Question 1

The hospital administrator is determining the quality level of care provided to patients. Which quality indicator would be most applicable for the administrator to focus?
A) Caring nurses
B) No mistakes
C) Low staff turnover
D) No hospital-acquired infections Correct

Accepted Answer

A

Question 2

The director of nursing is considering using Amer's Hybrid Model of Change to improve the quality of patient care. When analyzing this model, what information will the director need to make an objective assessment of the current situation?
A) Number of nursing staff
B) Staffing budget
C) Current culture
D) Turn-over rates Correct

Accepted Answer

The current culture is crucial for understanding the existing environment and readiness for change, which is essential for implementing Amer's Hybrid Model of Change effectively.

Question 3

The nurse manager is aware of a safety issue that continues to occur on a patient care area. Which action would help to identify this safety issue before it adversely affects a patient?
A) Ask physicians to report the safety issue when identified.
B) Reprimand nurses who permit this safety issue to occur.
C) Write a memo to the staff about the safety issue.
D) Create a red-flag to be used for the safety issue. Correct

Accepted Answer

Creating a red-flag system can help identify the safety issue before it negatively impacts a patient. It allows for clear communication among the staff about the issue, and can prompt quick action to prevent harm. Asking physicians to report the issue may not ensure that it is caught early, while reprimanding nurses may create a negative work environment and not necessarily address the root cause of the problem. Writing a memo may provide information, but doesn't necessarily facilitate prompt action.

Question 4

After reading a journal article about a patient care approach, the nurse implemented the actions, which resulted in safe quality care. Which of Smith's levels of change did this nurse implement?
A) Effective
B) Efficient
C) Different
D) Copying Correct

Accepted Answer

The nurse implemented the actions based on an already established approach in the journal article, which falls into Smith's "Copying Correct" level of change. This level involves replicating successful practices from one setting to another.

Question 5

A Shared Governance committee is working on a project to improve the quality of patient care provided in a major city hospital. What would the committee use as the definition of quality?
A) Lack of errors
B) Lack of falls
C) No medication errors
D) Defined by the patient Correct

Accepted Answer

Quality should be defined by the patient as ultimately, it is the patient who is receiving the care and can provide the best insight into what aspects of care are important to them.

Question 6

A healthcare organization is striving to improve the quality of patient care; however, the medical director is opposed to making changes. What action could a nurse manager take to help improve quality on one patient care area?
A) Implement multidisciplinary meetings.
B) Encourage nursing staff to follow policies.
C) Remind care givers to thoroughly document.
D) Identify physician issues that are problematic. Correct

Accepted Answer

Implementing multidisciplinary meetings can foster collaboration among different healthcare professionals, leading to improved patient care quality by sharing insights, discussing patient cases, and developing comprehensive care plans together.

Question 7

The nurse manager is reviewing the incidence of hospital-acquired infections for a particular care area. Which single action would improve the incidence of infections in the hospital?
A) Frequent hand washing
B) Using paper towels
C) Using antibacterial soap
D) Wearing gloves Correct

Accepted Answer

Frequent hand washing is widely recognized as the most effective way to prevent the spread of infections in healthcare settings. It reduces the transmission of pathogens that can lead to hospital-acquired infections.

Question 8

The nursing staff on a patient care area is adamantly resisting changing a process that has resulted in multiple safety issues. What would be the nurse manager's first step to change this harmful patient care process?
A) Choose the solution.
B) Unfreeze the staff.
C) Do the right thing.
D) Do away with things. Correct

Accepted Answer

The nurse manager's first step should be to "unfreeze" the staff, meaning to create a sense of readiness for change by engaging in open communication, providing education and training, and addressing concerns or resistance. Only once the staff is willing to consider a change can the manager move forward with choosing a solution and implementing a new process.

Question 9

A preceptor is helping a new staff nurse improve communication with physician staff members. What approach would the preceptor use to help the nurse develop consistency and objectivity when communicating patient care issues with physicians?
A) COPA
B) SBAR
C) Evidence-based practice
D) Continuous quality improvement Correct

Accepted Answer

The preceptor would use the SBAR (Situation, Background, Assessment, Recommendation) approach to help the nurse communicate patient care issues with physicians in a consistent and objective manner. This approach helps ensure that all necessary and relevant information is shared with the physician in a clear and concise manner.

Question 10

The nurse manager is identifying ways to improve the safety of patient care with documentation. On which areas would the manager focus these efforts? Standard Text: Select all that apply.
A) Charting
B) Care plans
C) Report notes
D) Agency referrals
E) Procedure manuals Correct

Accepted Answer

The answer of The nurse manager is identifying ways to...

Question 11

The nurse identifies an issue with the labeling of a medication for a patient. What can the nurse do to prevent this situation from creating a medication error?
A) Write over the medication label.
B) Notify the nurse manager about the issue.
C) Contact the pharmacy and discuss ways to eliminate the issue.
D) Document the identification of the issue in the medical record. Correct

Accepted Answer

The nurse should contact the pharmacy to discuss and resolve the labeling issue, which directly addresses the problem and helps prevent a medication error.

