Author Question: The nurse working in health care today understands the ways in which the Patient Affordable Care Act ... (Read 37 times)

iveyjurea · **on:** Jul 22, 2018

The nurse working in health care today understands the ways in which the Patient Affordable Care Act (ACA) will affect patient safety. Which are the ways this is true? (Select all that apply.)

a. Create incentives for hospitals to participate in Patient Safety Organizations (PSOs).
b. Exempt hospitals from participating in the Patient Safety and Quality Improvement Act.
c. Mandate that hospitals begin reporting safety events to Patient Safety Organizations (PSOs).
d. Permit hospitals to discipline employees for safety failures and near misses.
e. Require hospitals establish a patient safety evaluation system.

Question 2

A new nurse is always asking questions, even when there does not seem to be a problem, much to the annoyance of some of the new nurse's co-workers. The nurse manager's best response to this situation is to

a. explain to co-workers this is a characteristic of critical thinking.
b. suggest the nurse work more closely with a preceptor.
c. talk with the nurse and suggest asking fewer questions.
d. tell the staff that all new nurses go through this phase.

bob · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A, C, E
Provisions of the ACA related to patient safety include creating incentives for hospitals to participate in PSOs, mandating reporting of safety events to PSOs, and requiring hospitals to establish patient safety evaluation systems.
Exemption from patient Safety and Quality Improvement Act is not a feature of the ACA.
Permitting disciplinary measures for errors and near misses is not a feature of the ACA.

Answer to Question 2

A
Inquisitiveness is a characteristic of critical thinking and reflects a desire to learn even when the knowledge may not appear readily useful. The manager should promote this.
Suggesting the nurse work more closely with a preceptor implies that the manager thinks that the nurse needs to learn more and increase confidence. In reality, this nurse is demonstrating a characteristic of critical thinking.
Suggesting that the nurse ask fewer questions would hamper the development of the nurse as a critical thinker.
All new nurses do go through a phase of asking more questions at one time, but dismissing the nurse's behavior with this explanation is simplistic and will discourage critical thinking.