate from accredited nursing programs. Accreditation ensures that the nursing program is meeting standards and is providing quality education for their students.
What is the method of settling disagreements peacefully and respectfully?
Conflict Management
What is the theory of homeopathy?
Homeopathy believes a substance that can cause a disease can also cure it.
The Hospital-Acquired Condition Reduction Program (HACRP) links what type of payment to health care quality?
Medicare payments
A nurse in a provider's office is completing an admission history for a client. The client tells the nurse that they have not had their annual mammogram screening because their insurance plan does not include that test. Which of the following statements should the nurse make?
A. "You should write a letter to the insurance company requesting for them to include this test in your plan."
B. "The Affordable Care Act requires all insurance plans to offer preventive services such as mammogram screenings."
C. "You should change your insurance plan to one that will include mammogram screenings."
B. "The Affordable Care Act requires all insurance plans to offer preventive services such as mammogram screenings."
Rationale: This statement helps to inform the client regarding their insurance and the essential benefits that should be included in all insurance plans by law under the Affordable Care Act (ACA). It also helps inform the client that mammogram screening is a preventive measure.
What type of intelligence entails having mindfulness and a consciousness of feelings or emotions that can have effect on actions, decisions, or critical thinking?
Emotional Intelligence (EI)
Which vitamins are water-soluble and fat-soluble?
Water-soluble: B-complex and C
Fat-soluble: A, D, E, K
A home health nurse is caring for a client receiving hospice care. The client's partner reports feeling overwhelmed from caring for the client. Which of the following types of facilities should the nurse recommend?
A. A skilled nursing facility (SNF)
B. Assisted living
C. Respite care
C. Respite care
A school nurse notifies the guardian of a school-age child who has failed the vision screening and recommends the child see an optometrist. The guardian reports that they cannot afford private health insurance. Which of the following programs should the nurse recommend the guardian contact?
A. Children's Health Insurance Program (CHIP)
B. Local Medicare office
C. Women, Infants, and Children (WIC) Program
A. Children's Health Insurance Program (CHIP)
Rationale: CHIP is comprehensive and covers routine physical examinations, visits to the health care provider for health, vision, dental, immunizations, hospitalizations, prescriptions, and laboratory services. CHIP is for children under 19 years of age whose families may earn too much to qualify for Medicaid but cannot afford private insurance.