Deck 1: Risk and Threats to Safe Quality Care in Hospital Settings

Question 1

The nurse manager is notified about an error that occurred in patient care. Why will the manager perform a root cause analysis of this error?

A) Identifies who made the error
B) Traces events that led to the error
C) Suggests punitive actions for the error
D) Ensures similar errors will not be reported Correct

Answer 1

Traces events that led to the error

Question 2

The organization administrator is analyzing demographics of patients admitted to the organization for care. What characteristic is consistently being seen amount newly admitted patients?

A) Poor health promotion behaviors
B) Compliance with medication regimens
C) Adherence to recommended diet
D) Successful smoking cessation Correct

Answer 2

Poor health promotion behaviors

Question 3

When reviewing interventions planned for a patient's care the nurse ensures that safety is addressed. What is a characteristic of a safe intervention?

A) Ensures that quality care will be provided
B) Little or no risk of harm to the patient
C) Results in improved outcomes
D) Leads to fewer errors Correct

Answer 3

Little or no risk of harm to the patient

Question 4

The nurse manager, reviewing the Institute of Medicine document Crossing the Quality Chasm, recognizes what as being the first component of quality?

A) Leadership
B) Efficiency
C) Equity
D) Safety Correct

Question 5

During a health history a patient discusses ongoing issues with maintaining a healthy weight. What is the significance of body weight in relation to health?

A) Determines the amount of healthcare resources to be used for care
B) Consistent predictor of long-term health and longevity
C) Identifies the cost for care the patient will need
D) Predicts the curability of a disease process Correct

Question 6

The nurse manager is reviewing a plan created to improve the quality of patient care. What would be included as the focus of this plan? Standard Text: Select all that apply.

A) Process
B) Structure
C) Outcome
D) Leadership
E) Team function Correct

Question 7

The nurse manager is planning to change the nurse-patient ratio on a care area. Which strategy would support an ideal work environment?

A) Reduce the overall number of registered nurses.
B) Reduce the overall number of ancillary staff.
C) Staff to 50% of the national standard for ratios.
D) Staff according to national standards Correct

Question 8

The staffing coordinator is determining which nursing staff to reassign to other care areas to supplement a staffing shortage. Which care area would maximize the skills of an adult critical care nurse while safely providing patient care?

A) Neonatal intensive care unit
B) Postanesthesia care unit
C) Skilled nursing unit
D) Rehabilitation unit Correct

Question 9

The health care organization is investigating ways to reduce the number of medication errors. Which action has been identified as a strategy to dramatically reduce medication errors?

A) Bar coding medication delivery
B) Locking medication carts when not in use
C) Restricting access to controlled substances
D) Sharing medication carts when preparing doses Correct

Question 10

The department of nursing is planning ways to create the ideal work environment for the staff. Which action would support this plan?

A) Pay for excellence
B) Mandatory overtime
C) Maximum 16-hour shifts
D) Floating to other care area Correct

Question 11

The nurse is reviewing the Robert Wood Johnson Foundation Initiative on the Future of Nursing to learn what needs to be done to ensure the delivery of safe, patient-centered care across all settings. On what would the nurse focus to achieve this level of quality care? Standard Text: Select all that apply.

A) Gain better collaborative partnerships with physicians
B) Obtain employment in a leadership position
C) Achieve a higher level of education
D) Master information infrastructure
E) Master workforce planning Correct

Question 12

The hospital administrator is reviewing the log of sentinel events prior to the next Joint Commission site survey. What is the purpose of tracking sentinel events in the organization?

A) Identifies staff members who are prone to making errors
B) Places red flags on problem situations
C) Identifies trends in potential errors
D) Tracks the outcomes of errors Correct

Question 13

The nurse manager is identifying methods to improve the quality of care for a patient care area. Which actions would help the nurse manager achieve this outcome? Standard Text: Select all that apply.

A) Awareness of safety issues
B) Study the processes of care
C) Focus on patient-centered care
D) Create a learning environment
E) Improve communication between patient and provider Correct

Question 14

The staff on a patient care area is conducting a root cause analysis to address why incorrect intravenous fluids are being administered to patients. In which order will this analysis be performed? (Place in order the steps from first to last.) Standard Text: Click and drag the options below to move them up or down.Choice

A) Ancillary information
B) Contributing factors
C) Lessons learned
D) Causal analysis
E) Discovery
F) The event

Question 15

The nurse is reviewing actions implemented to address quality of care issues. Which action is a direct response to the Institute of Medicine publications on quality patient care?

A) Implementing a protocol to screen for hospital acquired infections
B) Creating a new program within schools of nursing that focus on quality
C) Restricting nurses from designing and implementing quality care changes
D) Developing safety and quality care competencies by the American Nurses Association Correct

Question 16

An organization is planning strategies to ensure the safety of their patients while receiving care. Which strategies would be consistent with those of the Institute of Medicine to ensure a safe healthcare system? Standard Text: Select all that apply.

A) Have strong leaders
B) Master workforce planning
C) Support team collaboration
D) Conduct expert data collection
E) Support continuing education initiatives Correct