The Struggle is Real
The Compass
Show Me the Money
Charge!
The Big Picture
Systemic Solutions
100
This term describes the physical and mental exhaustion caused by prolonged stress in the workplace, leading to reduced productivity and cynicism.
What is burnout?
100
A patient requiring skilled nursing care after a hospital stay, but not yet able to return home, would likely transition to this type of facility.
What is a skilled nursing facility (SNF) or rehabilitation center?
100
A system where the government pays for healthcare services through taxes.
What is a single-payer system?
100
The process by which a registered nurse assigns specific tasks to other members of the healthcare team.
What is delegation?
100
The term "Continuum of Care" refers to a system that provides a comprehensive range of health services to ensure a patient's care can evolve. Describe the primary goal of this integrated system.
What is to provide seamless, coordinated care that tracks a patient over time and fills potential gaps in care as their needs change?
100
A Medical-Surgical unit has 24 patients. To maintain a safe 1:6 nurse-to-patient ratio, how many nurses must be scheduled for the shift?
What is 4 nurses?
200
This nursing issue is characterized by an insufficient number of nurses to provide safe and effective patient care.
What is the staffing shortage?
200
This level of care is focused on managing symptoms and providing comfort for patients with life-limiting illnesses, often in their own home.
What is hospice care?
200
This is the government-funded program providing health coverage for low-income individuals and families.
What is Medicaid?
200
An interprofessional team meeting to discuss a patient's treatment plan exemplifies this concept.
What is collaboration?
200
In many Managed Care Organizations (MCOs), a patient is required to select a Primary Care Provider (PCP). In the context of the larger healthcare system, describe the "Big Picture" purpose of this requirement.
What is to act as a "gatekeeper" who coordinates all patient care, authorizes referrals to specialists, and helps contain healthcare costs?
200
A patient is being discharged with a home health referral for 3 weeks. The nurse will visit 2 times per week. Each visit costs the system $150. What is the total projected cost for this part of the continuum?
What is $900?
300
A nurse engaging in this practice would be advocating for increased wages, better working conditions, or enhanced professional protections.
What is professional advocacy?
300
A nurse acting as a liaison to coordinate care between multiple providers and settings for a single patient is performing this role.
What is care coordination?
300
This payment method reimburses hospitals and physicians a predetermined, fixed amount for a particular diagnosis, regardless of the actual cost of care.
What is a prospective payment system?
300
A nursing leader who guides and mentors less experienced nurses to help them develop their skills.
What is a preceptor or mentor?
300
Medicare uses a prospective payment system known as Diagnosis-Related Groups (DRGs). Describe how this system directly impacts the "Big Picture" of nursing care and hospital operations.
What it specifies is a pre-determined number of days Medicare will pay for based on an illness category, encouraging hospitals to provide efficient care and facilitate timely discharges?
300
A patient has a $1,500 deductible and a 20% co-insurance for a hospital stay. The hospital bill is $5,000. If the patient has already met $500 of their deductible this year, how much is their remaining deductible responsibility for this bill?
What is $1000?
400
This issue arises from disrespect, conflict, and hostile behaviors among nurses in the workplace.
What is lateral violence or horizontal violence?
400
This care model emphasizes a coordinated, team-based approach to provide a full range of services for patients across their lifespan.
What is the continuum of care?
400
This financial issue is the rising cost of healthcare and a contributing factor to the national debate on healthcare reform.
What is healthcare inflation?
400
This style of leadership involves including staff in the decision-making process and fosters a sense of shared ownership.
What is democratic or participative leadership?
400
When a nurse collaborates with a multidisciplinary team—including physical therapists, social workers, and pharmacists—to create a discharge plan, name the dimension of the healthcare system that they are addressing?
What is the "Continuum of Care" or "Integrated Care" at the micro (clinical) level, which aims to counteract fragmentation and ensure management continuity?
400
A unit started the year with 40 nurses. Over 12 months, 6 nurses resigned and were replaced. What is the annual turnover rate percentage for this unit?
What is 15%?
500
This is a framework for nurses to report safety concerns without fear of retaliation, promoting a culture of patient safety.
What is a just culture?
500
A nurse working in this setting would focus on health promotion and disease prevention within a community, rather than in a hospital.
What is public or community health nursing?
500
A nurse would use this model to improve the quality of care and reduce costs by preventing hospital readmissions.
What is a value-based care model?
500
The process of providing constructive feedback and evaluating performance, often conducted annually.
What is performance appraisal?
500
The "Triple Aim" (or modified "Quadruple/Quintuple Aim") is a framework used to optimize healthcare system performance. Name the three original core goals of this "Big Picture" strategy.
What are improving the patient experience of care (quality/satisfaction), improving the health of populations, and reducing the per capita cost of healthcare?
500
A nurse manager is given a $10,000 monthly budget for surgical supplies. If they have already spent $7,400 and have 13 days left in the month, what is their average daily allowance for the remaining days?
What is $200 per day?
