Question 1

What are the four evidence-based standards identified by the Leapfrog Group to reduce medical errors?

Accepted Answer

A)  Computerized physician-provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Practices scores 
B)  Computerized physician-provider order entry, evidence-based visiting nurse referral, ED physician staffing, and the use of Leapfrog Safe Practices scores 
C)  Computerized primary care provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Medication scores 
D)  Computerized nurse practitioner-provider order entry, evidence-based outpatient referral, ED physician staffing, and the use of Leapfrog Safe Medication scores 
A)  Computerized physician-provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Practices scores 
B)  Computerized physician-provider order entry, evidence-based visiting nurse referral, ED physician staffing, and the use of Leapfrog Safe Practices scores 
C)  Computerized primary care provider order entry, evidence-based hospital referral, ICU physician staffing, and the use of Leapfrog Safe Medication scores 
D)  Computerized nurse practitioner-provider order entry, evidence-based outpatient referral, ED physician staffing, and the use of Leapfrog Safe Medication scores A

Question 2

Which is a true statement regarding TQM?

Accepted Answer

A)  It is based on the premise that the organization knows what is best for the consumer 
B)  Its guiding purpose is to save the organization money 
C)  It is based on the premise that the customer is the focal element on which production and service depend 
D)  It assumes that inspection and removal of errors lead to the delivery of quality services 
A)  It is based on the premise that the organization knows what is best for the consumer 
B)  Its guiding purpose is to save the organization money 
C)  It is based on the premise that the customer is the focal element on which production and service depend 
D)  It assumes that inspection and removal of errors lead to the delivery of quality services C

Question 3

Nursing students who scored in the top 5% on the examination studied in small groups, attended class 100% of the time, took frequent rest breaks during study sessions, and ate a balanced diet for 1 week before the examination. What type of audit provided this type of data?

Accepted Answer

A)  Structure 
B)  Process 
C)  Outcome 
D)  Concurrent 
A)  Structure 
B)  Process 
C)  Outcome 
D)  Concurrent B

Question 4

Which task is a management function associated with quality control?

Accepted Answer

A)  Periodic evaluation of unit mission and philosophy 
B)  Making out the daily patient care assignments 
C)  Creating a yearly budget 
D)  Distributing holiday staffing policies 
A)  Periodic evaluation of unit mission and philosophy 
B)  Making out the daily patient care assignments 
C)  Creating a yearly budget 
D)  Distributing holiday staffing policies

Question 5

What role has the Joint Commission assumed in ensuring quality at the organizational level?

Accepted Answer

A)  Establishing clinical practice guidelines 
B)  Reducing diagnosis-related group reimbursement levels 
C)  Standardizing clinical outcome data collection 
D)  Assessing monetary fines for hospitals that fail to meet standards 
A)  Establishing clinical practice guidelines 
B)  Reducing diagnosis-related group reimbursement levels 
C)  Standardizing clinical outcome data collection 
D)  Assessing monetary fines for hospitals that fail to meet standards

Question 6

What results from effective benchmarking?

Accepted Answer

A)  Two organizations become financially integrated under a capitated model 
B)  Organizations compete for a "best practices" label from the National Committee for Quality Assurance (NCQ
A)  
C)  An organization compares its performance with that of "best-performing institutions" 
D)  Minimum practice guidelines are established for each health-care organization 
A)  Two organizations become financially integrated under a capitated model 
B)  Organizations compete for a "best practices" label from the National Committee for Quality Assurance (NCQ
A)  
C)  An organization compares its performance with that of "best-performing institutions" 
D)  Minimum practice guidelines are established for each health-care organization

Question 7

What is the greatest limitation of the Health Plan Employer Data Information Set (HEDIS)?

Accepted Answer

A)  Findings are not released to the public 
B)  Only about half of managed care organizations have chosen to participate 
C)  Performance indicators are process focused rather than outcome focused 
D)  There are only 15 performance measures 
A)  Findings are not released to the public 
B)  Only about half of managed care organizations have chosen to participate 
C)  Performance indicators are process focused rather than outcome focused 
D)  There are only 15 performance measures

Question 8

Which statement is true regarding adverse drug events (ADEs)?

Accepted Answer

A)  They occur infrequently in accredited hospitals 
B)  They are responsible for about 20% of hospitalized disabilities 
C)  They usually involve either prescribing or pharmacy errors 
D)  They occur because of individual recklessness 
A)  They occur infrequently in accredited hospitals 
B)  They are responsible for about 20% of hospitalized disabilities 
C)  They usually involve either prescribing or pharmacy errors 
D)  They occur because of individual recklessness

Question 9

Which intervention is associated with the nursing leadership role?

