C HAPTER 02: Q UALITY AND S AFETY
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. You notice that Sall y, a student on your unit, is giving information to an
anxious young teen who seems very uncertain about preparation for an
upper GI series. After Sall y leaves the room, you ask her what she thought
her conversation wi th the patient. What is the appropriate response for
you to give Sall y?
a. Encourage her to ask the patient if he has questions or concerns
about the procedure.
b. Advise her to consider providing the patient with more information.
c. Suggest that she leave some br ochures on the procedure with the
patient.
d. Suggest that she also provide teaching to the adolescent‘s parents.
ANS: A
The nurse can encourage patients to take a larger role in care by asking
questions and expressing concerns.
TOP: AONE competency: Commu nication and Relationship -
Building
2. The NQF provides a model for advancement of healthcare qualit y that
could be used in healthcare organizations. What does the use of this model
, by the Centers for Medicare and Medicaid Services specificity link with
adverse patient events for healthcare facilities?
a. Staffing
b. Funding
c. Composition of executive councils
d. Composition of consumer -based councils
ANS: B
The Centers for Medicare and Medicaid Services (CMS) have adopted a
policy based on the NQF ’s ―Never Events.” The CMS will no longer
pay for patient conditions or events that result from poor practice while
patients are under the care of a health professional.
TOP: AONE competency: Knowledge of the Health Care
Environment
3. Pleasant Valley Hospital has amended its s afet y practices and policies.
What has the hospital elected to emphasize accordance with changes by
The Joint Commission (TJC)?
a. Safet y goals specific to Pleasant Valley
b. Decision-making processes
c. Sufficient staffing for safe care
d. Increased numbers of baccal aureate-prepared RNs
ANS: A
When TJC, a not-for-profit organization that accredits healthcare
organizations, changed its focus from processes to outcomes, it
, emphasized patient safet y and issues setting -specific annual patient
safet y goals.
TOP: AONE competency: Knowledge of the Health Care
Environment
4. What would managers and staff review annuall y in order to ensure
compliance with The Joint Commission (TJC) to improve patient safet y?
a. Appropriateness of charting terms and abbreviations
b. Nursing hours per patient
c. Acuit y of patient admissions
d. Wait times for care
ANS: A
The Joint Commission issues setting -specific patient goals annuall y, as
well as a list of ―do -not-use‖ terms, abbreviations, and symbols and
sentinel events.
TOP: AONE competency: Knowledg e of the Health Care
Environment
5. How would a nurse manager and the staff prepare for re -designation as a
Magnet® Hospital?
a. Commit staff resources over a 6 -month period to updating procedure
manuals.
b. Educate staff through meetings and training sessions reg arding
appropriate answers to questions.
Yoder-Wise: Leading and Managing in Nursing, 8th Edition
MULTIPLE CHOICE
1. You notice that Sall y, a student on your unit, is giving information to an
anxious young teen who seems very uncertain about preparation for an
upper GI series. After Sall y leaves the room, you ask her what she thought
her conversation wi th the patient. What is the appropriate response for
you to give Sall y?
a. Encourage her to ask the patient if he has questions or concerns
about the procedure.
b. Advise her to consider providing the patient with more information.
c. Suggest that she leave some br ochures on the procedure with the
patient.
d. Suggest that she also provide teaching to the adolescent‘s parents.
ANS: A
The nurse can encourage patients to take a larger role in care by asking
questions and expressing concerns.
TOP: AONE competency: Commu nication and Relationship -
Building
2. The NQF provides a model for advancement of healthcare qualit y that
could be used in healthcare organizations. What does the use of this model
, by the Centers for Medicare and Medicaid Services specificity link with
adverse patient events for healthcare facilities?
a. Staffing
b. Funding
c. Composition of executive councils
d. Composition of consumer -based councils
ANS: B
The Centers for Medicare and Medicaid Services (CMS) have adopted a
policy based on the NQF ’s ―Never Events.” The CMS will no longer
pay for patient conditions or events that result from poor practice while
patients are under the care of a health professional.
TOP: AONE competency: Knowledge of the Health Care
Environment
3. Pleasant Valley Hospital has amended its s afet y practices and policies.
What has the hospital elected to emphasize accordance with changes by
The Joint Commission (TJC)?
a. Safet y goals specific to Pleasant Valley
b. Decision-making processes
c. Sufficient staffing for safe care
d. Increased numbers of baccal aureate-prepared RNs
ANS: A
When TJC, a not-for-profit organization that accredits healthcare
organizations, changed its focus from processes to outcomes, it
, emphasized patient safet y and issues setting -specific annual patient
safet y goals.
TOP: AONE competency: Knowledge of the Health Care
Environment
4. What would managers and staff review annuall y in order to ensure
compliance with The Joint Commission (TJC) to improve patient safet y?
a. Appropriateness of charting terms and abbreviations
b. Nursing hours per patient
c. Acuit y of patient admissions
d. Wait times for care
ANS: A
The Joint Commission issues setting -specific patient goals annuall y, as
well as a list of ―do -not-use‖ terms, abbreviations, and symbols and
sentinel events.
TOP: AONE competency: Knowledg e of the Health Care
Environment
5. How would a nurse manager and the staff prepare for re -designation as a
Magnet® Hospital?
a. Commit staff resources over a 6 -month period to updating procedure
manuals.
b. Educate staff through meetings and training sessions reg arding
appropriate answers to questions.
