Question 1

Which action by a group of nurses involves brainstorming?

Accepted Answer

A)  List one solution to the problem.
B)  Identify stakeholders.
C)  Think about solutions to the problem.
D)  Write the problem statement.
E)  Write a goal statement.F) None of the above
G) C) and E)

Question 2

Which of the following are considered core measure sets and monitored by The Joint Commission?

Accepted Answer

A)  Code rates
B)  Venous thromboembolism
C)  Pneumonia
D)  Nurse staffing and vacation patterns
E)  Congestive heart failureF) Numbers of hospital admissionsG) A) and B)
H) E) and F)

Question 3

The nurse manager has an adequate understanding of Six Sigma when making which of the following statements?

Accepted Answer

A)  "The primary goal of Six Sigma is to increase profits and reduce problems."
B)  "The primary goal of Six Sigma is to attract physicians to an organization."
C)  "The primary goal of Six Sigma is advertisement of the organization."
D)  "The primary goal of Six Sigma is to attract nursing to an organization."E) A) and C)
F) C) and D)

Question 4

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes.The manager judges the teaching to be effective when the new nurse states which of the following?

Accepted Answer

A)  "Expense is a primary barrier."
B)  "Resistance to change is a primary barrier."
C)  "One of the primary barriers is complacency with the status quo."
D)  "Not identifying the correct problem is a primary barrier."E) B) and D)
F) None of the above

Question 5

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN) ?

Accepted Answer

A)  "QSEN helps prepare future nurses for improving patient safety."
B)  "QSEN helps prepare future nurses for working mandatory overtime."
C)  "QSEN helps train nurses in the clinical setting."
D)  "QSEN provides nurses with strategies for passing the NCLEX exam."E) C) and D)
F) B) and D)

Question 6

A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:

Accepted Answer

A)  "Quality is the responsibility of everyone within an organization."
B)  "Quality is the responsibility of the quality control inspector."
C)  "Quality is the responsibility of the CEO of the organization."
D)  "Quality is the responsibility of the manager of the organization."E) A) and D)
F) B) and D) A

Question 7

Which actions would be occurring if a group of nurses were in the analyze phase of the DMAIC process?

Accepted Answer

A)  Identify gaps between current performance and the goal.
B)  Identify possible sources of variation.
C)  Determine the goal.
D)  Write the problem statement.
E)  Determine where to begin making a change.F) D) and E)
G) C) and D)

Question 8

A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality.Which action would the nurse take to achieve this?

Accepted Answer

A)  Take an exam.
B)  Complete a 6-week internship.
C)  Have at least a bachelor's degree.
D)  Have at least 1 year of experience in quality management.E) B) and C)
F) C) and D)

Question 9

The primary role of The Joint Commission (TJC) is

Accepted Answer

A)  granting magnet status to excellent hospitals.
B)  lobbying Congress on behalf of Medicare/Medicaid patients.
C)  ensuring that medical facilities meet patient safety guidelines.
D)  inspecting hospitals for compliance of infection control standards.E) A) and B)
F) A) and C)

Question 10

Which statements by the nurse indicate understanding of the control phase of the DMAIC process?

Accepted Answer

A)  "In the control phase,only the leader should be informed of changes."
B)  "Only those directly affected by the new process should be educated."
C)  "In the control phase,steps in the new process should be standardized."
D)  "Changes should be monitored to ensure compliance."
E)  "Standard operating procedures should be written."F) C) and D)
G) B) and E)

Question 11

A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?

Accepted Answer

A)  "The rapid cycle test is a technique that is widely used."
B)  "A root cause analysis is a process designed to investigate and categorize the root cause of the event."
C)  "A failure mode and effects analysis is a procedure to investigate the cause of the error."
D)  "Define,measure,analyze,improve,control prevents events from occurring."E) A) and C)
F) None of the above B

Question 12

A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include

Accepted Answer

A)  good communication.
B)  look-alike packaging.
C)  wrong-dose errors.
D)  inadequate monitoring.
E)  rule violations.F) A) and C)
G) A) and E)

Question 13

A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that,historically,quality improvement focused on

Accepted Answer

A)  "controlling process by inspection so that errors were prevented."
B)  "quality improvement did not begin until recently."
C)  "proactive approaches to lessen errors."
D)  "error prevention strategies."E) A) and C)
F) A) and D)

Question 14

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors.The teaching has been effective when the nurse states

Accepted Answer

A)  "Problems within the system contribute to medication errors."
B)  "Human factors contribute to medication errors."
C)  "Work-design problems contribute to medication errors."
D)  "Environmental factors contribute to medication errors."
E)  "The nurse alone contributes to medication errors."F) A) and E)
G) D) and E)

Question 15

A nurse is discussing the Pareto principle (80/20 rule) ,which leads to the idea of total quality management.Which person is given credit for this process in health care?

Accepted Answer

A)  Peter Pareto
B)  Joseph Juran
C)  Phillip Crosby
D)  Edward DemingE) A) and B)
F) None of the above

Question 16

A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC) process.Which action would the nurse take during the define phase?

Accepted Answer

A)  Identify the stakeholders.
B)  Agree on the key performance indicators.
C)  Identify gaps between performance and goals.
D)  Identify those responsible for data collection.E) None of the above
F) A) and C)

Question 17

The continuous quality improvement (CQI) committee has performed a retrospective chart audit to investigate whether outcomes recorded in each nursing care plan are patient centered and written in behavioral terms.The expected standard is 98% compliance.The sample size was 200.Results showed that 180 charts met the standard.What assessment can be made?

Accepted Answer

A)  The standard was met.No action plan is necessary.
B)  The standard was not met,but no action plan is necessary because the rate of compliance was close to the standard.
C)  The standard was not met.An action plan should be developed.
D)  The standard was not met.An immediate re-audit is necessary.E) A) and D)
F) None of the above C

Question 18

The nurse manager has an adequate understanding of root cause analysis when stating which of the following?

