Exam 6: Managing and Improving Quality

A nurse manager is orienting newly hired staff nurses to the organization's total quality management program. As part of orientation, the manager has assigned the nurses to interview the organization's internal customers. Which group would the nurses interview?

A hospital increased its RN-to-client ratio 1 year ago. What effects is the hospital likely to see as a result of that choice?

The nurse is working on a unit with a blame-free environment and makes an error that puts a client at risk. What should the nurse do first?

As part of the process of promoting quality improvement, the nursing manager is comparing data between two hospitals on average length of stay for a total hip replacement. This comparison is an example of which process or step?

Which data would be of most interest to an organization using Lean Six Sigma as a means of quality improvement?

After shift change the nurse discovers that a client's IV heparin has been turned off at the IV controller. The amount of fluid left in the IV bag indicates that the client received half of the dose ordered. Which statement should be documented in the client's medical record?

Which statement regarding the use of electronic medical records (EMR) is accurate as associated with quality improvement?

The director of quality improvement reports that the hospital will soon be using "dashboards" as part of the quality management process. How should the staff interpret this information?

The nurse is assigned to the Risk Management Team. Which events would be addressed by this team?

Which statement reflects a characteristic common to all methods of quality management?

Which situation represents an exception to the blame-free environment?

Which situation would be included in reporting for Joint Commission mandatory national patient safety goals?

Efforts to increase nurses' use of evidence-based practice (EBP) to improve client care in the hospital have failed. Which answers are nurses likely to give when asked why this is occurring?

Immediately following a barium swallow, a client noticed hives and a feeling of shortness of breath. Although there were no known allergies to food or drugs prior to this incident, the diagnosis was allergic reaction to the preservatives in the barium. Which is the correct risk category for this incident?

The nursing task force is developing measurable goals for each client on the orthopedic unit. The statement "Each client will have a written assessment and plan of care document within eight hours of admission" is an example of which component of quality management?

In which ways can nurse managers reduce risks for the organization?

Which statement reveals the most dangerous result of using measured standards as part of the CQI process?

The following documentation was entered in the client's medical record: "The client was found lying on the floor. Dr. X was notified. Apparently the restraints were improperly applied." Which statement best describes this documentation?

The leader of a continuous quality improvement (CQI) team has asked that an information packet be distributed to members of the resource group. The secretary would prepare packets for which people?

The daughter of a hospitalized client comes to the nurse manager's office with a complaint about the care provided on the previous shift. What is the manager's first action?