WGU C157 Practice Final Exam Questions and Answers, Latest Updated 2024/2025 | Scored A+

1. Quality Improvement assumes that...Problems with service delivery results from process difficulties, not individuals. 2. Quality in QI refers toCharacteristics of a product or service that bear on its ability to satisfy stated or implied needs 3. The major difference between traditional "quality assurance" activities (e.g., keeping track of the total number of different procedures conducted in your practice, rates of adverse outcomes) and "quality improvement" activities is that quality improvement also focuses onSystems and processes 4. Effective quality improvement does not requireAn increased emphasis on inspection of individuals work. 5. A leadership style that is said to motivate employees, and that optimizes the introduction of change isParticipatory - An approach where WGU C157 Practice Final Exam Questions and Answers, Latest Updated 2024/2025 | Scored A+ 2 / 31 leaders inter- act with other participants as peers, engaging them in the decisionmaking process and playing an equal role in the process as others and jointly carrying out the problem solving activities. 6. Which representatives of a CV practice should be included on a quality improvement team to implement a new practiceAll staff directly affected by the quality improvement practice to be implemented. 7. When is it appropriate to collect and use data1. Before the QI project, to prove a problem exists. 2. During the QI project, to answer questions about the cause and help prioritize the implementation of improvements. 3. After the implementation of the improvement to maintain the gain 8. Which of the following concerns would be best solved by a QI team? a. A computer systems issue with linking the clinical database to the hospital ADT system. b. A discipline issue with a problem employee. c. An individual customer complaint regarding lengthy wait time. d. A financial variance in cost per left heart cath procedure over the past 6 months.d. A financial variance in cost per left heart cath procedure over the past 6 months. 3 / 31 9. The first step in problem solving is toDefine the problem issue 10. After assessing current work flow and processes, a clinical team presumes that a delay can occur anywhere along the process of their tasks. Data is inadequate at this point to identify a particular time of day, day of 4 / 31 week, type of patient, and/or step in the process that is largely responsible for the delays. Further data collection is necessary. What should the team "product" be for the next meeting? a. A prioritization matrix. b. A finalized data collection tool and instruction sheet for implementation. c. A list of questions to be answered and a draft data collection tool. d. A listing of possible solutions.C. A list of questions to be answered and a draft data collection tool. 11. As a building block for determining whether or not quality has been improved, the use of basic descriptive statistics in applying QI is critical. Which of the following is not a strictly quantitative description of the basic features of a study? a. Mean data values. b. Frequency counts. c. Hospital ratings. d. Standard deviations.C. Hospital ratings 12. Of the following, two statistics are essential for identifying opportunities for performance improvement. These are a. Frequency counts and modes. b. Variance and distributions. c. Mean and median values. 5 / 31 d. Data ranges and standard deviationsB. Variance and distributions 13. Comparisons of your data against the top performers in your region/industry describe the process(es) ofExternal benchmarking 14. Benchmarking creates objective measures of performance that are based ona. Past performance targets within an organization. b. Performance of a competing external organization. c. Some external universal performance target established by the industry 15. Most helpful in identifying a problem in a process that could benefit from a quality improvement strategy.Flow Charts 16. A patient has a terminal illness. Against the family's wishes, the patient requests a "do not resuscitate" order. Which ethical principle supports the patient's decisionAutonomy 6 / 31 17. Which ethical conflict places the equitable access to health care against actions that produce the greatest goodJustice vs. Utilitarianism 18. Four strategies that promote staff empowerment1. adopting a shared vision 2. team building 3. relinquishing administrative control 4. rewarding performance that adheres to high standards. 19. The nurse executive is the chair of a new performance improvement team whose purpose is to address patient flow through the emergency department. A laboratory team member openly blames emergency department nurses for a long turnaround time in obtaining patient test results. To which phase of group development does the nurse executive attribute the blaming behavior? a. Forming b. Norming c. Performing d. StormingStorming 20. Storming—refers to the conflict-ridden stage of team development 21. Performing —team members begin to obtain results 22. Norming—team members begin to resolve differences 23. Forming—the team is brought together 24. The nurse executive develops a balanced scorecard for nursing practice by emphasizinginternal and external benchmarks 7 / 31 25. A nurse executive sponsors a multidisciplinary team that is charged with educating patients scheduled for total joint replacement surgery, about topics including what to expect after discharge. What is the nurse executive's response when encountering resistance from team members? a. Direct the mid-level managers to reemphasize the vision to their direct reports b. Encourage the first-level managers to reinforce the vision to the team members c. Gather together the various disciplines and listen to their concerns about the project d. Reeducate the team members about how their role affects the outcome of the teamc. Gather together the various disciplines and listen to their concerns about the project 8 / 31 26. The nurse executive receives notice that critical supplies have not arrived before a three-day holiday weekend. Due to a computer system error, "just-in-time" supplies were not queued for delivery. The nurse executive's next action is to a. conduct an internal audit of supplies, compared to patient usage and census, before requesting assistance from materials management. b. contact the materials manager to expedite the delivery of supplies before the end of the work day. c. direct the department managers to negotiate for needed supplies, and allocate resources according to department census. d. mobilize personnel to facilitate the purchase of needed supplies from the available vendorsb. contact the materials manager to expedite the delivery of supplies before the end of the work day. 27. What is the primary purpose of a policy, as opposed to a procedure? a. A policy is binding in all circumstances to which the policy relates. b. A policy is broad and durable, designating actions for matters that frequently recur.