NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
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27- A performance improvement training program has been conducted. The healthcare quality
professional has determined that improvement has not occurred. The most likely cause for the
lack of improvement would be that
A.
organizational systems are inhibiting changes.
B.
employees practice what they are trained to do.
C.
staff members thought the program was too long.
D.
the facilitator did not prepare agenda materials. - CORRECT ANSWERS EXPLANATIONS:
A. The most common failure of training programs is system challenges within the organization.
There must be a culture that fosters safety as a priority for everyone within the organization.
B. Employees practicing what they are trained for would lead to improvement and is one of the
intended outcomes of a training program.
C. While the employees' perception about the program may be that it was too long, it would
not be the sole reason that improvement did not occur. This information could help to improve
future training programs within the organization.
D. The lack of agenda materials could have contributed to the lack of improvement, but would
not be the sole cause.
28- A facility has identified a trend of increased falls for patients aged 60 to 85 years. An
effective fall prevention program should include
A.
a fall protocol, restraint criteria, and a family sitter program.
B.
,NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
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WITH 100% ACCURATE DETAILED ANSWERS BEST GRADED A+
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restraint criteria, staff education, and a sedation protocol.
C.
a patient assessment process, a family sitter program, and a sedation protocol.
D.
a patient assessment process, a fall protocol, and staff education. - CORRECT ANSWERS
A. See explanation B.
B. According to the CMS Conditions of Participation for hospitals and long-term care, patients or
residents have the right to be free of restraints of any form (physical or drug) that are not
medically necessary. Restraints should only be used when other less restrictive forms of
management have failed and there is a need to ensure the safety or well-being of the
patient/resident. Restraints should not be used as part of a routine falls prevention program.
C. According to the CMS Conditions of Participation for hospitals and long-term care, patients or
residents have the right to be free of restraints of any form (physical or drug) that are not
medically necessary. Medications used to restrict the freedom of movement of a patient are
considered a restraint when not used as medically necessary for their condition. Therefore, any
sedation protocol used as part of the falls prevention program would be considered a restraint.
D. The proper steps to reducing patient falls include assessing the risk for fall regularly during a
patient stay, putting in place protocols to reduce falls based on the results of the assessment,
then conducting staff education to ensure these steps are implemented.
29- A Quality Council has chartered a performance improvement team to reduce medication
errors. The team has been meeting for several months and progress has been very slow. Which
of the following is the most important factor for the Quality Council to assess with the team
leader?
A.
composition of the team
B.
number of medication errors since team was chartered
,NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
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WITH 100% ACCURATE DETAILED ANSWERS BEST GRADED A+
FOR SUCCESS
C.
team members' ability to interpret graphs
D.
frequency of team meetings - CORRECT ANSWERS EXPLANATIONS:
A. The composition of the team is the most important factor and is often the main cause of
team failure. Having the right team in place is essential.
B. The number of medication errors is not relevant to the team's functionality.
C. Interpreting graphs is a skill the team needs, but it is not as important as having the right
team members.
D. The frequency of meetings may need to be examined, but is not the most important factor
30- A number of specialty and primary care clinicians have participated in several meetings to
develop clinical practice guidelines for the management of diabetes. The team leader has
moved the team through the actual guideline development, and is now concentrating on the
"evaluation of quality-of-care" phase. Which of the following sequences of steps should the
team consider in developing the evaluation phase?
A.
identify medical review criteria, identify sampling methods to be used, define objectives of the
performance review, pilot test
B.
develop data collection form, identify populations covered by the guideline, identify the data
sources, conduct the review
C.
define objectives of the performance review, identify populations covered by the guideline,
develop data collection form, pilot test
D.
, NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION
WITH 100% ACCURATE DETAILED ANSWERS BEST GRADED A+
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consider costs of the review, identify clinicians and sites of care, define objectives of the
performance review, devel - CORRECT ANSWERS EXPLANATIONS:
A. See explanation C.
B. See explanation C.
C. Objectives must be defined first.
D. See explanation C.
31- Evaluating medication administration to reduce medical errors is an example of
A.
quality management.
B.
utilization management.
C.
risk management.
D.
financial management. - CORRECT ANSWERS EXPLANATIONS:
A. Quality management involves the process of achieving organizational performance
improvement goals.
B. Utilization management relates to utilization of resources.
C. Improving patient safety, including error reduction, is the primary goal of risk management.
D. Financial management involves the process of achieving organizational financial goals.
32- The concept of "patient safety" applies most appropriately to
A.
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION
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27- A performance improvement training program has been conducted. The healthcare quality
professional has determined that improvement has not occurred. The most likely cause for the
lack of improvement would be that
A.
organizational systems are inhibiting changes.
