Question 1

Which of the following information can be gathered by reviewing a community health report card?

Accepted Answer

A)  Utilization of health care services in the community 
B)  Demographic information of the community 
C)  Leading causes of morbidity in a community 
D)  Frequency of malpractice claims within a community

Question 2

Which of the following describes the principal problem with early efforts at ensuring quality of care?

Accepted Answer

A)  No one knows how to measure quality care. 
B)  Professionals resisted and sabotaged such efforts. 
C)  Standards emphasized structure, not process. 
D)  There were no standards as to what represented quality care.

Question 3

Which of the following best explains why evaluation of client outcomes resulting from nursing intervention is so difficult?

Accepted Answer

A)  Client records may not include appropriate data. 
B)  Few tools exist to measure client outcomes. 
C)  Many other factors can also affect client outcomes. 
D)  Measuring client outcomes is extremely time consuming.

Question 4

The staff was informed that a Quality Improvement Organization (QIO)would be making an unannounced visit in a few hours.Which of the following would the hospital nurse expect the QIO team to examine?

Accepted Answer

A)  Records of hospital admissions and scheduled procedures 
B)  Nursing care plans of patients with unexpected problems (infections, falls) 
C)  Discharge paperwork of patients discharged in the past 30 days 
D)  Documentation of adherence to nursing standards of care

Question 5

The quality improvement team reviews the records of clients on a monthly basis to determine whether protocols for pain assessment were followed.Which of the following best describes the major drawback to the team's approach?

Accepted Answer

A)  The client is no longer under the agency's care. 
B)  It is difficult to compare documentation of care to standards of care. 
C)  Records can be inaccurate or incomplete. 
D)  Team members may disagree on whether the standards of care were met.

Question 6

The nurse admits uncertainty over how to address the needs of a group of clients.The long-term nurse in the area suggests that the nurse review published evidence-based clinical guidelines.How can the nurse know these guidelines are reliable?

Accepted Answer

A)  Because the agency supports their use. 
B)  Because the guidelines have been published. 
C)  Because the long-term nurse trusts them. 
D)  Because they are based on research and expert opinion.

Exam 17: Managing Quality and Safety

Which of the following information can be gathered by reviewing a community health report card?

Which of the following describes the principal problem with early efforts at ensuring quality of care?

Which of the following best explains why evaluation of client outcomes resulting from nursing intervention is so difficult?

The staff was informed that a Quality Improvement Organization (QIO) would be making an unannounced visit in a few hours.Which of the following would the hospital nurse expect the QIO team to examine?

The quality improvement team reviews the records of clients on a monthly basis to determine whether protocols for pain assessment were followed.Which of the following best describes the major drawback to the team's approach?

The nurse admits uncertainty over how to address the needs of a group of clients.The long-term nurse in the area suggests that the nurse review published evidence-based clinical guidelines.How can the nurse know these guidelines are reliable?