Accepted Answer

A)  Inspiring staff to establish and maintain high standards regarding patient care 
B)  Being aware of the changes in quality control regulations 
C)  Reviewing research results upon which to base changes 
D)  Identifying outcomes that support quality nursing care 
A)  Inspiring staff to establish and maintain high standards regarding patient care 
B)  Being aware of the changes in quality control regulations 
C)  Reviewing research results upon which to base changes 
D)  Identifying outcomes that support quality nursing care

Question 10

Thirty-eight percent of the people who attended a smoking cessation clinic were not smoking 1 year after the clinic closed. What type of audit provided this type of data?

Accepted Answer

A)  Structure 
B)  Process 
C)  Outcome 
D)  Concurrent 
A)  Structure 
B)  Process 
C)  Outcome 
D)  Concurrent

Question 11

What is the best qualitative measurement in determining quality control for marketing?

Accepted Answer

A)  Morbidity and mortality rates 
B)  Nursing care hours per patient day 
C)  Average length of stay 
D)  Patient surveys of general satisfaction 
A)  Morbidity and mortality rates 
B)  Nursing care hours per patient day 
C)  Average length of stay 
D)  Patient surveys of general satisfaction

Question 12

Which statement is true regarding criteria for assuring that a quality control program will be effective?

Accepted Answer

A)  The primary purpose of the program is to satisfy various federal and state standards 
B)  Developed standards should reflect minimally acceptable levels so the organization will score well on self-assessment audits 
C)  A belief in the importance of quality control must be integrated through all levels of the organizational hierarchy 
D)  The process should be reactive; in other words, quality improvement efforts should be initiated after problems are identified 
A)  The primary purpose of the program is to satisfy various federal and state standards 
B)  Developed standards should reflect minimally acceptable levels so the organization will score well on self-assessment audits 
C)  A belief in the importance of quality control must be integrated through all levels of the organizational hierarchy 
D)  The process should be reactive; in other words, quality improvement efforts should be initiated after problems are identified

Question 13

What is the first step in quality control?

Accepted Answer

A)  To take corrective action when standards have not been met 
B)  To collect data to determine whether standards have been met 
C)  To determine criteria and standards 
D)  To determine who will measure the standard 
A)  To take corrective action when standards have not been met 
B)  To collect data to determine whether standards have been met 
C)  To determine criteria and standards 
D)  To determine who will measure the standard

Question 14

What is the guiding principle when attempting to address errors made in the delivery of health care?

Accepted Answer

A)  Reporting of errors must be both mandatory and voluntary 
B)  Errors are a result of faulty organizational processes 
C)  People are the root cause of health delivery errors 
D)  Errors are either unavoidable or result from reckless behavior 
A)  Reporting of errors must be both mandatory and voluntary 
B)  Errors are a result of faulty organizational processes 
C)  People are the root cause of health delivery errors 
D)  Errors are either unavoidable or result from reckless behavior

Question 15

What is the function of a nursing minimum data set?

Accepted Answer

A)  Compares the quality of nursing care and medical care 
B)  Identifies minimal levels of quality necessary for nurses to maintain licensure 
C)  Standardizes the collection of nursing data for use by multiple data users 
D)  Identifies only "nursing-sensitive" patient outcome measures 
A)  Compares the quality of nursing care and medical care 
B)  Identifies minimal levels of quality necessary for nurses to maintain licensure 
C)  Standardizes the collection of nursing data for use by multiple data users 
D)  Identifies only "nursing-sensitive" patient outcome measures

Question 16

Which practice has the U.S. Food and Drug Administration suggested in order to decrease the risk of medication errors?

Accepted Answer

A)  Computerized order entry with a drug bar code system 
B)  Medications automatically dispensed to patients at predetermined times 
C)  Use of medication nurses to administer all ordered medications 
D)  Have patients' medicati kept at the bedside for self-administration 
A)  Computerized order entry with a drug bar code system 
B)  Medications automatically dispensed to patients at predetermined times 
C)  Use of medication nurses to administer all ordered medications 
D)  Have patients' medicati kept at the bedside for self-administration

Question 17

An RN is a supervisor in an organization that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. How does the RN practice TQM on the unit?

