Question 1

The nurse manager identifies changes in the staff since Transforming Care at the Bedside was implemented. Which changes does the manager identify as an improvement in vitality and teamwork? Standard Text: Select all that apply.

Accepted Answer

A)  More apathy 
B)  Less blaming 
C)  More conflict 
D)  Less cynicism 
E)  More complaining Correct B,D

Question 2

The nurse manager wants to learn how the nursing staff is responding to the process Transforming Care at the Bedside. Which approach can the manager use to learn more about the process from the staff?

Accepted Answer

A)  Listen to morning report. 
B)  Attend morning huddles. 
C)  Conduct a focus group. 
D)  Observe the staff provide care. Correct C

Question 3

The nursing staff is working through the rapid cycle change process about a problem with supplies that occurs when changing patients' dressings. Which activity exemplifies the implementation of a solution?

Accepted Answer

A)  Generic dressing change supplies placed on a mobile cart 
B)  Central Distribution contacted regarding supply cart stocking times 
C)  Staff explains the importance of having supplies when they are needed 
D)  Staff agrees the use of a mobile cart improved the dressing change process Correct A

Question 4

A hospital administrator is planning to implement Transforming Care at the Bedside in a healthcare organization. Which outcomes will the administrator expect after the implementation of this process? Standard Text: Select all that apply.

Accepted Answer

A)  Increased reimbursement 
B)  Reduction in patient falls 
C)  Less cost to replace staff 
D)  Better outcomes with codes 
E)  Improved physician satisfaction Correct

Question 5

The nurse manager is implementing the rapid cycle change process on a Transforming Care at the Bedside care area. Place in order the steps in which the manager will instruct the staff on this process.Standard Text: Click and drag the options below to move them up or down.Choice
A) Solution piloted
B) Select a solution
C) Change adopted
D) Analyze problems
E) Brainstorm solutions Correct

Accepted Answer

The answer of The nurse manager is implementing the rapid...

Question 6

The nurse manager, implementing Transforming Care at the Bedside, wants to improve value-added processes. Why would the manager ask nurses to participate in this process?

Accepted Answer

A)  Nurses have the most time. 
B)  Nurses spend the most time in non-care related activities. 
C)  Nurses know which staff wastes the most time. 
D)  Nurses know what the physicians want. Correct

Question 7

The nursing staff on a patient care area wants to implement a change to a care process. What role will the nurse manager have with the implementation of this change?

Accepted Answer

A)  Discuss the change with the hospital administrator. 
B)  Make sure all nursing staff is engaged in the process. 
C)  Expect the nursing staff to make the change independently. 
D)  Obtain permission for the change from the medical director. Correct

Question 8

Transforming Care at the Bedside was recently implemented on a patient care area. Which initial outcome is an indication that safe and reliable care is being implemented on this care area?

Accepted Answer

A)  Increase in reporting of adverse events 
B)  Decrease in reporting of adverse events 
C)  Increase in medication errors 
D)  Decrease in patient complaints of pain Correct

Question 9

The nurse manager is evaluating the impact of Transforming Care at the Bedside on a patient care area. Which statement indicates the program is being well-received by the nursing staff?

Accepted Answer

A)  "This is just one more way to keep nurses quiet." 
B)  "I feel respected when I provide patient care." 
C)  "No one listens to my complaints anymore." 
D)  "It will be done for a while and then fade away." Correct

Question 10

A healthcare organization is planning to implement Transforming Care at the Bedside. When discussing this care approach, what would hospital administrators identify as the focus? Standard Text: Select all that apply.

Accepted Answer

A)  Prevent staff turnover 
B)  Eliminate inefficiencies 
C)  Control the cost of patient care 
D)  Decrease nonclinical demands on nurses 
E)  Improve communication with physicians Correct

Question 11

The director of nursing notes that the number of voluntary staff terminations has decreased on the care areas following Transforming Care at the Bedside. What does the director identify as a reason for the reduction in turnover?

Accepted Answer

A)  More time spent in non-nursing activities 
B)  More time spent documenting patient care 
C)  Less time to experiment with solutions 
D)  More staff empowerment Correct

Question 12

The staff on a Transforming Care at the Bedside unit is implementing a morning huddle. Which outcomes indicate an improvement in patient-centered care? Standard Text: Select all that apply.

Accepted Answer

A)  Improved communication 
B)  Less waste of patient care supplies 
C)  Less time spent questioning orders 
D)  Less time spent locating physicians 
E)  Early identification of patient safety issues Correct

Question 13

The nursing instructor is reviewing the process of Transforming Care at the Bedside with a group of students preparing for graduation. Which statement exemplifies a belief about the process?

Accepted Answer

A)  Nurses have little power or control over patient care. 
B)  There is more than one "right" way to do something. 
C)  Quality care occurs when physicians' orders are followed. 
D)  This is the latest fad in providing care to patients. Correct

Question 14

The nursing staff working on a Transforming Care at the Bedside unit is implementing a test of change. Which is a characteristic of this test?

Accepted Answer

A)  All staff implements the change immediately. 
B)  The change is implemented by day shift only. 
C)  The change is implemented for at least a month. 
D)  The outcome from the change is discussed at a biannual meeting. Correct

Question 15

The professors in a school of nursing are identifying ways to implement the principles of Transforming Care at the Bedside into the nursing curriculum. Which content would be important for the students to learn about this process?

Accepted Answer

A)  Teach how to implement morning huddles. 
B)  Outline the four focus areas within the process. 
C)  Explain that the entire focus is to provide safe and reliable care. 
D)  Encourage talking about the process with nursing staff during clinical. Correct

Question 16

A patient on a Transforming Care at the Bedside unit does not like an assigned room and wants to be able to look out the window to see the weather outside. Which action would the nurse take to support patient-centered care?

Accepted Answer

A)  Tell the charge nurse that the patient wants a different room. 
B)  Explain to the patient that no additional rooms are available at this time. 
C)  Describe the current weather and suggest that the patient focus on getting well. 
D)  Work with the admitting department to find the patient a room with a window view. Correct

Exam 8: Transforming Care at the Bedside Tcab Experience: Innovations, Improvements, and Quality