B.
employees practice what they are trained to do.
C.
staff members thought the program was too long.
D.
the facilitator did not prepare agenda materials. - CORRECT ANSWERS EXPLANATIONS:
A. The most common failure of training programs is system challenges within the organization.
There must be a culture that fosters safety as a priority for everyone within the organization.
B. Employees practicing what they are trained for would lead to improvement and is one of the
intended outcomes of a training program.
C. While the employees' perception about the program may be that it was too long, it would
not be the sole reason that improvement did not occur. This information could help to improve
future training programs within the organization.
D. The lack of agenda materials could have contributed to the lack of improvement, but would
not be the sole cause.
28- A facility has identified a trend of increased falls for patients aged 60 to 85 years. An
effective fall prevention program should include
A.
a fall protocol, restraint criteria, and a family sitter program.
B.
,NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION
WITH 100% ACCURATE DETAILED ANSWERS BEST GRADED A+
FOR SUCCESS
restraint criteria, staff education, and a sedation protocol.
C.
a patient assessment process, a family sitter program, and a sedation protocol.
D.
a patient assessment process, a fall protocol, and staff education. - CORRECT ANSWERS
A. See explanation B.
B. According to the CMS Conditions of Participation for hospitals and long-term care, patients or
residents have the right to be free of restraints of any form (physical or drug) that are not
medically necessary. Restraints should only be used when other less restrictive forms of
management have failed and there is a need to ensure the safety or well-being of the
patient/resident. Restraints should not be used as part of a routine falls prevention program.
C. According to the CMS Conditions of Participation for hospitals and long-term care, patients or
residents have the right to be free of restraints of any form (physical or drug) that are not
medically necessary. Medications used to restrict the freedom of movement of a patient are
considered a restraint when not used as medically necessary for their condition. Therefore, any
sedation protocol used as part of the falls prevention program would be considered a restraint.
D. The proper steps to reducing patient falls include assessing the risk for fall regularly during a
patient stay, putting in place protocols to reduce falls based on the results of the assessment,
then conducting staff education to ensure these steps are implemented.
29- A Quality Council has chartered a performance improvement team to reduce medication
errors. The team has been meeting for several months and progress has been very slow. Which
of the following is the most important factor for the Quality Council to assess with the team
leader?
A.
composition of the team
B.
number of medication errors since team was chartered
,NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION
WITH 100% ACCURATE DETAILED ANSWERS BEST GRADED A+
FOR SUCCESS
C.
team members' ability to interpret graphs
D.
frequency of team meetings - CORRECT ANSWERS EXPLANATIONS:
A. The composition of the team is the most important factor and is often the main cause of
team failure. Having the right team in place is essential.
B. The number of medication errors is not relevant to the team's functionality.
C. Interpreting graphs is a skill the team needs, but it is not as important as having the right
team members.
D. The frequency of meetings may need to be examined, but is not the most important factor
30- A number of specialty and primary care clinicians have participated in several meetings to
develop clinical practice guidelines for the management of diabetes. The team leader has
moved the team through the actual guideline development, and is now concentrating on the
"evaluation of quality-of-care" phase. Which of the following sequences of steps should the
team consider in developing the evaluation phase?
A.
identify medical review criteria, identify sampling methods to be used, define objectives of the
performance review, pilot test
B.
develop data collection form, identify populations covered by the guideline, identify the data
sources, conduct the review
C.
define objectives of the performance review, identify populations covered by the guideline,
develop data collection form, pilot test
D.
, NAHQ PRACTICE CPHQ QUESTIONS AND ANSWERS LATEST
DOWNLOADED 2025/2026 A COMPLETE EXAM SOLUTION
WITH 100% ACCURATE DETAILED ANSWERS BEST GRADED A+
FOR SUCCESS
consider costs of the review, identify clinicians and sites of care, define objectives of the
performance review, devel - CORRECT ANSWERS EXPLANATIONS:
A. See explanation C.
B. See explanation C.
C. Objectives must be defined first.
D. See explanation C.
31- Evaluating medication administration to reduce medical errors is an example of
A.
quality management.
B.
utilization management.
C.
risk management.
D.
financial management. - CORRECT ANSWERS EXPLANATIONS:
A. Quality management involves the process of achieving organizational performance
improvement goals.
B. Utilization management relates to utilization of resources.
C. Improving patient safety, including error reduction, is the primary goal of risk management.
D. Financial management involves the process of achieving organizational financial goals.
32- The concept of "patient safety" applies most appropriately to
A.