Accepted Answer

A)  Encouraging employees to think of a unit slogan 
B)  Developing a quota system for number of patients cared for 
C)  Explaining to the staff that "if it's not broke, don't fix it" 
D)  Promoting teamwork rather than individual accomplishments 
A)  Encouraging employees to think of a unit slogan 
B)  Developing a quota system for number of patients cared for 
C)  Explaining to the staff that "if it's not broke, don't fix it" 
D)  Promoting teamwork rather than individual accomplishments

Question 18

What results from the development of plan of correction associated with health-care delivery errors?

Accepted Answer

A)  Sentinel event 
B)  Root cause analysis 
C)  Quality assessment (Q
A)  program 
D)  Failure mode and effects analysis (FME
A)  
A)  Sentinel event 
B)  Root cause analysis 
C)  Quality assessment (Q
A)  program 
D)  Failure mode and effects analysis (FME
A)

Question 19

What do clinical practice guidelines provide?

Accepted Answer

A)  A predetermined baseline condition or level of excellence that constitutes a model to be followed and practiced 
B)  Diagnosis-based, step-by-step interventions for nurses to follow in an effort to promote evidence-based, high-quality care 
C)  Process of measuring products, practices, and services against those of best-performing organizations 
D)  Identify not only what a nd how an event happens but why it happens, with the end goal being to ensure that a preventable negative outcome does not recur 
A)  A predetermined baseline condition or level of excellence that constitutes a model to be followed and practiced 
B)  Diagnosis-based, step-by-step interventions for nurses to follow in an effort to promote evidence-based, high-quality care 
C)  Process of measuring products, practices, and services against those of best-performing organizations 
D)  Identify not only what a nd how an event happens but why it happens, with the end goal being to ensure that a preventable negative outcome does not recur

Question 20

Which statement is true regarding the factors that impact patient satisfaction with a hospitalization?

Accepted Answer

A)  The quality of care delivered is the primary factor related to 
B)  The patient's understanding of his/her condition influences satisfaction 
C)  The length of the hospital stay is the deciding influence on satisfaction 
D)  The patient's satisfaction has little to do with actual health improvement 
A)  The quality of care delivered is the primary factor related to 
B)  The patient's understanding of his/her condition influences satisfaction 
C)  The length of the hospital stay is the deciding influence on satisfaction 
D)  The patient's satisfaction has little to do with actual health improvement

Exam 23: Quality Control

What are the four evidence-based standards identified by the Leapfrog Group to reduce medical errors?

Which is a true statement regarding TQM?

Nursing students who scored in the top 5% on the examination studied in small groups, attended class 100% of the time, took frequent rest breaks during study sessions, and ate a balanced diet for 1 week before the examination. What type of audit provided this type of data?

Which task is a management function associated with quality control?

What role has the Joint Commission assumed in ensuring quality at the organizational level?

What results from effective benchmarking?

What is the greatest limitation of the Health Plan Employer Data Information Set (HEDIS)?

Which statement is true regarding adverse drug events (ADEs)?

Which intervention is associated with the nursing leadership role?

Thirty-eight percent of the people who attended a smoking cessation clinic were not smoking 1 year after the clinic closed. What type of audit provided this type of data?

What is the best qualitative measurement in determining quality control for marketing?

Which statement is true regarding criteria for assuring that a quality control program will be effective?

What is the first step in quality control?

What is the guiding principle when attempting to address errors made in the delivery of health care?

What is the function of a nursing minimum data set?

Which practice has the U.S. Food and Drug Administration suggested in order to decrease the risk of medication errors?

An RN is a supervisor in an organization that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. How does the RN practice TQM on the unit?

What results from the development of plan of correction associated with health-care delivery errors?

What do clinical practice guidelines provide?

Which statement is true regarding the factors that impact patient satisfaction with a hospitalization?

Decision Making, Problem Solving Critical Thinking, and Clinical Reasoning: Requisites for Successful Leadership and Management

Classical Vierws of Leadership and Management

Twenty-First-Century Thinking About Leadership and Management

Ethical Issues

Legal and Legislative Issues

Patient, Sübordinate, Worklace, and Professional Advocacy

Organicational Planning

Planned Change

Time Management

Piscal Plaming

Career Planning and Development in Nursing

Organizational Structure

Organizational, Politicil, Ane Personal Power

Organizing Pationt Care

Employec Recruitment, Selection, Placement, and Indoctrination

Socializing and Educating Staff in a Learning Organization

Staffing Needs and Soheduling

Creating a Motivating Climate

Organizational, Interpersonal, and Group Communication

Delegation

Effective Conflict Resolution and Negotiation

Collective Bargaining, Unionization, and Employment Laws

Performance Appraisal

Problem Employees: Rule Breakers, Marginal Employees, and the Chemically or Psychologically Impaired

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