Exam (elaborations)
QUALITY IMPROVEMENT PEARSON EXAM QUESTIONS AND ANSWERS
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QUALITY IMPROVEMENT PEARSON EXAM QUESTIONS AND ANSWERS...
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The nurse on a medical-surgical unit is asked to participate in datacollection on skin care for the unit. What purpose will it serve for the
nurse to cooperate with this request?
A) Participate in the quality improvement process
B) Advance the nurse's practice
C) Prevent problems from arising in the unit
D) Fulfill legal requirements - ANSWER Answer: A
Explanation:
A) Quality improvement is the name for the processes used by an
agency to measure and improve aspects of client care. The nurse may
advance practice, but that is usually accomplished by returning to school
for a higher degree. Preventing problems from arising is only one benefit
of quality management. Nurses are encouraged to participate in quality
improvement programs but are not legally required to do so.
The quality assurance officer notes that one particular nursing unit has
received a higher-than-usual number of negative client responses about
aspects of nursing care during the previous quarter. To which
component of care should the quality assurance officer pay particular
attention when benchmarking this issue?
A) Structure
B) Process
C) Outcome
D) Competency - ANSWER Answer: B
Explanation:
B) Process evaluation focuses on how the care was given in regard to
relevance, appropriateness, completeness, and timeliness. Process
standards focus on the manner in which the nurse uses the nursing
process. Competency is not one of the components of quality assurance
evaluation. Structure evaluation focuses on the setting in which the care
, is given. Outcome evaluation focuses on demonstrable changes in the
client's health status as a result of nursing care.
The nurse manager is planning to implement the Lean Six Sigma system
on the care area to improve the quality of care. When following this
model, what should the manager implement?
A) Shortening break time
B) Ordering more supplies than needed on the unit to ensure they never
run out
C) Replacing a licensed staff member with unlicensed assistive
personnel
D) Decreasing staff when the census is low - ANSWER Answer: D
Explanation:
D) Lean Six Sigma focuses on eliminating waste and improving process
flow. When the census decreases, the nurse manager should also
decrease the number of staff. Replacing licensed staff members with
unlicensed assistive personnel may not be safe. The nurse manager
would cut back on ordering supplies that are not needed when following
this model. A shortened break time would not be considered as reducing
waste.
The nurse conducting nursing audits to help increase efficiency and
reduce costs wants to suggest a better contribution to quality care. What
should the nurse suggest be performed instead?
A) Conduct a wound care study to enhance client outcomes.
B) Install cameras to detect abuse of the clients.
C) Acquire new client care equipment.
D) Decrease staffing on the unit. - ANSWER Answer: A
Explanation:
A) The top goal of any quality improvement program is to improve client
outcomes of care. Increasing the RN staff, purchasing new equipment,
and installing cameras may be found to be means to reach that goal, but
studies must first be conducted to identify those means.
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