Relias
R Healthcare Education & Competency Platform
EST. 2012
IMPROVING LIVES THROUGH BETTER KNOWLEDGE.
Relias Prophecy — Core Mandatory Part 2
PAT I E N T S A F E TY · E T H I CS · CO M M U N I C AT I O N · CU LT U RA L CO M P E T E N C E
INSTITUTION Relias COURSE Relias Prophecy Core Mandatory
Part 2
CATEGORY Healthcare Compliance & Patient TOTAL QUESTIONS 28 Questions
Safety
FORMAT Multiple Choice — Select the ACCREDITATION Joint Commission Standards
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each multiple-choice question.
▸ Content covers patient safety, sentinel events, Joint Commission standards, ethics, patient rights,
communication, cultural competence, and infection control.
▸ Correct answers and clinical rationales appear below each question for board review purposes.
▸ All data reflects current Joint Commission and CMS standards.
, CORE MANDATORY EXAMINATION Questions 1 – 28
1. What does a comprehensive systematic analysis following a sentinel event help identify?
A. The individual staff member who caused the event
B. The contributory factors associated with the event
C. The financial cost of the event to the hospital
D. The legal liability of the healthcare organization
CORRECT ANSWER B — The contributory factors associated with the event.
RATIONALE A Root Cause Analysis (RCA) — the comprehensive systematic analysis required by
The Joint Commission following a sentinel event — focuses on identifying
CONTRIBUTORY FACTORS and SYSTEM FAILURES, not individual blame. The
purpose is to understand what underlying processes, policies, environmental
conditions, and human factors contributed to the event, enabling the
organization to implement system-level improvements to prevent recurrence.
This "just culture" approach recognizes that errors are rarely the fault of a single
individual but rather result from multiple system vulnerabilities aligning. The goal
is learning and improvement, not punishment.
, 2. Which of the following is part of the integrated Ethics model?
A. Ethics only applies to research and clinical trials
B. Supports ethical behavior in everyday interactions in the workplace
C. Ethics is solely the responsibility of the ethics committee
D. Ethical decisions are only made by senior leadership
CORRECT ANSWER B — Supports ethical behavior in everyday interactions in the workplace.
RATIONALE The integrated Ethics model moves beyond the traditional "ethics committee"
approach to embed ethical principles into daily practice at all levels of the
organization. It supports ethical behavior in everyday workplace interactions —
how staff treat patients, families, and each other. The model includes three
domains: (1) Clinical ethics — addressing ethical issues in patient care. (2)
Organizational ethics — ensuring institutional policies and practices are ethically
sound. (3) Professional ethics — guiding individual conduct. Ethics is not confined
to dramatic dilemmas; it encompasses everyday decisions about respect,
honesty, confidentiality, and fairness. Every healthcare worker shares
responsibility for ethical behavior.