NURS 211 Leadership Quiz 3| Questions and Answers
Latest Updated (Graded A+)-West Coast University
Question 1
0..4 pts
The chief executive officer asks the nurse manager of the telemetry unit to justify the
disproportionately high number of registered nurses on the telemetry unit. The nurse
manager explains that nursing research has validated which statement about a low
nurse-to-patient ratio? The low ratio:
promotes teamwork among healthcare providers.
improves patient outcomes.
increases adverse events.
contributes to duplication of services.
Studies related to staffing and patient outcomes suggest that patient outcomes are
improved with a low nurse-to-patient ratio and especially with a low registered nurse-to-
patient ratio.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 2
0..4 pts
Before beginning a continuous quality improvement project, a nurse should determine
the minimal safety level of care by referring to the:
procedure manual.
job descriptions of the organization.
,litigation rate of unsafe practice.
nursing care standards.
Standards establish the minimal safety level of care. Procedure manuals provide
information about how standards are to be achieved.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 3
0..4 pts
As a nurse manager, you know that the satisfaction of patients is critical in making QI
decisions. You propose to circulate a questionnaire to discharged patients, asking about
their experiences on your unit. Your supervisor cautions you to also consider other
sources of data for decisions because:
hospital experiences are frequently obscured by pain, analgesics, and other factors
affecting awareness.
patients are rarely reliable sources about their own hospital experiences.
the return rate on patient questionnaires is frequently low.
patients are reliable sources about their own experiences but are limited in their ability to
gauge clinical competence of staff.
Patients are reliable and motivated sources of their own experience but often do not
have sufficient knowledge of clinical procedures to provide feedback about clinical
competence.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 4
0..4 pts
,The outcome statement “Patients will experience a ten percent reduction in urinary tract
infections as a result of enhanced staff training related to catheterization and prompted
voiding” is:
physician-sensitive and nonmeasurable.
measurable and nursing-sensitive.
precise, measurable, and physician-sensitive.
patient care–centered and nonmeasurable.
Nursing-sensitive outcomes refer to outcomes that are affected by nursing activity and
are precise, measurable, and patient-centered.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 5
0..4 pts
A new graduate is asked to serve on the hospital’s quality improvement (QI) committee.
The nurse understands that the first step in quality improvement is to:
collect data to determine whether standards are being met.
determine whether the findings warrant correction.
identify the standard.
implement a plan to correct the problem.
, Before further action (data collection, decision making related to correction, and
implementation of a plan) can occur, it is necessary to identify the standards against
which data collection and decision making will occur. Institutions may or may not adopt
standards that are already established by organizations such as the ANA.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 6
0..4 pts
Examples of sentinel events include: (Select all that apply.)
forceps left in an abdominal cavity.
administration of morphine overdose.
patient fall, with injury.
death of patient related to postpartum hemorrhage.
short staffing.
Sentinel events are serious, unexpected occurrences involving death or physical or
psychological harm.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 7
0..4 pts
A method commonly used in quality assurance to monitor adherence to established
standards is:
a Pareto chart.
Latest Updated (Graded A+)-West Coast University
Question 1
0..4 pts
The chief executive officer asks the nurse manager of the telemetry unit to justify the
disproportionately high number of registered nurses on the telemetry unit. The nurse
manager explains that nursing research has validated which statement about a low
nurse-to-patient ratio? The low ratio:
promotes teamwork among healthcare providers.
improves patient outcomes.
increases adverse events.
contributes to duplication of services.
Studies related to staffing and patient outcomes suggest that patient outcomes are
improved with a low nurse-to-patient ratio and especially with a low registered nurse-to-
patient ratio.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 2
0..4 pts
Before beginning a continuous quality improvement project, a nurse should determine
the minimal safety level of care by referring to the:
procedure manual.
job descriptions of the organization.
,litigation rate of unsafe practice.
nursing care standards.
Standards establish the minimal safety level of care. Procedure manuals provide
information about how standards are to be achieved.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 3
0..4 pts
As a nurse manager, you know that the satisfaction of patients is critical in making QI
decisions. You propose to circulate a questionnaire to discharged patients, asking about
their experiences on your unit. Your supervisor cautions you to also consider other
sources of data for decisions because:
hospital experiences are frequently obscured by pain, analgesics, and other factors
affecting awareness.
patients are rarely reliable sources about their own hospital experiences.
the return rate on patient questionnaires is frequently low.
patients are reliable sources about their own experiences but are limited in their ability to
gauge clinical competence of staff.
Patients are reliable and motivated sources of their own experience but often do not
have sufficient knowledge of clinical procedures to provide feedback about clinical
competence.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 4
0..4 pts
,The outcome statement “Patients will experience a ten percent reduction in urinary tract
infections as a result of enhanced staff training related to catheterization and prompted
voiding” is:
physician-sensitive and nonmeasurable.
measurable and nursing-sensitive.
precise, measurable, and physician-sensitive.
patient care–centered and nonmeasurable.
Nursing-sensitive outcomes refer to outcomes that are affected by nursing activity and
are precise, measurable, and patient-centered.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 5
0..4 pts
A new graduate is asked to serve on the hospital’s quality improvement (QI) committee.
The nurse understands that the first step in quality improvement is to:
collect data to determine whether standards are being met.
determine whether the findings warrant correction.
identify the standard.
implement a plan to correct the problem.
, Before further action (data collection, decision making related to correction, and
implementation of a plan) can occur, it is necessary to identify the standards against
which data collection and decision making will occur. Institutions may or may not adopt
standards that are already established by organizations such as the ANA.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 6
0..4 pts
Examples of sentinel events include: (Select all that apply.)
forceps left in an abdominal cavity.
administration of morphine overdose.
patient fall, with injury.
death of patient related to postpartum hemorrhage.
short staffing.
Sentinel events are serious, unexpected occurrences involving death or physical or
psychological harm.
TOP: AONE competency: Knowledge of the Health Care Environment
Question 7
0..4 pts
A method commonly used in quality assurance to monitor adherence to established
standards is:
a Pareto chart.
