SAFE/QUALITY CARE
HEALTH POLICY
LEADERSHIP
ETHICAL/LEGAL
POTLUCK
Critical Thinking/Decision-Making/Reasoning
100

In 1999, this report exposed preventable medical errors causing nearly 98,000 deaths annually, prompting safety reforms.

To Err is Human

100

The client has a government funded form of insurance that is administered by the state for people of any age who meet certain income requirements.

Medicaid

100

A nurse manager exhibits this by encouraging open reporting and reviewing the error with the team.

Transparency

100

A nurse experiences this type of distress after repeatedly carrying out aggressive treatments for a terminally ill patient that the nurse believes are causing unnecessary suffering.

Moral (Moral distress)

100

This leadership style involves direct, decisive control and is most effective in emergent or crisis situations

Autocratic

100

A charge nurse notices that a staff nurse becomes defensive and raises their voice after receiving feedback about a medication error. The charge nurse recognizes the type of thinking the staff nurse is using.

Reactive thinking

200

Of the six  2001 IOM Aims for Healthcare, this one focuses on respect for client preferences and values.

Patient-centered or Client-centered

200

A 72-year-old patient is admitted for pneumonia. This factor most directly qualifies the patient for Medicare

Age over 65.

200

This type of intelligence includes self-awareness—recognizing one’s emotions—and self-regulation to maintain professional, therapeutic care.

Emotional intelligence

200

A nurse adheres to this ethical principle by respecting a competent patient’s right to make informed decisions about their care—even when the nurse disagrees.

Autonomy

200

A legal process by which a patient or legal representative volountarily gives permission for a treatment or procedure. 

Informed consent.

200

A type of reasoning that includes using a deliberate process of generating alternatives, weighing them against the evidence and choose the most appropriate action.

Clinical reasoning

300

A nurse manager demonstrates this IOM Core Competency when integrating the best research evidence with clinical expertise and client values to make informed care decisions.

Evidence-based practice

300

The admission nurse is assessing a 40-year old quadriplegic client and understands that their insurance is funded jointly by federal and state governments. 

Medicaid

300

The style a leadership that motivates, inspires, and empowers staff to improve practice and patient outcomes.

Transformational

300

An emergency department triage nurse demonstrates this ethical principle by making triage decisions based on clinical urgency, not on arrival time, insurance status, or patient behavior.

Justice--

Explanation "fair and equitable care for all"

300

The principle that refers to a person's right to have control over access to their personal information.

Privacy

300

This model encompasses noticing, interpreting, responding, and reflecting. 

Clinical judgment model

400

Demonstrating this Quality and Safety Education for Nurses (QSEN) competency, a nurse leader systematic efforts to improve healthcare services and outcomes through ongoing assessment and refinement of practices.

Quality Improvement

400

This act expanded access to health insurance through Medicaid expansion and health insurance marketplaces

Affordable Care Act

400

A nurse manager using this style of leadership primarily focuses on task completion and uses rewards for meeting unit goals.

Transactional

400

In a malpractice case, this element is established when a nurse–patient relationship exists, typically through an assigned patient during a work shift. Without duty, malpractice cannot be proven.

Duty

400

The House Bill that proposes changing the APRN collaboration agreement requirement. 

HB 40

400

A type of problem-solving that capitalizes on the positive characteristics of an outcome by valuing and building on them.

Appreciate Inquiry

500

The mostly commonly client-reported type of error. 

Incorrect medication dosage

500

This CMS program links reimbursement to quality outcomes, patient safety, and patient experience, not volume of services. 

Value-based purchasing 

500

A nurse leader with this style of leadership encourages participation and shared decision-making. 

Democratic (Participative)

500

A nurse fails to monitor a postoperative patient’s oxygen saturation as required by policy. The patient experiences respiratory arrest related to hypoxia. Four elements of malpractice are present: Duty, breach, causation, and damages.There is one element missing.

Standard of Care

500

 This type of leadership involves the premise of an increasingly complex, dynamically changing health-care environment.

Quantum Leadership

500

The assessment step in the nursing process can be compared to this step in decision-making.

D = Define the problem