The National Academy of Medicine

Which of the following are part of The National Academy of Medicine (NAM’s) definition of health care quality?

Question 1

a Patient-centered, competent, free of errors, evaluated, culturally sensitive, and accessible
b Safe, effective, patient-centered, timely, efficient, and equitable
c Cost effectiveness, timeliness, accessibility, economical, pain well controlled, and fair
d Protection against complications, equitable, patient centered, available, patient centered, and fair

Question 2


Can a Health Care Organization implement several CQI projects at one time?

Question 2 options:

a No; there should only ever be one at a time.
b Yes; there will occasionally be some overlap.
c Yes; it is necessary and they must be prioritized.
d Yes; often there will be two but never more than six.

Question 3


Due to its focus on accreditation and safety, which of the following organizations specifically requires CQI in its mission?

Question 3 options:

a The Joint Commission
b The Health Care Organization
c The Office of the Inspector General
d The Institute for Safe Medication Practices (ISMP)

Question 4 


In following a Continuous Quality Improvement approach, the nurse administrator would consider the following when a serious error has occurred

Question 4 options:

a an aggressive retraining program for the nurses
b system factors that predispose to errors
c terminating the nurse who made the error
d revising policy to ensure such an error never happens again

Question 5 


Focusing on the prevention of harm benefits the Health Care Organization by allowing it to:

Question 5 options:

a construct an in-depth review of the harm data to determine the root cause.
b identify limitations in medication systems and opportunities to learn.
c determine if one unit in particular is having more frequent errors than other units
d construct policies and procedures aimed at units identified as high-risk areas.

Question 6 


If a healthcare provider ordered a medication with an inappropriate administration method, what should the clinical decision support system do first?

Question 6 options:

a Send out a recall for the order to the pharmacy.
b Send a correction of the order to the pharmacist and order the pharmacist not to fill the order.
c Alert the nurses to not give the medication as ordered and give her the information on the correct administration method
d Block the order when the provider enters the order and if the warning is overridden, send out a warning alert to the providers device.

Question 7


Which of the following factors can contribute to health disparities?

Question 7 options:

a Unequal treatment of minorities and other groups against whom discrimination exists
b Genetic Differences creating differential risks
c Minorities don’t care as much about their health
d A and B only

Question 8


Which of the following graphs would best display changes over time?

Question 8 options:

a Radar graph
b Pie chart
c Line graph
d Histogram

Question 9 


Which of the following types of variation should the nurse focus attention on first for a quality improvement project

Question 9 options:

a Special Cause Variation
b Random Variation
c Common Cause Variation
d Stable Variation

Question 10 


Many HCOs now use electronic records, making data collection easier and more:

Question 10 options:

a interpretive.
b adjustable.
c accurate
d hackable.

Question 11 


If a nurse evaluating a quality indicator finds there is only common cause variation in a process, the nurse can conclude:

Question 11 options:

a The process is stable
b The process is unstable
c A new process is needed
d There is no need to try to improve the process

Question 12 


There are five rights of medication administration. What two additional rights have been suggested?

Question 12 options:

a Right patient room and right composition
b Right method and right physician
c Right education and right check for allergies
d Right reason and right documentation

Question 13 


If a pharmacist aid fails to check the newly ordered drug with the other meds the patient is taking, which of the following can we say is true?

Question 13 options:

a This won’t be a problem because the physician has already checked to make sure the drug won’t interact with the patient’s other meds
b Other parts of the system are changed because changing one part of a system is known to disturb the operation of the system as a whole
c Medication errors are the natural and inevitable consequence of the pharmacy aide’s failure to perform as expected
d There is no way to know what might happen as a result of this failure to perform.

Question 14


Which of the following were goals of the Affordable Care Act (Obama Care)?

Question 14 options:

a Improvement in access to health insurance for working class families
b Improvement in quality of care
c Expansion of Medicaid
d All of the above

Question 15 


What is at the core of healthcare delivery today and needs to be the core element of any QI program?

Question 15 options:

a Just culture
b Safe Staffing
c Patient-centered care
d Safety circles

Question 16 


Which of the following is a key nursing indicator of the need to invest in a quality improvement project?

Question 16 options:

a Low staffing levels
b An increase in patient complaints
c Chronic excess inventory of IV bags
d All of the above

Question 17


To practice safely, new NPs should primarily make use of which of the following to guide their practice?

Question 17 options:

a Research results published in the last five years in a peer reviewed medical journal article
b Information gained by reading a meta-analysis on the topic
c National guidelines published by professional or government organizations that have been drawn from reviews of the evidence
d Information obtained through pharmaceutical company vendors, lectures at national clinical conferences, and information in clinical journals

Question 18


Which of the following factors is an essential component of every quality improvement project, regardless of focus or methodology?

Question 18 options:

a statistical analysis
b measurement
c process analysis
d final report

Question 19 


Who typically develops the overall QI program plan and the operational plan?

Question 19 options:

a A core team of key players
b The team leader alone
c A QI team of internal experts
d An outside team of external experts

Question 20 


Which of the following areas of planning is most likely to lead to a project failure if not performed?

Question 20 options:

a Stakeholder analysis
b Gantt chart
c Dedicated team focused solely on the project
d Evaluation report


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