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13 Cards in this Set
- Front
- Back
- 3rd side (hint)
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The most persuasive argument for a nurse executive to make to the hospital board to request an increase in the ratio of professional nurses to patients is probably... |
Reduced staff turnover |
According to the ANA each additional RN actually results in an average of $60,000 savings a year because of reduced medical costs associated with reduced rates of infection and other adverse events. Because patients receive better quality care, there's a reduced risk of re-hospitalization and reduced malpractice claims. Additionally, staff satisfaction usually improves, resulting in less staff turnover. |
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A nurse executive who believes in Douglas McGregors theory X, which states the average worker is unmotivated and does not care about the organization, will probably favor which type of organizational culture? |
Autocratic |
Theory X states that the average worker is unmotivated, dislikes work, is resistant to change, is unintelligent, and does not care about the organization. People work because they have to for money. Autocratic leaders make decisions independently, and strictly enforce rules, but staff members often feel left out of processes and may not be supportive. This type of leadership is most effective in crisis situations, but may have difficulty gaining commitment of staff. |
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A chart that shows the hierarchical system of the organization and relationships within the system is a |
Organizational chart |
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When considering crisis management to deal with internal or external disasters, which of the following is a reactive element as opposed to preventive? |
Root cause analysis of observed problem |
There are two elements of crisis management that must be considered for internal and external disasters: reactive and preventive. Reactive elements include root cause analysis of observed problem, determination of long and short-term effects, assignment of staff to deal with issues, and a search for improvement opportunities. Preventive elements include establishing control barriers, conducting direct observation and rediness activities, preparing contingency plans, and utilizing failure mode and effects analysis for process design. |
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Under the patient centered medical home model of care, patient care is coordinated through a |
Primary care physician |
Partnership are established between the patient and family and caregivers. The physician coordinates all levels of patient care, including that provided by specialist. The primary care physician usually receive some additional compensation for this role and patient management. The goal is to ensure that the patient is viewed holistically and that problems are not overlooked or care fragmented in order to improve patient outcomes. |
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Which of the following provides privacy protection for healthcare organizations and members engaged in peer review activities |
Healthcare quality improvement act (HCQIA) |
The healthcare quality improvement act of 1986 provides privacy protection for healthcare organizations in members engaged in Peer review activities. While this act focused on peer review by physicians, the Omnibus budget reconciliation act of 1991 expanded immunity to include nonphysician. Valuators as well: Healthcare personnel involved in formal peer-reviewed procedures, including performance improvement activities, are provided confidentiality and immunity in this process in order to further the quality of healthcare. Identifying information is excluded from reports and records. Certain conditions apply, and personnel are not exempt from suits or criminal action. |
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If a breach of privacy by a HIPPA entity occurs and involves 200 patients, which of the following actions are required? |
Notify the individuals and notify the US Department of Health and Human Services within 60 days of the end of the calendar year. |
If a breach of privacy by H I PPA-covered entity occurs, individuals must be notified as soon as possible and no later than 60 days. For fewer than 500 individuals, the US Department of Health and Human Services must also be notified within 60 days of the end of the calendar year. If the breach involves 500 individuals or more, then the US Department of Health and Human Services must be notified as soon as possible within 60 days of the breach and public notice made to broadcast media. |
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A Dr. offers the nurse executive at monetary reward for referring patients to his practice for Medicare reimbursable treatment. This is an example of violation of? |
Medicare and Medicaid fraud and abuse law, anti-kickback statute. |
Offering or receiving a monetary reward of any kind, directly or indirectly, in return for patient referral for Medicare or Medicaid reimbursable care is a violation of the Medicare and Medicaid fraud and abuse law as outlined by the anti-kickback statute. Violations may result in prison terms for up to five years. Some payment practices are allowed under "safe harbor"regulations,and are not considered violations. These can include rental space and equipment income, investment income, and recruitment payments. |
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A Dr. offers the nurse executive at monetary reward for referring patients to his practice for Medicare reimbursable treatment. This is an example of violation of? |
Medicare and Medicaid fraud and abuse law, anti-kickback statute. |
Offering or receiving a monetary reward of any kind, directly or indirectly, in return for patient referral for Medicare or Medicaid reimbursable care is a violation of the Medicare and Medicaid fraud and abuse law as outlined by the anti-kickback statute. Violations may result in prison terms for up to five years. Some payment practices are allowed under "safe harbor"regulations,and are not considered violations. These can include rental space and equipment income, investment income, and recruitment payments. |
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Which of the following is true about whistleblower protection? Whistleblowers are… |
Protected under numerous federal and state laws. |
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A Dr. offers the nurse executive at monetary reward for referring patients to his practice for Medicare reimbursable treatment. This is an example of violation of? |
Medicare and Medicaid fraud and abuse law, anti-kickback statute. |
Offering or receiving a monetary reward of any kind, directly or indirectly, in return for patient referral for Medicare or Medicaid reimbursable care is a violation of the Medicare and Medicaid fraud and abuse law as outlined by the anti-kickback statute. Violations may result in prison terms for up to five years. Some payment practices are allowed under "safe harbor"regulations,and are not considered violations. These can include rental space and equipment income, investment income, and recruitment payments. |
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Which of the following is true about whistleblower protection? Whistleblowers are… |
Protected under numerous federal and state laws. |
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In team-based nursing, the primary function of the team leader is |
Delegation and supervision |
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