Question 1

The nurse manager wants to make a major change for a patient care area that will affect the nursing staff and physicians. If following Havelock's steps to make this change, in which order will the nurse manager proceed? (Place in order the steps that the nurse manager will take starting with the first to the last.) Standard Text: Click and drag the options below to move them up or down.Choice
A) Stabilize
B) Gain acceptance
C) Choose a solution
D) Acquire resources
E) Build a relationship
F) Diagnose a problem

Accepted Answer

E,F,D,C,B,A

Question 2

The nurse manager is identifying ways to improve the safety of patient care with documentation. On which areas would the manager focus these efforts? Standard Text: Select all that apply.

Accepted Answer

A)  Charting 
B)  Care plans 
C)  Report notes 
D)  Agency referrals 
E)  Procedure manuals Correct A,B,D,E

Question 3

The nurse manager is aware of a safety issue that continues to occur on a patient care area. Which action would help to identify this safety issue before it adversely affects a patient?

Accepted Answer

A)  Ask physicians to report the safety issue when identified. 
B)  Reprimand nurses who permit this safety issue to occur. 
C)  Write a memo to the staff about the safety issue. 
D)  Create a red-flag to be used for the safety issue. Correct D

Question 4

A preceptor is helping a new staff nurse improve communication with physician staff members. What approach would the preceptor use to help the nurse develop consistency and objectivity when communicating patient care issues with physicians?

Accepted Answer

A)  COPA 
B)  SBAR 
C)  Evidence-based practice 
D)  Continuous quality improvement Correct

Question 5

The hospital administration is meeting with nursing and medicine department heads to discuss the implementation of the Strategies and Tools to Enhance Performance and Patient Safety (STEPPS) program. What would be the goals for implementing this program? Standard Text: Select all that apply.

Accepted Answer

A)  Improve the fragmentation of patient care. 
B)  Reduce multiple initiatives for the same patient. 
C)  Support the implementation of electronic health records. 
D)  Placing care providers at the heart of a safe work culture. 
E)  Emphasize the importance of nurses providing safe patient care. Correct

Question 6

A Shared Governance committee is working on a project to improve the quality of patient care provided in a major city hospital. What would the committee use as the definition of quality?

Accepted Answer

A)  Lack of errors 
B)  Lack of falls 
C)  No medication errors 
D)  Defined by the patient Correct

Question 7

The nurse manager is planning to increase the nurse-patient ratio on a care area. How will this change in staffing improve the quality of patient care? Standard Text: Select all that apply.

Accepted Answer

A)  Less use of restraints 
B)  Fewer pressure sores 
C)  Lower patient mortality rates 
D)  Less use of long-term catheters 
E)  Lower amounts of documentation Correct

Question 8

A healthcare organization is striving to improve the quality of patient care; however, the medical director is opposed to making changes. What action could a nurse manager take to help improve quality on one patient care area?

Accepted Answer

A)  Implement multidisciplinary meetings. 
B)  Encourage nursing staff to follow policies. 
C)  Remind care givers to thoroughly document. 
D)  Identify physician issues that are problematic. Correct

Question 9

The hospital administrator is determining the quality level of care provided to patients. Which quality indicator would be most applicable for the administrator to focus?

Accepted Answer

A)  Caring nurses 
B)  No mistakes 
C)  Low staff turnover 
D)  No hospital-acquired infections Correct

Question 10

The nurse manager is reviewing the incidence of hospital-acquired infections for a particular care area. Which single action would improve the incidence of infections in the hospital?

Accepted Answer

A)  Frequent hand washing 
B)  Using paper towels 
C)  Using antibacterial soap 
D)  Wearing gloves Correct

Question 11

The director of nursing is considering using Amer's Hybrid Model of Change to improve the quality of patient care. When analyzing this model, what information will the director need to make an objective assessment of the current situation?

Accepted Answer

A)  Number of nursing staff 
B)  Staffing budget 
C)  Current culture 
D)  Turn-over rates Correct

Question 12

The nurse desires to improve caring and relationship skills when providing patient care. On what will this nurse focus? Standard Text: Select all that apply.

Accepted Answer

A)  Patient advocacy 
B)  Decision making 
C)  Cultural respect 
D)  Morality 
E)  Ethics Correct

Question 13

After reading a journal article about a patient care approach, the nurse implemented the actions, which resulted in safe quality care. Which of Smith's levels of change did this nurse implement?

Accepted Answer

A)  Effective 
B)  Efficient 
C)  Different 
D)  Copying Correct

Question 14

The nursing staff on a patient care area is adamantly resisting changing a process that has resulted in multiple safety issues. What would be the nurse manager's first step to change this harmful patient care process?

Accepted Answer

A)  Choose the solution. 
B)  Unfreeze the staff. 
C)  Do the right thing. 
D)  Do away with things. Correct

Question 15

The nurse identifies an issue with the labeling of a medication for a patient. What can the nurse do to prevent this situation from creating a medication error?

Accepted Answer

A)  Write over the medication label. 
B)  Notify the nurse manager about the issue. 
C)  Contact the pharmacy and discuss ways to eliminate the issue. 
D)  Document the identification of the issue in the medical record. Correct

Question 16

The director of nursing is reviewing the results of surveys conducted with discharged patients. One criterion, adequate preparation to care for self at home after discharge, has consistently received low marks. In which area would the nursing staff need to focus to improve this category of the survey?

Accepted Answer

A)  Knowledge integration skills 
B)  Management skills 
C)  Leadership skills 
D)  Teaching skills Correct

Exam 2: Quality and Safety Models