Accepted Answer

A)  "Root cause analysis determines who was most responsible for the error."
B)  "Root cause analysis can identify some factors leading up to an error."
C)  "Root cause analysis is rarely conducted effectively."
D)  "Root cause analysis investigates the root causes of events that occur."E) All of the above
F) A) and B)

Question 19

A nurse manager is brainstorming quality improvement methods.Which action would help implement these methods on the assigned unit?

Accepted Answer

A)  Inform staff of the changes to be made.
B)  Resist imposed change from upper management.
C)  Empower employees to carry out needed strategies for change.
D)  Agree to change what is directly beneficial.E) A) and D)
F) All of the above

Question 20

If the nurse had an adequate understanding of continuous quality improvement,which of the following statements would the nurse make?

Accepted Answer

A)  "The accountability for quality is vested in quality circles that function along service lines to improve patient care."
B)  "After quality standards are achieved,the nurse strives to maintain that standard of care."
C)  "Quality standards must incorporate the expectations of patients and their families."
D)  "Systems within the hospital must be reviewed to determine how care can be enhanced."
E)  "Reducing costs to provide for substantial pay increases for nursing staff is an example of continuous quality improvement."F) "Computerized electronic documentation systems that provide continuous assessment of patient charges are an example of continuous quality improvement."G) A) and E)
H) A) and D)

Exam 22: Quality Patient Care

Which action by a group of nurses involves brainstorming?

Correct Answer
verified

Which of the following are considered core measure sets and monitored by The Joint Commission?

Correct Answer
verified

The nurse manager has an adequate understanding of Six Sigma when making which of the following statements?

Correct Answer
verified

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes.The manager judges the teaching to be effective when the new nurse states which of the following?

Correct Answer
verified

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN) ?

Correct Answer
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A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:

Correct Answer
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A

Which actions would be occurring if a group of nurses were in the analyze phase of the DMAIC process?

Correct Answer
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A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality.Which action would the nurse take to achieve this?

Correct Answer
verified

The primary role of The Joint Commission (TJC) is

Correct Answer
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Which statements by the nurse indicate understanding of the control phase of the DMAIC process?

Correct Answer
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A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?

Correct Answer
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B

A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include

Correct Answer
verified

A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that,historically,quality improvement focused on

Correct Answer
verified

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors.The teaching has been effective when the nurse states

Correct Answer
verified

A nurse is discussing the Pareto principle (80/20 rule) ,which leads to the idea of total quality management.Which person is given credit for this process in health care?

Correct Answer
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A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC) process.Which action would the nurse take during the define phase?

Correct Answer
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Correct Answer
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C

The nurse manager has an adequate understanding of root cause analysis when stating which of the following?

Correct Answer
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A nurse manager is brainstorming quality improvement methods.Which action would help implement these methods on the assigned unit?

Correct Answer
verified

If the nurse had an adequate understanding of continuous quality improvement,which of the following statements would the nurse make?

Correct Answer
verified

Exam 22: Quality Patient Care

Which action by a group of nurses involves brainstorming?

Correct AnswerverifiedShow Answer

Which of the following are considered core measure sets and monitored by The Joint Commission?

Correct AnswerverifiedShow Answer

The nurse manager has an adequate understanding of Six Sigma when making which of the following statements?

Correct AnswerverifiedShow Answer

A nurse manager is providing education to a new nurse on barriers to the implementation of quality improvement processes.The manager judges the teaching to be effective when the new nurse states which of the following?

Correct AnswerverifiedShow Answer

Which of the following statements by the nurse indicates an understanding of Quality and Safety for Nurses (QSEN) ?

Correct AnswerverifiedShow Answer

A nurse is explaining to another nurse about the contributions of Edward Deming.The nurse judges that the explanation is effective when the nurse states:

Correct AnswerverifiedA

Which actions would be occurring if a group of nurses were in the analyze phase of the DMAIC process?

Correct AnswerverifiedShow Answer

A nurse is interested in becoming credentialed as a Certified Professional in Health Care Quality.Which action would the nurse take to achieve this?

Correct AnswerverifiedShow Answer

The primary role of The Joint Commission (TJC) is

Correct AnswerverifiedShow Answer

Which statements by the nurse indicate understanding of the control phase of the DMAIC process?

Correct AnswerverifiedShow Answer

A nurse is reviewing the technique used to identify the factors involved in an error.Which statement indicates the nurse has an adequate understanding?

Correct AnswerverifiedB

A nurse manager is educating a group of nurses on common medication errors.The manager judges the teaching to be effective when one of the nurses states that common medication errors include

Correct AnswerverifiedShow Answer

A nurse is educating students on the history of quality improvement.The teaching has been effective when one of the students states that,historically,quality improvement focused on

Correct AnswerverifiedShow Answer

A nurse is listening to a pharmacist lecture about factors that contribute to medication errors.The teaching has been effective when the nurse states

Correct AnswerverifiedShow Answer

A nurse is discussing the Pareto principle (80/20 rule) ,which leads to the idea of total quality management.Which person is given credit for this process in health care?

Correct AnswerverifiedShow Answer

A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC) process.Which action would the nurse take during the define phase?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedC

The nurse manager has an adequate understanding of root cause analysis when stating which of the following?

Correct AnswerverifiedShow Answer

A nurse manager is brainstorming quality improvement methods.Which action would help implement these methods on the assigned unit?

Correct AnswerverifiedShow Answer

If the nurse had an adequate understanding of continuous quality improvement,which of the following statements would the nurse make?

Correct AnswerverifiedShow Answer

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A

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B

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C

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