What is magnet status? positive culture that affects nurse and patient outcomes and creates an environment that attracts qualified RNs who delivery quality care
What is Lewin's Change Theory? 1) unfreezing (assessing/bringing awareness to an issue) 2) moving (planning/implementing) 3) refreezing (...
NURB 450 Final Exam Questions and
Correct Answers
What is magnet status? ✅positive culture that affects nurse and patient outcomes and
creates an environment that attracts qualified RNs who delivery quality care
What is Lewin's Change Theory? ✅1) unfreezing (assessing/bringing awareness to an
issue)
2) moving (planning/implementing)
3) refreezing (evaluating)
What are the driving forces and restraining forces of change? ✅* Driving forces = the
reason why we need change (ex: better outcomes/safety, etc...)
* Restraining forces = barriers to make change (ex: fear of the unknown, negative
attitudes, etc...)
TRUE OR FALSE: Resistance to change should be expected as integral to the whole
change process. ✅TRUE
- rationale: resistance is a natural phenomenon and may be rooted with fear/anxiety
Roger's 5 Stages of Innovation Theory ✅1) Innovators = like to try new things
2) Early adopters = open to try new things, but are more careful
3) Early majority = they accept change more quickly than most, but have some
hesitation
4) Late majority = change, but only when other people have changed
5) Laggards = critical of new ideas, they like tradition, and only accept when they are
forced to accept
An environment that fosters change is one that has... ✅- empowerment
- shared governance
- self-direction
- shared decision-making
What makes quality healthcare? ✅- having the right mix of staff with safe ratios
- efficiency
- effective outcomes
- equitable (same quality of care that doesn't focus on SDOH, etc...)
- patient-centered care
- timely
- safe
Universal Steps in Quality Planning ✅- identify customers/target markets
- discover hidden and unmet customer needs
, - translate these needs into product or service requirements
- develop a service or product that exceeds customers' needs
- develop the processes that will provide the service, or create the product in the most
efficient way
- transfer these designs to the organization and the operating forces to be carried out
What is Six Sigma? ✅a methodology aimed at reducing the number of defects in a
business process
What is Lean enterprise? ✅improves quality/safety by eliminating waste
What is a high reliability organization? ✅Organization that remains safe despite
significant risk or harm and complex problems.
- ex: aviation and nuclear plants
What is the Planetree model? ✅a nonprofit organization that helps medical centers
establish pleasing and empowering surroundings
(helps with person-centered excellence)
What is the PDSA cycle? ✅* Plan: plan a change and develop a test or observation,
including a data collection plan
* Do: try out the change on a small scale
* Study: review and analyze the data, study the results, and identify the application
* Act: refine the change based on what was learned
Sentinel Events ✅a patient safety event that reaches a patient and results in death,
permanent harm, or results in severe temporary harm and interventions required to
sustain life
What is the goal of staffing? ✅Goal = to provide the right number of nursing staff with
the right qualifications to deliver safe, high-quality care
Framework for staffing management: ✅1) budget-based
2) nurse-patient ratios
3) Patient acuity (how critical are they?)
Staffing Management Plan is used to determine staffing through what? ✅forecasted
workload and recommended care standards
Variable staffing ✅units are staffed below maximum workload conditions and staff is
then supplemented when needed.
Private Duty Nursing ✅also referred to as "case nursing" where the patient is the case
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