Cherry & Jacob 7e: Chapter 22 question
and answer
Chapter 22: Quality Improvement and Patient Safety
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition
MULTIPLE CHOICE - correct answer-
1. A nurse is preparing to administer a medication by using the vastus lateralis site and is
unfamiliar with the process. A step-by-step reference that shows how to complete the
process is called a:
a. deployment flowchart.
b. top-down flowchart.
c. Pareto chart.
d. control plot. - correct answer-ANS: B
A top-down flowchart shows the sequence of steps in a job or process such as medication
administration.
DIF: Comprehension REF: p. 379 |p. 388
2. A nonprofit organization that distributes to governmental agencies, the public, business,
and health care professionals knowledge related to health care for the purpose of improving
health is the:
a. Institute for Safe Medication Practices.
b. Institute of Medicine.
c. National Committee for Quality Assurance.
d. The Joint Commission. - correct answer-ANS: B
The Institute of Medicine is a nonprofit organization whose mission is to advance and
disseminate to the government, the corporate sector, the professions, and the public
scientific information that will improve human health.
DIF: Comprehension REF: pp. 379-380
3. A nurse is removing a saturated dressing from an abdominal incision and must cut the
tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision,
and evisceration occurs. In quality improvement, this incident is best identified as a:
a. root cause.
b. sentinel event.
c. variation in performance.
d. causal factor. - correct answer-ANS: B
A sentinel event is an unexpected occurrence that could result in serious physical or
psychological injury to the patient, including the possibility of returning to surgery and a
prolonged length of stay.
DIF: Comprehension REF: p. 380
, 4. A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be
weighed. The physician requests an instrument stat. The nurse turns to hand the instrument
to the physician, and the infant falls off the scale. When evaluating the incident, the nurse
and her manager list contributory factors such as the need for two nurses when multiple
births are known, and the location of the scale so far from the delivery field. These nurses
are performing a(n):
a. standardization of care.
b. root cause analysis.
c. process variation.
d. analysis of a deployment flowchart. - correct answer-ANS: B
A root cause analysis is a process by which factors that underlie variation in performance,
including the occurrence or possible occurrence of a sentinel event, are identified. The
purpose of root cause analysis is to identify improvements that can be implemented to
prevent future occurrences.
DIF: Application REF: p. 380
5. Each month data on admission assessments that are based on the following standard are
entered: "All patients will be assessed by an RN within 2 hours of admission." The target
goal for this standard is 97% compliance. Data are displayed on a graph that shows number
and time of admission assessments and compliance variation limits. This pictorial
representation is:
a. Pareto chart.
b. control chart.
c. deployment chart.
d. top-down flowchart. - correct answer-ANS: B
The control chart is a run chart that has a centerline and added statistical control limits that
help to detect specific types of change needed to improve a process.
DIF: Comprehension REF: p. 380
6. Regardless of the term used to describe high-quality health care, the focus of quality is:
a. what the consumer needs and wants.
b. economical care.
c. having the greatest technologic advancement.
d. services equally distributed among populations. - correct answer-ANS: A
The customer determines quality on the basis of his or her unique perception of high-quality
care.
DIF: Knowledge REF: p. 382
7. A team of experienced nurses work together to develop algorithms that are converted into
checklists to ensure standardization of commonly performed procedures. The focus of this
team is primarily on which Institute of Medicine (IOM) competency?
a. Safety
b. Timely
c. Equitable
and answer
Chapter 22: Quality Improvement and Patient Safety
Cherry & Jacob: Contemporary Nursing: Issues, Trends, and Management, 7th Edition
MULTIPLE CHOICE - correct answer-
1. A nurse is preparing to administer a medication by using the vastus lateralis site and is
unfamiliar with the process. A step-by-step reference that shows how to complete the
process is called a:
a. deployment flowchart.
b. top-down flowchart.
c. Pareto chart.
d. control plot. - correct answer-ANS: B
A top-down flowchart shows the sequence of steps in a job or process such as medication
administration.
DIF: Comprehension REF: p. 379 |p. 388
2. A nonprofit organization that distributes to governmental agencies, the public, business,
and health care professionals knowledge related to health care for the purpose of improving
health is the:
a. Institute for Safe Medication Practices.
b. Institute of Medicine.
c. National Committee for Quality Assurance.
d. The Joint Commission. - correct answer-ANS: B
The Institute of Medicine is a nonprofit organization whose mission is to advance and
disseminate to the government, the corporate sector, the professions, and the public
scientific information that will improve human health.
DIF: Comprehension REF: pp. 379-380
3. A nurse is removing a saturated dressing from an abdominal incision and must cut the
tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision,
and evisceration occurs. In quality improvement, this incident is best identified as a:
a. root cause.
b. sentinel event.
c. variation in performance.
d. causal factor. - correct answer-ANS: B
A sentinel event is an unexpected occurrence that could result in serious physical or
psychological injury to the patient, including the possibility of returning to surgery and a
prolonged length of stay.
DIF: Comprehension REF: p. 380
, 4. A nurse is assisting with the delivery of twins. The first infant is placed on the scale to be
weighed. The physician requests an instrument stat. The nurse turns to hand the instrument
to the physician, and the infant falls off the scale. When evaluating the incident, the nurse
and her manager list contributory factors such as the need for two nurses when multiple
births are known, and the location of the scale so far from the delivery field. These nurses
are performing a(n):
a. standardization of care.
b. root cause analysis.
c. process variation.
d. analysis of a deployment flowchart. - correct answer-ANS: B
A root cause analysis is a process by which factors that underlie variation in performance,
including the occurrence or possible occurrence of a sentinel event, are identified. The
purpose of root cause analysis is to identify improvements that can be implemented to
prevent future occurrences.
DIF: Application REF: p. 380
5. Each month data on admission assessments that are based on the following standard are
entered: "All patients will be assessed by an RN within 2 hours of admission." The target
goal for this standard is 97% compliance. Data are displayed on a graph that shows number
and time of admission assessments and compliance variation limits. This pictorial
representation is:
a. Pareto chart.
b. control chart.
c. deployment chart.
d. top-down flowchart. - correct answer-ANS: B
The control chart is a run chart that has a centerline and added statistical control limits that
help to detect specific types of change needed to improve a process.
DIF: Comprehension REF: p. 380
6. Regardless of the term used to describe high-quality health care, the focus of quality is:
a. what the consumer needs and wants.
b. economical care.
c. having the greatest technologic advancement.
d. services equally distributed among populations. - correct answer-ANS: A
The customer determines quality on the basis of his or her unique perception of high-quality
care.
DIF: Knowledge REF: p. 382
7. A team of experienced nurses work together to develop algorithms that are converted into
checklists to ensure standardization of commonly performed procedures. The focus of this
team is primarily on which Institute of Medicine (IOM) competency?
a. Safety
b. Timely
c. Equitable
