Deck 50: Quality Improvement

Question 1

While preparing a client for surgery,the nurse marks the arm that is to be amputated and participates in a "time out" procedure before the surgery begins.Which sentinel event is this action intended to prevent?

A)Ineffective control of the client's pain
B)The lack of healing of the stump
C)The client being mildly oversedated
D)The removal of the wrong arm

Answer 1

The removal of the wrong arm

Question 2

The nurse is working in a healthcare setting that has implemented Lean Six Sigma.Which of the following should the nurse anticipate with regard to this model?

A)Shorter breaks
B)Ordering extra supplies
C)Replacing licensed with unlicensed personnel
D)Decreasing staff when the census is low

Answer 2

Decreasing staff when the census is low

Question 3

Which of the following would be considered sentinel events? Select all that apply.

A)Delivery of radiation to the wrong body region
B)Invasive surgical procedure at the wrong site
C)Homicide of a staff member while at the facility
D)Homicide of a client while at the facility
E)Administration of a compatible blood transfusion

Answer 3

Delivery of radiation to the wrong body region
Invasive surgical procedure at the wrong site
Homicide of a staff member while at the facility
Homicide of a client while at the facility

Question 4

The nurse is participating in a quality improvement process related to improving care for clients at risk for skin breakdown.Which best describes the purpose of this process?

A)To improve client outcomes
B)To advance the nurse's career
C)To fulfill legal requirements
D)To maintain accreditation

Question 5

The quality assurance officer notes that one particular nursing unit has received a higher-than-usual number of negative client responses about aspects of the nursing care during the previous quarter.Based on this data,to which benchmarking issue should the quality assurance officer pay particular attention during the review process?

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

Question 6

A nurse is participating in an intradisciplinary assessment as part of a quality improvement process.Which of the following should the nurse anticipate will be included in this assessment? Select all that apply.

A)Utilization reviews
B)Peer review
C)Audits
D)Performance appraisals
E)Outcomes management

Question 7

The nurse is administering medications to a client.Which action is most likely to lead to an adverse event?

A)The nurse verifies tube placement prior to administering the medications.
B)The nurse checks for known allergies prior to administering the medications.
C)The nurse combines medications with the same active ingredient.
D)The nurse has a second nurse check the medication order.

Question 8

What major nursing concept has the strongest relationship to the identification of areas for quality improvement,such as tracking data on healthcare-associated infections?

A)Ethics
B)Safety
C)Informatics
D)Evidence-based practice

Question 9

Which best describes the desired outcome of decreased readmission rates?

A)An increased use of overtime
B)A decrease in client satisfaction
C)An increase in client care supplies
D)A decreased cost of care

Question 10

Which federal initiative contains the three broad aims of better care,healthy people/healthy communities,and affordable care?

A)National Database of Nursing Quality Indicators
B)Patient Safety and Quality: An Evidence-Based Handbook for Nurses
C)National Patient Safety Goals
D)National Quality Strategy

Question 11

Which statement regarding standards of care in the hospital setting is inaccurate?

A)"Standards of care are based on models of high-quality performance."
B)"Process standards focus on the steps used to lead to a particular outcome."
C)"Process standards focus on human resources,and general organizational structure."
D)"Outcome standards focus on the performance of a process."

Question 12

Which statement correctly describes quality management?

A)Quality management compares nursing processes to accepted standards to prevent errors in treatment.
B)Quality management refers to systematic actions that lead to improvements in healthcare services.
C)Quality management is the degree to which health services increase the likelihood of desired health outcomes.
D)Quality management provides clients with appropriate service in a technically competent manner.

Question 13

The nurse working in a blame-free environment provides medication to a client at the wrong time.No harm came to the client as a result of the nurse's error,and the nurse files a report about the medication error.Which action by the risk management team should the nurse anticipate?

A)Taking disciplinary action
B)Reporting to the board of nursing.
C)Monitoring all nurses on the unit.
D)Suggesting system changes to prevent future errors

Question 14

Which statements best describe how a quality improvement process can contain healthcare costs? Select all that apply.

A)"Promoting safety increases the cost of care."
B)"Medication errors decrease the cost of care."
C)"High nurse-to-client ratios result in decreased readmission rates."
D)"Increased nursing staff has been linked to decreased infection rates."
E)"Use of computers increases the number of lawsuits."

Question 15

The nurse is asked to participate in a record review to verify accuracy and proper use of certain interdisciplinary resources.Which best describes the nature of this process?

A)Peer review
B)Interdisciplinary audit
C)Utilization review
D)Benchmarking