Exam (elaborations)
PNC TEST 2 Questions and Answers with complete actual solution
PNC TEST 2 Questions and Answers with complete actual solution
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PNC TEST 2".edu" - ✅✅-This means the website is affiliated with an educational institution
"Ninety-five percent of all patients presenting to the emergency department with chest pain
will receive aspirin 80 mg within 15 minutes of arrival unless contraindicated." Top hospital
emergency departments use this standard to eliminate sudden death related to chest pain.
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Hospitals desiring to replicate these results establish compliance rates known as: -
-benchmarks: standard for other providers or institutions to replicate
A 72-year-old client is admitted to have the right kidney removed after a diagnosis of cancer.
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The surgeon removed the left kidney. Medicare will no longer pay for preventable medical
errors known as ____________. - -Never events: Medicare identified 28 medical errors
that were preventable and with serious complications for which they will no longer pay.
A client is admitted with chest pain. A series of diagnostic tests are ordered, and the client
undergoes coronary artery bypass grafting. The cost of care for this client is increased
because of a four-pack-per-day smoking hx and that resulted in extension of the client's
intensive care unit [ICU] stay by 3 days because of respiratory problems. The case manager
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realizes that under the terms of the diagnosis-related group [DRG] payment system for this
diagnosis: - -Although the cost of care for this client was greater than the DRG
reimbursement amount, the hospital will be reimbursed only at the set fee
-If the hospital costs exceed the DRG amount, the hospital incurs a loss
A client who is reading a newspaper asks, "This article about health care states that many
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providers of healthcare lack effectiveness. What is the difference between effectiveness and
efficiency?" The nurse explains that: - -Effective means performing the correct test or
intervention whereas efficiency refers to the wise use of supplies and resources for the
desired outcomes.
A contractual agreement between the insurer and the providers in which covered members
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are encouraged to use specific health care providers in return for reduced rates in which
type of arrangement? - -Preferred provider organization:
Member pays a premium for a fixed percentage of expense coverage. Requires deductible
and a copayment
A group of nurses are assembling outside a hospital protesting the use of foreign nurses
after several nurses were terminated due to what the hospital called recurring "decreased
census." The nurses carry signs with messages asking potential patients to seek care
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elsewhere. The local newspaper picked up the story, and the hospital is receiving negative
press. The nurses are participating in: - -Picketing
A group of nurses are meeting to decide how to staff the upcoming holidays. Each of the four
members freely expresses thoughts about fair staffing but is willing to listen to others
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thoughts and reconsider their first recommendations. The nurses are avoiding conflict and
supporting professional communication through: - -Supportiveness
,A group of nurses is presenting the importance of high-quality care during a systemwide
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meeting of medical-surgical nurses. They point out a finding of the Quality Chasm that: -
-medication-related errors place a huge financial burden on the US health care system
A group of RNs wish to seek union representation that would protect all workers in the
agency including UAPs and non-nursing employees such as nutritionist and dietary workers.
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The type of union being sought is the strongest collective group and is known as: -
-Industrial union: single union for ALL workers in the agency
A hospital converts to a system of care delivery in which RNs, LPNs, and unlicensed
assistive personnel (UAP) are responsible for implementing a specific task, such as
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medication administration or personal hygiene, for the entire nursing unit. This type of
delivery system is: - -functional nursing
A hospital is concerned with nurse retention and realizes that job satisfaction is a major
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influence. To enhance employee satisfaction related to staffing, the management team: -
-Includes participatory management into staffing decisions
A hospital is seeking a 2.5% wage reduction for all nurses as part of a new balanced budget
plan; however, the plan provides for raises for upper-level management. The plan resulted in
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a call for a union to protect the nurses. When the union representation arrives, what
questions should the nurses ask? - --How effective has the union been in representing
nurses' best interest?
-What percent of dues pays union personnel salaries?
-If arbitration is unsuccessful and a strike occurs, will nurses receive compensation during
the strike?
A large corporation employs nurses all over the United States. Nurses in one agency learned
that fellow nurses in another agency are striking because they are required to work 16-hour
shifts to cover for nurses who have left due to unsafe staffing practices. The union of the
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nonstriking agency nurses decides to stop work to support the nurses who are striking; thus,
this union: - -is participating in a sympathy strike, which, if done correctly, is legal.
A licensed practical nurse (LPN) has been practicing for 25 years on a unit where a newly
graduated RN with a bachelor's degree is hired. Before the RN arrives on the unit, the LPN
is heard saying, "She'll try to tell everyone what to do because she makes more money.
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She'll sit at the desk and let us do all the work." This is an example of a(n): -
-Preconceived idea: conceptions, opinions, or thoughts that the receiver has developed
before having an encounter.
A male nurse hired to work in the emergency department is observed throwing a
contaminated needle into the trash can. The team leader reprimands the nurse for not
appropriately disposing of sharps. The nurse states, "You don't care that I threw the needle
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in the trash. You just want an all-female staff," putting the team leader in a defensive
position. This communication technique is known as: - -Red herring: introduction of an
irrelevant topic for the purpose of diverting attention away from the real issue.
, A new mother is experiencing pain after delivering an infant with Down syndrome. The staff
nurse states, "I don't think she is really hurting. Let the next shift give the pain medication."
The team leader notices the staff nurse looks agitated and anxious and asks about any
concerns in providing care to this new mom. The staff nurse admits having a stillborn infant
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with Down syndrome. This is an example of which component of communication? -
-Past experiences
A nonprofit organization that distributes to governmental agencies, the public, business, and
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health care professionals knowledge related to health care for the purpose of improving
health is the: - -Institute of medicine
A nurse calls a physician and after identifying herself and the patient, the nurse informs the
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physician that the patient is vomiting and complaining of abdominal pain. Which component
of SBAR communication is being used in this situation? - -Situation
A nurse calls a physician and gives a brief statement about the situation, "The patient is
having increasing chest pain and the ECG shows ST elevation." What component of SBAR
communication would be used in the following statements: The nurse tells the physician that
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the patient's blood pressure is 190/100 and rates the pain as 9 on a scale of 10 (10 being
most severe pain) with a nitroglycerin drip infusing at 5 mcg/min? - -Background:
contains the supporting background information, including any labs/diagnostic tests and
chief complaints
A nurse gives Dilantin intravenously with lactated Ringer's solution containing multivitamins.
The drug precipitates and obstructs the only existing line. When the team leader informs the
nurse that these drugs cannot be mixed, the nurse states, "Everyone just pushes the
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medicine slowly. No one checks for compatibility. There isn't even a compatibility chart on
the unit." Which type of logical fallacy has influenced the nurse? - -Appeal to common
practice: occurs when the argument is made that something is okay because most people do
it
A nurse groups patients with criteria such as "high risk for falls," "infection protocols," and
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"special communication needs" to determine the mix and number of staff needed on a
telemetry unit. The nurse is using: - -A patient classification system to determine safe
staffing levels
A nurse has been asked to serve as the charge nurse on the evening shift. The agency
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where the nurse is employed is considering unionization. If the charge nurse position is
accepted, this nurse: - -Can be represented by the union because charge nurses are
not considered part of the management team
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A nurse has heard rumors that other nurses are interested in unionizing but knows little
about the purpose of unions. The nurse's first action is to: - -Review the National
Nurses United website for collective bargaining information
A nurse has recently been appointed to the position of nurse manager. To become
successful in managing the unit's budget, the new nurse manager should: (Select all that
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