NUR 4590 EXAM 2 FINAL PAPER 2026
QUESTIONS WITH FULL SOLUTION
◉ The degree to which health services for individuals and
populations increases the likelihood of desired health outcomes that
are consistent with current professional knowledge is known as the:
a. care delivery quotient.
b. excellence index.
c. quality of health care.
d. standard of care. Answer: c. quality of health care.
◉ A nursing quality improvement supervisor is proposing to
enhance the current quality improvement program. One of the most
important themes that a nursing quality improvement supervisor
should consider is:
a. budgetary considerations.
b. collaboration between health care teams.
c. regular staff training programs.
d. suggestions from patients.. Answer: b. collaboration between
health care teams.
,◉ To provide the best care to every patient every day through
integrated clinical practice, education, and research is an example of
a(n):
a. accountability agreement.
b. mission statement.
c. organizational standard.
d. vision and value proposal.. Answer: b. mission statement.
◉ Hospitals must submit specific quality performance data
regarding Medicare patients or risk:
a. an increase in federal tax.
b. decreased payments.
c. fewer physician referrals.
d. sanctions by The Joint Commission (TJC).. Answer: b. decreased
payments.
◉ Responding to a code called in the psychiatric unit where she
works, a staff nurse finds that a patient has committed suicide. The
staff nurse correctly identifies this as
a. a benchmark incident.
,b. quality improvement issue.
c. performance breach.
d. sentinel event. Answer: d. sentinel event
◉ Which comment by the nurse manager would indicate that the
hospital places a high value on patient safety?
a. We have safety posters throughout the hospital that encourage
people to report problems.
b. We have monthly safety in-services.
c. We encourage patients and families to participate in their care.
d. All employees are required to update their knowledge of safety
practices each year.. Answer: c. We encourage patients and families
to participate in their care.
◉ Which of the following responses from the nurse manager is
consistent with a culture that promotes patient safety?
a. We make sure that we don't have any errors on this unit.
b. We identify who made the error and take corrective action.
c. We provide remedial training for all staff on the unit when there is
an error.
, d. We report any medical error or near-miss to help us find the root
cause of the problem.. Answer: d. We report any medical error or
near-miss to help us find the root cause of the problem.
◉ Sentinel Event Alerts are published by TJC to do which of the
following?
a. Allow facilities to learn from sentinel events that have occurred in
other facilities and incorporate recommendations for prevention
into their policies.
b. Notify hospitals that if a sentinel event occurs during an alert, the
hospital will be subject to withdrawal of Medicare and Medicaid
certification and reimbursement.
c. Prevent a near-miss from occurring.
d. Assist hospitals to find national standardized performance.
Answer: a. Allow facilities to learn from sentinel events that have
occurred in other facilities and incorporate recommendations for
prevention into their policies.
◉ Mercy Hospital compares its surgical site infection rate to General
Heart Hospital, which is known as a best-in-class hospital for its
surgical site infection rates. Mercy Hospital studies General Heart
Hospital's methods for reducing surgical site infection rates and uses
that information to improve its own performance. This quality
performance method is called:
a. benchmarking.
QUESTIONS WITH FULL SOLUTION
◉ The degree to which health services for individuals and
populations increases the likelihood of desired health outcomes that
are consistent with current professional knowledge is known as the:
a. care delivery quotient.
b. excellence index.
c. quality of health care.
d. standard of care. Answer: c. quality of health care.
◉ A nursing quality improvement supervisor is proposing to
enhance the current quality improvement program. One of the most
important themes that a nursing quality improvement supervisor
should consider is:
a. budgetary considerations.
b. collaboration between health care teams.
c. regular staff training programs.
d. suggestions from patients.. Answer: b. collaboration between
health care teams.
,◉ To provide the best care to every patient every day through
integrated clinical practice, education, and research is an example of
a(n):
a. accountability agreement.
b. mission statement.
c. organizational standard.
d. vision and value proposal.. Answer: b. mission statement.
◉ Hospitals must submit specific quality performance data
regarding Medicare patients or risk:
a. an increase in federal tax.
b. decreased payments.
c. fewer physician referrals.
d. sanctions by The Joint Commission (TJC).. Answer: b. decreased
payments.
◉ Responding to a code called in the psychiatric unit where she
works, a staff nurse finds that a patient has committed suicide. The
staff nurse correctly identifies this as
a. a benchmark incident.
,b. quality improvement issue.
c. performance breach.
d. sentinel event. Answer: d. sentinel event
◉ Which comment by the nurse manager would indicate that the
hospital places a high value on patient safety?
a. We have safety posters throughout the hospital that encourage
people to report problems.
b. We have monthly safety in-services.
c. We encourage patients and families to participate in their care.
d. All employees are required to update their knowledge of safety
practices each year.. Answer: c. We encourage patients and families
to participate in their care.
◉ Which of the following responses from the nurse manager is
consistent with a culture that promotes patient safety?
a. We make sure that we don't have any errors on this unit.
b. We identify who made the error and take corrective action.
c. We provide remedial training for all staff on the unit when there is
an error.
, d. We report any medical error or near-miss to help us find the root
cause of the problem.. Answer: d. We report any medical error or
near-miss to help us find the root cause of the problem.
◉ Sentinel Event Alerts are published by TJC to do which of the
following?
a. Allow facilities to learn from sentinel events that have occurred in
other facilities and incorporate recommendations for prevention
into their policies.
b. Notify hospitals that if a sentinel event occurs during an alert, the
hospital will be subject to withdrawal of Medicare and Medicaid
certification and reimbursement.
c. Prevent a near-miss from occurring.
d. Assist hospitals to find national standardized performance.
Answer: a. Allow facilities to learn from sentinel events that have
occurred in other facilities and incorporate recommendations for
prevention into their policies.
◉ Mercy Hospital compares its surgical site infection rate to General
Heart Hospital, which is known as a best-in-class hospital for its
surgical site infection rates. Mercy Hospital studies General Heart
Hospital's methods for reducing surgical site infection rates and uses
that information to improve its own performance. This quality
performance method is called:
a. benchmarking.
