Leadership NUR 4590 Exam 2 Questions
With Complete Solutions
_____ is the conscientious, explicit, and judicious use of current
best evidence in making decisions about the care of individual
patients. Correct Answers Evidence-based practice
_____ was recognized by the American Nurses Association
(ANA) as a nursing specialty in 1992 and is one of the fastest
growing practice areas in health care.
a. Nurse anesthesia
b. Nursing informatics
c. Nurse-midwifery
d. Clinical nurse specialist Correct Answers b. Nursing
informatics
A clearly recognizable process of providing care that has an
evidence base demonstrating that it reduces the likelihood of
harm is:
a. risk adjustment.
b. a sentinel event.
c. a patient safety practice.
d. a performance measure. Correct Answers c. a patient safety
practice.
A framework for understanding health care improvement has
been proposed by the IOM Committee on Quality of Health
Care in America. The aims for health care quality improvement
,propose that health care systems ensure that care is: (Select all
that apply.)
a. safe.
b. timely.
c. efficient.
d. cost-controlled.
e. patient-centered. Correct Answers a. safe.
b. timely.
c. efficient.
e. patient-centered.
A Healthcare Failure Modes and Effects Analysis (HFMEA) for
a new bar-coding system is being conducted by an
interdisciplinary team. List the steps of the HFMEA in the
correct order.
a. Identifying prevention strategies
b. Endorsing action plans for implementation
c. Assessing risk points within the process steps
d. Flowcharting the steps of the process being studied
e. Designing out the most critical of the potential failures
f. Recommending process improvements for prevention of the
failures
g. Ranking key risk points in terms of their impact on the
potential failure of the system
h. Reporting action plans for implementing prevention strategies
to the enterprise leaders Correct Answers d. Flowcharting the
steps of the process being studied
c. Assessing risk points within the process steps
,g. Ranking key risk points in terms of their impact on the
potential failure of the system
e. Designing out the most critical of the potential failures
f. Recommending process improvements for prevention of the
failures
a. Identifying prevention strategies
h. Reporting action plans for implementing prevention strategies
to the enterprise leaders
b. Endorsing action plans for implementation
A nurse is documenting information in a computerized medical
record. Which of the following nursing actions may jeopardize
the confidentiality? Correct Answers Share password for
computer access w/ colleagues
A nurse is serving on a continuous quality improvement (CQI)
committee that has been assigned to develop a program to
reduce the number of medication administration errors following
a sentinel event at the facility. Which of the following strategies
should the committee plan to initiate first?
a.Review the events leading up to each medication
administration error.
b.Develop a quality improvement program for nurses involved
in medication administration errors.
c.Require staff nurses to demonstrate competency by passing a
medication administration examination.
d.Provide an inservice on medication administration to all the
nurses. Correct Answers a.Review the events leading up to
each medication administration error.
, A nurse manager is responsible for a unit consisting of 40 nurses
who report to two clinical supervisors. In addition, there are 10
support staff who report to an administrative supervisor. The
subordinates reporting to this manager are known as which
dimension of organizational design?
a.Division of labor
b.Hierarchy
c.Span of control
d.Decentralization Correct Answers c.Span of control
A nurse works in the critical care unit (CCU). She enjoys being
on the unit charge nurse team, the recruitment and retention
team, and the peer evaluation team. The recruitment and
retention team is responsible for hiring new employees into the
CCU. The five-member team, consisting of three registered
nurses (RNs), a unit clerk, and a nurse's aide, conduct the
interviewing process with key questions that were developed by
the team. This is an example of:
a. centralized power.
b. shared governance.
c. span of control.
d. vertical authority. Correct Answers b. shared governance.
A nursing quality improvement supervisor is proposing to
enhance the current quality improvement program. One of the
most important themes that a nursing quality improvement
supervisor should consider is:
a. budgetary considerations.
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