Question 12

The nurse manager is planning to increase the nurse-patient ratio on a care area. How will this change in staffing improve the quality of patient care? Standard Text: Select all that apply.
A) Less use of restraints
B) Fewer pressure sores
C) Lower patient mortality rates
D) Less use of long-term catheters
E) Lower amounts of documentation Correct

Accepted Answer

Increasing the nurse-patient ratio on a care area can lead to improved quality of patient care by reducing the need for restraints, decreasing the occurrence of pressure sores, lowering patient mortality rates, and reducing the use of long-term catheters. However, it is unlikely to result in lower amounts of documentation as the increased workload may require more documentation to ensure accurate and thorough record-keeping.

Question 13

The nurse desires to improve caring and relationship skills when providing patient care. On what will this nurse focus? Standard Text: Select all that apply.
A) Patient advocacy
B) Decision making
C) Cultural respect
D) Morality
E) Ethics Correct

Accepted Answer

The answer of The nurse desires to improve caring and...

Question 14

The nurse manager wants to make a major change for a patient care area that will affect the nursing staff and physicians. If following Havelock's steps to make this change, in which order will the nurse manager proceed? (Place in order the steps that the nurse manager will take starting with the first to the last.) Standard Text: Click and drag the options below to move them up or down.Choice
A) Stabilize
B) Gain acceptance
C) Choose a solution
D) Acquire resources
E) Build a relationship
F) Diagnose a problem

Accepted Answer

1) Diagnose a problem: The first step is to identify the problem that needs to be addressed, and gather information to understand the need for change.

2) Acquire resources: The nurse manager needs to ensure that they have the necessary resources (staff, equipment, supplies, financial resources) to make the change, and determine how to obtain these resources.

3) Choose a solution: Once the problem has been identified and resources are in place, the nurse manager can begin brainstorming potential solutions and evaluating them.

4) Gain acceptance: It is important to involve and obtain support from key stakeholders, such as staff and physicians, to ensure a successful implementation. This step involves communication and building consensus.

5) Build a relationship: Establishing positive working relationships with stakeholders is important in ensuring ongoing support for the change.

6) Stabilize: Finally, the nurse manager needs to ensure that the change is integrated into the daily operations of the patient care area and evaluate its effectiveness over time.

Question 15

The director of nursing is reviewing the results of surveys conducted with discharged patients. One criterion, adequate preparation to care for self at home after discharge, has consistently received low marks. In which area would the nursing staff need to focus to improve this category of the survey?
A) Knowledge integration skills
B) Management skills
C) Leadership skills
D) Teaching skills Correct

Accepted Answer

The low marks in the criterion of adequate preparation to care for self at home after discharge suggest that the nursing staff needs to improve their teaching skills to better prepare patients for self-care at home.

Question 16

The hospital administration is meeting with nursing and medicine department heads to discuss the implementation of the Strategies and Tools to Enhance Performance and Patient Safety (STEPPS) program. What would be the goals for implementing this program? Standard Text: Select all that apply.
A) Improve the fragmentation of patient care.
B) Reduce multiple initiatives for the same patient.
C) Support the implementation of electronic health records.
D) Placing care providers at the heart of a safe work culture.
E) Emphasize the importance of nurses providing safe patient care. Correct

Accepted Answer

The answer of The hospital administration is meeting with nursing...

Quiz 2: Quality and Safety Models

The hospital administrator is determining the quality level of care provided to patients. Which quality indicator would be most applicable for the administrator to focus?

The director of nursing is considering using Amer's Hybrid Model of Change to improve the quality of patient care. When analyzing this model, what information will the director need to make an objective assessment of the current situation?

The nurse manager is aware of a safety issue that continues to occur on a patient care area. Which action would help to identify this safety issue before it adversely affects a patient?

After reading a journal article about a patient care approach, the nurse implemented the actions, which resulted in safe quality care. Which of Smith's levels of change did this nurse implement?

A Shared Governance committee is working on a project to improve the quality of patient care provided in a major city hospital. What would the committee use as the definition of quality?

A healthcare organization is striving to improve the quality of patient care; however, the medical director is opposed to making changes. What action could a nurse manager take to help improve quality on one patient care area?

The nurse manager is reviewing the incidence of hospital-acquired infections for a particular care area. Which single action would improve the incidence of infections in the hospital?

The nursing staff on a patient care area is adamantly resisting changing a process that has resulted in multiple safety issues. What would be the nurse manager's first step to change this harmful patient care process?

A preceptor is helping a new staff nurse improve communication with physician staff members. What approach would the preceptor use to help the nurse develop consistency and objectivity when communicating patient care issues with physicians?

The nurse manager is identifying ways to improve the safety of patient care with documentation. On which areas would the manager focus these efforts? Standard Text: Select all that apply.

The nurse identifies an issue with the labeling of a medication for a patient. What can the nurse do to prevent this situation from creating a medication error?

The nurse manager is planning to increase the nurse-patient ratio on a care area. How will this change in staffing improve the quality of patient care? Standard Text: Select all that apply.

The nurse desires to improve caring and relationship skills when providing patient care. On what will this nurse focus? Standard Text: Select all that apply.

The hospital administration is meeting with nursing and medicine department heads to discuss the implementation of the Strategies and Tools to Enhance Performance and Patient Safety (STEPPS) program. What would be the goals for implementing this program? Standard Text: Select all that apply.