ESTUDYR
Prophecy Assessments — Core Mandatory Part II: Complete Exam
Review & Answer Key
A comprehensive systematic analysis following a sentinel event helps identify:
A. The single person responsible for the event
B. The most profitable corrective action
C. The contributory factors associated with the event
D. Only technical failures
Answer: C. The contributory factors associated with the event
Rationale: Root-cause and sentinel event analyses seek underlying contributory factors
(systems, processes, human, environment), not solely blame.
Which of the following is part of an integrated ethics model that supports ethical behavior in
everyday workplace interactions?
A. Secret disciplinary actions against staff
B. Removing ethical decision-making from managers
C. Promoting punitive responses only
D. Creating processes that support ethical behavior in everyday interactions
Answer: D. Creating processes that support ethical behavior in everyday interactions
Rationale: Integrated ethics models embed values into routine policies, training, and leadership
to encourage ethical practice.
Which of the following is an example of a patient right?
A. Being forced to take experimental treatment
B. No access to medical records
C. The right to refuse an experimental drug
D. Mandatory publication of their medical condition
Answer: C. The right to refuse an experimental drug
Rationale: Patients have rights to informed consent and to refuse treatments, including
experimental therapies.
Acceptable patient identifiers include:
A. Room number and color of clothing
B. Full name and date of birth
C. Social media handle only
D. Physician’s name only
Answer: B. Full name and date of birth
Rationale: Use at least two reliable identifiers (e.g., name + DOB) to ensure accurate patient
identification.
Which practice is a good example of actively listening to patients?
A. Interrupting to give instructions
B. Rushing through questions
C. Showing genuine interest in the patient’s replies
D. Avoiding eye contact to be polite
Answer: C. Showing genuine interest in the patient’s replies
, ESTUDYR
Rationale: Demonstrating sincere interest builds trust and improves information gathering and
care.
The primary intention of the Universal Protocol is to:
A. Speed up patient throughput
B. Reduce documentation time
C. Prevent wrong-site, wrong-procedure, and wrong-person surgery
D. Replace informed consent processes
Answer: C. Prevent wrong-site, wrong-procedure, and wrong-person surgery
Rationale: The Universal Protocol (time-out, marking procedure site, verification) prevents
surgical errors.
A central goal of end-of-life care planning is to:
A. Ensure hospital profit margins increase
B. Keep family members uninformed
C. Standardize care regardless of patient wishes
D. Ensure decisions are consistent with the values and desires of the patient
Answer: D. Ensure decisions are consistent with the values and desires of the patient
Rationale: Patient-centered goals prioritize values, preferences, and dignity in end-of-life
decisions.
Which practice improves the effectiveness of communication for critical lab/diagnostic
procedures?
A. Reporting only urgent items by phone
B. Waiting 48 hours before escalation
C. Sending results without follow-up
D. Reporting critical test results in a timely manner according to policy
Answer: D. Reporting critical test results in a timely manner according to policy
Rationale: Timely reporting and confirmation of critical results reduces harm and speeds clinical
response.
Which therapy poses particular risk due to complex dosing and monitoring requirements?
A. Short-term vitamin therapy
B. Topical emollients only
C. Oral multivitamin therapy
D. Anticoagulation therapy
Answer: D. Anticoagulation therapy
Rationale: Anticoagulants require precise dosing and monitoring (INR, labs) and have narrow
therapeutic windows.
An essential component of cultural competence for healthcare workers (per The Joint
Commission) is:
A. Assuming all patients think the same
B. Ignoring cultural needs for efficiency
C. Refusing interpreters for speed
D. Valuing diversity
Answer: D. Valuing diversity
Rationale: Cultural competence begins with recognizing and valuing diverse backgrounds,
beliefs, and needs.
Prophecy Assessments — Core Mandatory Part II: Complete Exam
Review & Answer Key
A comprehensive systematic analysis following a sentinel event helps identify:
A. The single person responsible for the event
B. The most profitable corrective action
C. The contributory factors associated with the event
D. Only technical failures
Answer: C. The contributory factors associated with the event
Rationale: Root-cause and sentinel event analyses seek underlying contributory factors
(systems, processes, human, environment), not solely blame.
Which of the following is part of an integrated ethics model that supports ethical behavior in
everyday workplace interactions?
A. Secret disciplinary actions against staff
B. Removing ethical decision-making from managers
C. Promoting punitive responses only
D. Creating processes that support ethical behavior in everyday interactions
Answer: D. Creating processes that support ethical behavior in everyday interactions
Rationale: Integrated ethics models embed values into routine policies, training, and leadership
to encourage ethical practice.
Which of the following is an example of a patient right?
A. Being forced to take experimental treatment
B. No access to medical records
C. The right to refuse an experimental drug
D. Mandatory publication of their medical condition
Answer: C. The right to refuse an experimental drug
Rationale: Patients have rights to informed consent and to refuse treatments, including
experimental therapies.
Acceptable patient identifiers include:
A. Room number and color of clothing
B. Full name and date of birth
C. Social media handle only
D. Physician’s name only
Answer: B. Full name and date of birth
Rationale: Use at least two reliable identifiers (e.g., name + DOB) to ensure accurate patient
identification.
Which practice is a good example of actively listening to patients?
A. Interrupting to give instructions
B. Rushing through questions
C. Showing genuine interest in the patient’s replies
D. Avoiding eye contact to be polite
Answer: C. Showing genuine interest in the patient’s replies
, ESTUDYR
Rationale: Demonstrating sincere interest builds trust and improves information gathering and
care.
The primary intention of the Universal Protocol is to:
A. Speed up patient throughput
B. Reduce documentation time
C. Prevent wrong-site, wrong-procedure, and wrong-person surgery
D. Replace informed consent processes
Answer: C. Prevent wrong-site, wrong-procedure, and wrong-person surgery
Rationale: The Universal Protocol (time-out, marking procedure site, verification) prevents
surgical errors.
A central goal of end-of-life care planning is to:
A. Ensure hospital profit margins increase
B. Keep family members uninformed
C. Standardize care regardless of patient wishes
D. Ensure decisions are consistent with the values and desires of the patient
Answer: D. Ensure decisions are consistent with the values and desires of the patient
Rationale: Patient-centered goals prioritize values, preferences, and dignity in end-of-life
decisions.
Which practice improves the effectiveness of communication for critical lab/diagnostic
procedures?
A. Reporting only urgent items by phone
B. Waiting 48 hours before escalation
C. Sending results without follow-up
D. Reporting critical test results in a timely manner according to policy
Answer: D. Reporting critical test results in a timely manner according to policy
Rationale: Timely reporting and confirmation of critical results reduces harm and speeds clinical
response.
Which therapy poses particular risk due to complex dosing and monitoring requirements?
A. Short-term vitamin therapy
B. Topical emollients only
C. Oral multivitamin therapy
D. Anticoagulation therapy
Answer: D. Anticoagulation therapy
Rationale: Anticoagulants require precise dosing and monitoring (INR, labs) and have narrow
therapeutic windows.
An essential component of cultural competence for healthcare workers (per The Joint
Commission) is:
A. Assuming all patients think the same
B. Ignoring cultural needs for efficiency
C. Refusing interpreters for speed
D. Valuing diversity
Answer: D. Valuing diversity
Rationale: Cultural competence begins with recognizing and valuing diverse backgrounds,
beliefs, and needs.
