Question 1

A nurse is implementing plan-do-check-act. Which of the following actions is the nurse going to perform?

Accepted Answer

A)  Documentation of client care. 
B)  Obtain certification in a specialty area. 
C)  Review data after changing practice. 
D)  Provide equal access to care. 
A)  Documentation of client care. 
B)  Obtain certification in a specialty area. 
C)  Review data after changing practice. 
D)  Provide equal access to care. C

Question 2

Which of the following monitors access to care, the cost of care, and protects the Medicare Trust?

Accepted Answer

A)  Professional Review Organizations (PROs) 
B)  Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 
C)  National Health Quality Improvement Act 
D)  Quality Improvement Organizations (QIOs) 
A)  Professional Review Organizations (PROs) 
B)  Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 
C)  National Health Quality Improvement Act 
D)  Quality Improvement Organizations (QIOs) D

Question 3

Which statement about the quality assurance process is accurate?

Accepted Answer

A)  Processes are implemented to maintain quality. 
B)  Community needs are assessed while implementing quality programs. 
C)  Accountability of the provider is the primary concern. 
D)  Standards for care are established and evaluated. 
A)  Processes are implemented to maintain quality. 
B)  Community needs are assessed while implementing quality programs. 
C)  Accountability of the provider is the primary concern. 
D)  Standards for care are established and evaluated. C

Question 4

Which of the following statements about records are true? (Select all that apply.)

Accepted Answer

A)  Records provide complete information about the client. 
B)  Records resolve legal issues in malpractice suits. 
C)  Records provide information for education and research. 
D)  Records allow anyone interested in a client's progress to view a chart. 
E)  Records allow for easy documentation of the client's assessment. 
A)  Records provide complete information about the client. 
B)  Records resolve legal issues in malpractice suits. 
C)  Records provide information for education and research. 
D)  Records allow anyone interested in a client's progress to view a chart. 
E)  Records allow for easy documentation of the client's assessment.

Question 5

What is one performance area where quality improvement (QI) is used to affect process and outcomes of health care?

Accepted Answer

A)  Provision of appropriate and effective care 
B)  Elimination of access barriers 
C)  Reduction of unjustified geographic variation in care 
D)  Application of managed care to all citizens 
A)  Provision of appropriate and effective care 
B)  Elimination of access barriers 
C)  Reduction of unjustified geographic variation in care 
D)  Application of managed care to all citizens

Question 6

A nurse implements the Institute of Medicine's definition of quality health care when providing care. Which of the following describes this care?

Accepted Answer

A)  Licensed-all health care workers must have a license. 
B)  Safe-avoiding injuries to patients from the care intended to help them. 
C)  Timely-no waiting or delay for health care. 
D)  Innovative-new innovations must be used when they become available. 
A)  Licensed-all health care workers must have a license. 
B)  Safe-avoiding injuries to patients from the care intended to help them. 
C)  Timely-no waiting or delay for health care. 
D)  Innovative-new innovations must be used when they become available.

Question 7

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician. Which of the following statements describes what is occurring in this situation?

Accepted Answer

A)  Treatment decisions are made conservatively. 
B)  Disability and mortality are being reduced. 
C)  Disparities in quality of care provided are increasing. 
D)  Unnecessary tests, surgeries, and treatments are being ordered. 
A)  Treatment decisions are made conservatively. 
B)  Disability and mortality are being reduced. 
C)  Disparities in quality of care provided are increasing. 
D)  Unnecessary tests, surgeries, and treatments are being ordered.

Question 8

A nurse is given formal recognition as a professional with technical competence in a certain area of nursing practice. Which of the following terms describes what has happened?

Accepted Answer

A)  Licensure 
B)  Accreditation 
C)  Recognition 
D)  Credentialing 
A)  Licensure 
B)  Accreditation 
C)  Recognition 
D)  Credentialing

Question 9

A nurse is using a concurrent audit to review documentation following home health visits. Which of the following statements describes why this type of audit is most appropriate in this situation?

Accepted Answer

A)  It is less costly than a retrospective audit. 
B)  It represents the total picture of care that the client receives. 
C)  It provides more accurate data for planning corrective action. 
D)  It identifies problems at the time that care is given. 
A)  It is less costly than a retrospective audit. 
B)  It represents the total picture of care that the client receives. 
C)  It provides more accurate data for planning corrective action. 
D)  It identifies problems at the time that care is given.

Question 10

A nurse is using the specific approach to quality improvement (QI). Which of the following describes the action that would be taken by the nurse?

Accepted Answer

A)  Evaluate an agency's ability to meet criteria or standards. 
B)  Implement the plan-do-check-act cycle. 
C)  Provide care to individual citizens. 
D)  Use criteria set forth by regulatory agencies. 
A)  Evaluate an agency's ability to meet criteria or standards. 
B)  Implement the plan-do-check-act cycle. 
C)  Provide care to individual citizens. 
D)  Use criteria set forth by regulatory agencies.

Question 11

A nurse is implementing a voluntary approach to quality control within the organization. Which of the following describes what the nurse is implementing?

Accepted Answer

A)  Accreditation 
B)  Licensure 
C)  Certification 
D)  Credentialing 
A)  Accreditation 
B)  Licensure 
C)  Certification 
D)  Credentialing

Question 12

A nurse assesses the necessity of receiving care before providing services. Which of the following describes what is being implemented?

Accepted Answer

A)  Concurrent audit 
B)  Retrospective audit 
C)  Prospective utilization review 
D)  Retrospective utilization review 
A)  Concurrent audit 
B)  Retrospective audit 
C)  Prospective utilization review 
D)  Retrospective utilization review

Question 13

What is the purpose of implementing total quality management (TQM)?

