Deck 26: Quality Management

Question 1

Which of the following monitors access to care,the cost of care,and protects the Medicare Trust?

A) Professional Review Organizations (PROs)
B) Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
C) National Health Quality Improvement Act
D) Quality Improvement Organizations (QIOs)

Answer 1

Quality Improvement Organizations (QIOs)

Question 2

A nurse implements the Institute of Medicine's definition of quality health care when providing care.Which of the following describes this care?

A) Licensed-all health care workers must have a license
B) Safe-avoiding injuries to patients from the care intended to help them
C) Timely-no waiting or delay for health care
D) Innovative-new innovations must be used when they become available

Answer 2

Safe-avoiding injuries to patients from the care intended to help them

Question 3

A nurse assesses the necessity of receiving care before providing services.Which of the following describes what is being implemented?

A) Concurrent audit
B) Retrospective audit
C) Prospective utilization review
D) Retrospective utilization review

Answer 3

Prospective utilization review

Question 4

Which statement about the quality assurance process is accurate?

A) Processes are implemented to maintain quality.
B) Community needs are assessed while implementing quality programs.
C) Accountability of the provider is the primary concern.
D) Standards for care are established and evaluated.

Question 5

A nurse is using the specific approach to QI.Which of the following describes the action that would be taken by the nurse?

A) Evaluate an agency's ability to meet criteria or standards
B) Implement the plan-do-check-act cycle
C) Provide care to individual citizens
D) Use criteria set forth by regulatory agencies

Question 6

A nurse is given formal recognition as a professional with technical competence in a certain area of nursing practice.Which of the following terms describes what has happened?

A) Licensure
B) Accreditation
C) Recognition
D) Credentialing

Question 7

What is the purpose of the National Health Quality Report (NHQR)?

A) Report on the Agency for Health care Research and Quality's goals for the year
B) Describe the yearly activities of the agency
C) Ensure national quality of services
D) Document whether health care quality is stable, improving, or declining over time

Question 8

What is one performance area where quality improvement (QI)is used to affect process and outcomes of health care?

A) Provision of appropriate and effective care
B) Elimination of access barriers
C) Reduction of unjustified geographic variation in care
D) Application of managed care to all citizens

Question 9

A public health agency is transitioning from a traditional management model for quality assurance to a TQM approach.Which of the following changes will occur within the agency?

A) Increased administrative authority
B) Increased participation by all staff
C) Additional focus on quality assurance
D) Specialized accountability for services provided

Question 10

A student has obtained a Bachelor of Science in Nursing degree.Which of the following describes why the student must be licensed as a registered nurse before beginning practice?

A) To formally recognize the student as a competent professional
B) To define the scope of professional practice
C) To control the quality of professional practice
D) To establish standards for educational programs

Question 11

A staff development program is used to teach nurses and other providers about how to reduce risk by properly documenting interventions provided.Which of the following levels of prevention is being used?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quality care

Question 12

A nurse is using a concurrent audit to review documentation following home health visits.Which of the following statements describes why this type of audit is most appropriate in this situation?

A) It is less costly than a retrospective audit.
B) It represents the total picture of care that the client receives.
C) It provides more accurate data for planning corrective action.
D) It identifies problems at the time that care is given.

Question 13

A nurse is working with a team to learn more about what its most important accomplishments have been and to identify what changes are desired.Which of the following would be the method used to accomplish this task?

A) Compare job descriptions
B) Analyze mission and goals
C) Brainstorm
D) Develop charts and diagrams

Question 14

A nurse is implementing a voluntary approach to quality control within the organization.Which of the following describes what the nurse is implementing?

A) Accreditation
B) Licensure
C) Certification
D) Credentialing

Question 15

A PHN in the 1960s is measuring quality assurance.Which of the following resources would the nurse most likely have used?

A) American Nurses Association (ANA) Standards of Practice
B) JCAHO Nursing Audit Criteria
C) Community Health Nursing Practice Standards
D) Phaneuf nursing audit method

Question 16

An elderly female client was receiving home care after hospitalization for a cerebrovascular accident.After several weeks of physical and speech therapy,the client showed few signs of progress.The utilization review committee considered the client's condition to be stable and declined reimbursement for further home care.Which of the following describes the process that could be used by the client to reverse the decision?

A) Prospective utilization review
B) Retrospective utilization review
C) Concurrent utilization review
D) Medicare reversal process

Question 17

A public health nurse (PHN)is providing the core function of assurance to the community.Which of the following describes what the nurse is doing?

A) Providing the same services to all citizens
B) Maintaining quality in the public health workforce
C) Eliminating low-quality services
D) Contracting with outside agencies to evaluate effectiveness

Question 18

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.Which of the following statements describes what is occurring in this situation?

A) Treatment decisions are made conservatively.
B) Disability and mortality are being reduced.
C) Disparities in quality of care provided are increasing.
D) Unnecessary tests, surgeries, and treatments are being ordered.

Question 19

What is the purpose of implementing total quality management (TQM)?

A) Provide quality care within an organization
B) Provide cost-efficient care across all age groups
C) Provide necessary care to clients in a cost-effective system
D) Provide efficient systems of primary care

Question 20

A quality assurance manager does an audit and 6 months later returns to see if the problem has been eliminated.Which of the following describes this step?

A) It involves selecting explicit criteria for quality care.
B) It includes the review of records.
C) It requires a peer review of all cases that do not meet criteria.
D) It completes the audit process.

Question 21

A nurse is developing a QI program.Which of the following would be the most important aspect of the program that should be considered?

A) Vision and values of the agency
B) Standards used to provide care
C) Results of nursing care
D) Evaluation of process changes

Question 22

Which of the following statements about records is true? (Select all that apply.)

A) Records provide complete information about the client.
B) Records resolve legal issues in malpractice suits.
C) Records provide information for education and research.
D) Records allow anyone interested in a client's progress to view a chart.
E) Records allow for easy documentation of the client's assessment.

Question 23

A nurse is profiling the clients who are served by an agency as well as documenting services requested and provided.Which of the following describes the type of record that would be appropriate to use?

A) Clinical record
B) Provider service record
C) Financial record
D) Central index system

Question 24

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven.Which of the following types of records is being used?

A) Clinical record
B) Provider service record
C) Financial record
D) Central index system

Question 25

A nurse is using a clinical practice guideline.Which of the following describes the situations that the nurse may be facing? (Select all that apply.)

A) Recommending the administration of the influenza vaccination to a client
B) Creating agency policies and procedures
C) Developing a program targeting obesity prevention
D) Researching interventions that would improve care for a tuberculosis client
E) Documenting the assessment of a client with congestive heart failure

Question 26

A nurse is implementing plan-do-check-act.Which of the following actions is the nurse going to perform?

A) Documentation of client care
B) Obtain certification in a specialty area
C) Review data after changing practice
D) Provide equal access to care