Exam (elaborations)
YODER-WISE- MANAGING QUALITY AND RISK EXAM REVIEW QUESTIONS AND ANSWERS
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YODER-WISE- MANAGING QUALITY AND RISK EXAM REVIEW QUESTIONS AND ANSWERS
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YODER-WISE- MANAGING QUALITYAND RISK EXAM REVIEW QUESTIONS
AND ANSWERS
A new graduate is asked to serve on the hospital's quality improvement (QI) committee.
The nurse understands that the first step in quality improvement is to:
a.Collect data to determine whether standards are being met.
b.Implement a plan to correct the problem.
c.Identify the standard.
d.Determine whether the findings warrant correction. - Answer-C. Identify the standard
The chief executive officer asks the nurse manager of the telemetry unit to justify the
disproportionately high number of registered nurses on the telemetry unit. The nurse
manager explains that nursing research has validated which statement about a low
nurse-to-patient ratio? It:
a.Promotes teamwork among healthcare providers.
b.Increases adverse events.
c.Improves outcomes.
d.Contributes to duplication of services - Answer-c. Improves outcomes
A nurse manager wants to decrease the number of medication errors that occur in her
department. The manager arranges a meeting with the staff to discuss the issue. The
manager conveys a total quality management philosophy by:
a.Explaining to the staff that disciplinary action will be taken in cases of additional
errors.
b.Recommending that a multidisciplinary team should assess the root cause of errors in
medication.
c.Suggesting that the pharmacy department should explore its role in the problem.
d.Changing the unit policy to allow a certain number of medication errors per year
without penalty. - Answer-b. Recommending that a multidisciplinary team should assess
the root cause of errors in medication
The nurse educator of the pediatric unit determines that vital signs are frequently not
being documented when children return from surgery. According to quality improvement
(QI), to correct the problem, the educator, in consultation with the patient care manager,
would initially do which of the following?
a. Talk to the staff individually to determine why this is occurring.
b. Call a meeting of all staff to discuss this issue.
c. Have a group of staff nurses review the established standards of care for
postoperative patients.
d. Document which staff members are not recording vital signs, and write them up -
Answer-B. Call a meeting of all staff to discuss this issue
, A nurse is explaining the pediatric unit's quality improvement (QI) program to a newly
employed nurse. Which of the following would the nurse include as the primary purpose
of QI programs?
a. Evaluation of staff members' performances
b. Determination of the appropriateness of standards
c. Improvement in patient outcomes
d. Preparation for accreditation of the organization by the Joint Commission on
Accreditation of Healthcare Organizations (JCAHO) - Answer-C. Improvement in patient
outcomes
Before beginning a continuous quality improvement project, a nurse should determine
the minimal safety level of care by referring to the: - Answer-B. Nursing care standards
The nurse gives an inaccurate dose of medication to a patient. After assessment of the
patient, the nurse completes an incident report. The nurse notifies the nursing
supervisor of the medication error and calls the physician to report the occurrence. The
nurse who administered the inaccurate medication understands that:
a. The error will result in suspension.
b. An incident report is optional for an event that does not result in injury.
c. The error will be documented in her personnel file.
d. Risk management programs are not designed to assign blame. - Answer-D. Risk
management programs are not designed to assign blame
The nurse manager is concerned about the negative ratings her unit has received on
patient satisfaction surveys. The first step in addressing this issue from the point of view
of quality improvement is to:
a.Assemble a team.
b.Identify a clinical activity for review.
c.Establish a benchmark.
d.Establish outcomes - Answer-C. Identify a clinical activity for review
With the rise in workplace violence in the emergency department, the nurse manager
decides that she should work with the risk manager in violence prevention. The nurse
manager should:
a.Request all staff to accept new risk management practices.
b.Hold staff accountable for safe practices.
c.Document inappropriate behavior.
d.Hire more police security - Answer-B. Hold staff accountable for safe practices
A healthcare organization is committed to improving patient outcomes as part of the
quality improvement (QI) process and examines its executive structure and
organizational design. This approach recognizes which model of QI?
a.Donabedian
b.Benchmarking
c.Employee involvement and innovation
d. QSEN - Answer-Donabedian
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