Accepted Answer

A)  Provide quality care within an organization. 
B)  Provide cost-efficient care across all age groups. 
C)  Provide necessary care to clients in a cost-effective system. 
D)  Provide efficient systems of primary care. 
A)  Provide quality care within an organization. 
B)  Provide cost-efficient care across all age groups. 
C)  Provide necessary care to clients in a cost-effective system. 
D)  Provide efficient systems of primary care.

Question 14

A PHN in the 1960s is measuring quality assurance. Which of the following resources would the nurse most likely have used?

Accepted Answer

A)  American Nurses Association (AN
A)  Standards of Practice 
B)  Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nursing Audit Criteria 
C)  Community Health Nursing Practice Standards 
D)  Phaneuf nursing audit method 
A)  American Nurses Association (AN
A)  Standards of Practice 
B)  Joint Commission on Accreditation of Healthcare Organizations (JCAHO) Nursing Audit Criteria 
C)  Community Health Nursing Practice Standards 
D)  Phaneuf nursing audit method

Question 15

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven. Which of the following types of records is being used?

Accepted Answer

A)  Clinical record 
B)  Provider service record 
C)  Financial record 
D)  Central index system 
A)  Clinical record 
B)  Provider service record 
C)  Financial record 
D)  Central index system

Question 16

What is the purpose of the National Health Quality Report (NHQDR)?

Accepted Answer

A)  Report on the Agency for Healthcare Research and Quality's goals for the year. 
B)  Describe the yearly activities of the agency. 
C)  Ensure national quality of services. 
D)  Document whether health care quality is stable, improving, or declining over time. 
A)  Report on the Agency for Healthcare Research and Quality's goals for the year. 
B)  Describe the yearly activities of the agency. 
C)  Ensure national quality of services. 
D)  Document whether health care quality is stable, improving, or declining over time.

Question 17

A student has obtained a Bachelor of Science in Nursing degree. Which of the following describes why the student must be licensed as a registered nurse before beginning practice?

Accepted Answer

A)  To formally recognize the student as a competent professional 
B)  To define the scope of professional practice 
C)  To control the quality of professional practice 
D)  To establish standards for educational programs 
A)  To formally recognize the student as a competent professional 
B)  To define the scope of professional practice 
C)  To control the quality of professional practice 
D)  To establish standards for educational programs

Question 18

A public health agency is transitioning from a traditional management model for quality assurance to a total quality management (TQM) approach. Which of the following changes will occur within the agency?

Accepted Answer

A)  Increased administrative authority 
B)  Increased participation by all staff 
C)  Additional focus on quality assurance 
D)  Specialized accountability for services provided 
A)  Increased administrative authority 
B)  Increased participation by all staff 
C)  Additional focus on quality assurance 
D)  Specialized accountability for services provided

Question 19

An elderly client was receiving home care after hospitalization for a cerebrovascular accident. After several weeks of physical and speech therapy, the client showed few signs of progress. The utilization review committee considered the client's condition to be stable and declined reimbursement for further home care. Which of the following describes the process that could be used by the client to reverse the decision?

Accepted Answer

A)  Prospective utilization review 
B)  Retrospective utilization review 
C)  Concurrent utilization review 
D)  Medicare reversal process 
A)  Prospective utilization review 
B)  Retrospective utilization review 
C)  Concurrent utilization review 
D)  Medicare reversal process

Question 20

A nurse is developing a quality improvement (QI) program. Which of the following would be the most important aspect of the program that should be considered?

Accepted Answer

A)  Vision and values of the agency 
B)  Standards used to provide care 
C)  Results of nursing care 
D)  Evaluation of process changes 
A)  Vision and values of the agency 
B)  Standards used to provide care 
C)  Results of nursing care 
D)  Evaluation of process changes

Exam 24: Quality Management

A nurse is implementing plan-do-check-act. Which of the following actions is the nurse going to perform?

Which of the following monitors access to care, the cost of care, and protects the Medicare Trust?

Which statement about the quality assurance process is accurate?

Which of the following statements about records are true? (Select all that apply.)

What is one performance area where quality improvement (QI) is used to affect process and outcomes of health care?

A nurse implements the Institute of Medicine's definition of quality health care when providing care. Which of the following describes this care?

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician. Which of the following statements describes what is occurring in this situation?

A nurse is given formal recognition as a professional with technical competence in a certain area of nursing practice. Which of the following terms describes what has happened?

A nurse is using a concurrent audit to review documentation following home health visits. Which of the following statements describes why this type of audit is most appropriate in this situation?

A nurse is using the specific approach to quality improvement (QI). Which of the following describes the action that would be taken by the nurse?

A nurse is implementing a voluntary approach to quality control within the organization. Which of the following describes what the nurse is implementing?

A nurse assesses the necessity of receiving care before providing services. Which of the following describes what is being implemented?

What is the purpose of implementing total quality management (TQM)?

A PHN in the 1960s is measuring quality assurance. Which of the following resources would the nurse most likely have used?

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven. Which of the following types of records is being used?

What is the purpose of the National Health Quality Report (NHQDR)?

A student has obtained a Bachelor of Science in Nursing degree. Which of the following describes why the student must be licensed as a registered nurse before beginning practice?

A public health agency is transitioning from a traditional management model for quality assurance to a total quality management (TQM) approach. Which of the following changes will occur within the agency?

A nurse is developing a quality improvement (QI) program. Which of the following would be the most important aspect of the program that should be considered?

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History of Public Health and Public and Community Health Nursing

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Achieving Cultural Competence in Community Health Nursing

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