Exam (elaborations)
QUALITY IMPROVEMENT AND PATIENT SAFETY CHAPTER 22 TEST QUESTIONS AND ANSWERS
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QUALITY IMPROVEMENT AND PATIENT SAFETY CHAPTER 22 TEST QUESTIONS AND ANSWERS...
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1. A nurse is preparing to administer medication by using the vastuslateralis site and is unfamiliar with the process. A step-by-step reference
that shows how to complete the process is called a:
a. deployment flowchart.
b. top-down flowchart.
c. Pareto chart.
d. control plot. - ANSWER B
A top-down flowchart shows the sequence of steps in a job or process
such as medication administration.
DIF: Comprehension REF: p. 379 |p. 388
2. A nonprofit organization that distributes to governmental agencies, the
public, businesses, and health care professionals knowledge related to
health care to improve health is the:
a. Institute for Safe Medication Practices.
b. Institute of Medicine.
c. National Committee for Quality Assurance.
d. The Joint Commission. - ANSWER B
The Institute of Medicine is a nonprofit organization whose mission is to
advance and disseminate to the government, the corporate sector, the
professions, and the public scientific information that will improve human
health.
DIF: Comprehension REF: pp. 379-380
3. A nurse is removing a saturated dressing from an abdominal incision
and must cut the tape to remove the dressing. The nurse accidentally
cuts the sutures holding the incision, and evisceration occurs. In quality
improvement, this incident is best identified as a:
a. root cause.
b. sentinel event.
, c. variation in performance.
d. causal factor. - ANSWER B
A sentinel event is an unexpected occurrence that could result in serious
physical or psychological injury to the patient, including the possibility of
returning to surgery and a prolonged length of stay.
DIF: Comprehension REF: p. 380
4. A nurse is assisting with the delivery of twins. The first infant is placed
on the scale to be weighed. The physician requests an instrument stat.
The nurse turns to hand the instrument to the physician, and the infant
falls off the scale. When evaluating the incident, the nurse and her
manager list contributory factors such as the need for two nurses when
multiple births are known, and the location of the scale so far from the
delivery field. These nurses are performing a(n):
a. standardization of care.
b. root cause analysis.
c. process variation.
d. analysis of a deployment flowchart. - ANSWER B
A root cause analysis is a process by which factors that underlie
variation in performance, including the occurrence or possible
occurrence of a sentinel event, are identified. The purpose of root cause
analysis is to identify improvements that can be implemented to prevent
future occurrences.
DIF: Application REF: p. 380
5. Each month data on admission assessments that are based on the
following standard are entered: "All patients will be assessed by an RN
within 2 hours of admission." The target goal for this standard is 97%
compliance. Data are displayed on a graph that shows number and time
of admission assessments and compliance variation limits. This pictorial
representation is:
a. Pareto chart.
b. control chart.
c. deployment chart.
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