Loyola University Chicago
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Latest notes & summaries Loyola University Chicago
Notes on sociology's most important theorists, including Marx, Weber, Durkheim, Mead and Goffman.
A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take in making this change? 
 
a. Leverage the hierarchical management position to get unit staff involved in assessment and planning. 
 
b. Engage involved staff at all levels in the decision-making process. 
 
c. Focus the assessment on the u...
A new graduate is asked to serve on the hospital's quality improvement (QI) committee. The nurse understands that the first step in quality improvement is to: 
a.Collect data to determine whether standards are being met. 
b.Implement a plan to correct the problem. 
c.Identify the standard. 
d.Determine whether the findings warrant correction. correct answers Identify the standard 
 
Before further action (data collection, decision making related to correction, and implementation of a plan) ...
Evidence Based Practice correct answers Conscientious integration of best research evidence with clinical expertise and patient needs and values in the delivery of quality, safe, and cost-effective health care 
 
Why is research important for EPB? correct answers Develops empirical knowledge base 
Identifies best practices that are based on clinical practices 
Improves outcomes for: 
Patient and family 
Nurse 
Health care system 
 
What role does research have in implementing an ebp? co...
A 22-year-old patient is being seen in the clinic with increased secretion of the anterior pituitary hormones. The nurse would expect the laboratory results to show 
 
a. increased urinary cortisol. 
 
b. decreased serum thyroxine. 
 
c. elevated serum aldosterone levels. 
 
d. low urinary catecholamines excretion. correct answers a. increased urinary cortisol. 
 
 
Increased secretion of adrenocorticotropic hormone (ACTH) by the anterior pituitary gland will lead to an increase in serum and ...
Liquefactive necrosis correct answers From bacterial infection, ischemia 
Affects brain tissue 
 
Coagulative necrosis correct answers From hypoxia 
Causes proteins to degranulate and become gelatinous 
Affects kidneys, heart, adrenal system 
 
Caseous necrosis correct answers From TB 
Combination of coagulative + liquefactive 
Affects lungs 
Walled off by granuloma 
 
Fat necrosis correct answers From enzymes that dissolves cells 
Affects breasts, pancreas, any organs with fa...
1. The nurse manager of a unit has lost many staff members, and the unit is now staffed with a large number of agency and traveling nurses. She knows that the agency and traveling nurses are all contracted to stay on the unit for the next 3 months. One way to improve morale and decrease stress in the unit would be to: 
 
a. Implement team nursing. 
b. Request hospital-based "floating" nurses to substitute for the temporary staff. 
c. Plan a social event and include the agency and traveling nur...
CHAPTER 13- Care Delivery Strategies 
 
Model Selection: Considerations to be addressed when selecting a model: correct answers Organizational mission and purpose**!!! 
UNIT objectives** 
Pt population !! 
 
Staff availability !! 
Economic feasibility-drives how staffing is done in hospitals today*** 
 
Care Models: correct answers CASE method (total patient care)**!! 
Functional nursing (task of delivery)*** !! 
 
Team nursing 
PRIMARY nursing 
CASE management*** 
 
Other Strategi...
When goals/outcomes are somewhat unclear in early preparation for a complex change, the 
manager and the change management team develop several acceptable goals/outcomes. This 
change in management approach is termed: 
a. unfreezing. 
b. nonlinear. 
c. cybernetic. 
d. linear. correct answers ANS: B 
While Lewin theory was designed to describe planned or first-order changes, many scholars 
think the theory is too simplistic to address how unplanned or second-order change occurs. In 
complex si...
triple aim correct answers access 
quality 
cost of care 
 
access correct answers Affordable care act 
-varying degrees of coverage 
-NPs meant to serve rural or underserved areas 
 
quality correct answers goal-directed/effective care 
patient centered 
evidence based practice 
 
cost of care correct answers generally out of control 
 
leadership correct answers using your power to influence others to achieve goals 
 
management correct answers acts who guide others through r...