NURB 450 Final Exam questions and complete correct answers 2024
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Rogers Innovation theory - correct answer Innovation: making something new
⬤Rogers Innovation Curve:
Bell curve
Far left: innovators those who are on board for trying something new
Early adopters
Early majority: will do it but some hesitancy
Late majority: change when other people do
...
Rogers Innovation theory - correct answer Innovation: making something new
⬤Rogers Innovation Curve:
Bell curve
Far left: innovators those who are on board for trying something new
Early adopters
Early majority: will do it but some hesitancy
Late majority: change when other people do
Laggards: critical of new ideas, its always been done this way, only accept new things when forced to
Contrast effect - correct answer : The rater bases their score on comparison with another employee,
either overvaluing or undervaluing.
Halo effect - correct answer The rater focuses only on a positive experience and rates all areas based on
that measure.
horns effect - correct answer The rater focuses on a negative experience a
Leniency effect - correct answer Ratings are higher than the employee deserves.
recency of events error - correct answer The rater considers only more recent events, rather than what
occurred since the last evaluation period.
Similar to me - correct answer The rater scores more highly those who are like them, such as gender,
age, race, personality.
Political motivations - correct answer ●favor one person or group, either positively or negatively
● which leads to inaccuracie
,Worst to best rating systems - correct answer Traits: e.g. responsible ← might be biased, does this relate
to giving good patient care?
Behaviors; what is directly observed, actions
Competencies: performing the skill successfully, do they have capability, foundational element
Results: outcomes, infection rates, issue with this is that: doesn't take into account other factors, human
elements, can be impacted by the environment
Lewins change theory - correct answer ⮚Equilibrium within systems
Unfreezing: bringing the problem to the forefront
moving/changing: implement the change
Refreezing: making the change the new status quo
Change Force Field analysis - correct answer Driving forces: positive forces for change, why change will
be good, facillitator of change
Restraining forces: obstacles to change, barriers of making change (fear of unknown, negative attitudes
towards change)
Middle is present/desired state, the new normal
Sentinel event - correct answer Sentinel events, defined as patient safety events that result in death,
permanent harm, or severe temporary harm, have been associated with hospital leadership that fails to
establish cultures of safety in hospitals
Patient Safety Indicators (PSI)
•Highlight safety-related adverse events
Been determined by joint commissions by sentinel events
Mistake is made that causes patient harm but leads to change
Magnet Recognition program - correct answer ⬤ American Nurses Credentialing Center (ANCC) is the
founder of the Magnet Recognition Program®.
⬤Magnet™-designated hospitals are recognized for excellent patient care, supportive nursing practice
environments, and the ability to attract and retain nurses.
, Magnet hospital - correct answer ⬤Designation of excellence
⬤Gold standard
⬤Culture that supports nurse autonomy, effective communication, and adequate resources
⬤Environment in which practice excellence is the norm
great place to work, transformational leadership, recruiting and retaining best employees (e.g. BSN),
have things in place that promote quality care
Steps in quality control - correct answer ⬤Identify customers and target markets.
⬤Discover hidden and unmet customer needs.
⬤Translate these needs into product or service requirements: a means to meet their needs (new
standards, specifications, etc.).
⬤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
Budget variances - correct answer A variance is the difference between the budgeted and the actual
amounts. A variance may be favorable or unfavorable relative to the budget amount. A budget
developed to provide resources for direct patient care, such as nursing budgets, will use actual volumes
(units of service) to interpret favorable or unfavorable variances.
Variances: differences between what we budgeted for and what actually occurred)
Used to determine problem areas
Calculating FTE - correct answer To determine FTEs, multiply HPPD by number of patient days
FTE (full-time equivalent)
•1.0 FTE = five 8-hour shifts / 40 hours week (ten 8-hour shifts / 80 hours in two weeks)
•0.5 FTE = 20 hours week
0.9 FTE = 36 hours a week
•FTE = 52 weeks x 40 hours = 2080 hours / year (26 weeks x 80 hours = 2080 hours)
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