Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
Chapter 05: Healthcare Regulatory and Certifying Agencies
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
Q&A
MULTIPLE CHOICE
1. The Joint Commission (TJC) is a voluntary accrediting agency that is nationally recognized
for its performance standards. A hospital accredited by the agency will most likely experience
which outcome?
a. Improved patient outcomes
b. Dedicated staff
c. Higher salaries
d. Loss of practicing physicians
ANS: A
Adherence to the performance standards set by TJC should lead to better patient outcomes.
Options B and C may result from accreditation but there are no data to support this. Option D
is incorrect because accreditation should have the opposite effect.
DIF: Cognitive Level: Application REF: page 58
2. In which situation should the SBAR (Situation-Background-Assessment-Recommendation)
tool most appropriately be used?
a. To reduce the risk of nosocomial infections
b. To improve response to changes in patient condition
c. In hand-off communication
d. For accuracy of patient identification
NURSINGTB.COM
ANS: C
SBAR is supported by TJC as a tool to improve communication between care givers. The
other options are goals of TJC but is not related to the use of SBAR.
DIF: Cognitive Level: Application REF: page 91
3. Federal and state departments of health regulatory agencies have been established to ensure
optimal standards and delivery of care. Which action is the jurisdiction of these agencies?
a. Investigation of medication errors
b. Investigation of patient- or family-reported complaints
c. Investigation of patient falls
d. Investigation of staffing shortages
ANS: B
These agencies investigate and make judgments on complaints brought by consumers of the
services and the public. The other actions would be investigated internally.
DIF: Cognitive Level: Application REF: page 57
4. The state regulatory agency may impose a fine on a hospital for which patient safety
infraction?
a. Inconsistent adherence to isolation protocol
b. Medication administration error resulting in no harm to the patient
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, Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
c. Wrong patient sent for chest radiograph
d. Repetitive staffing shortage due to staff discontent
ANS: A
Hospitals may be cited and fined by the state regulatory agency because of nonadherence to
isolation protocol. The other infractions would be managed internally.
DIF: Cognitive Level: Analysis REF: page 57
5. The state regulatory agency may impose a fine on a hospital for which patient safety
infraction?
a. A UAP ambulating a patient
b. A UAP checking a blood glucose level
c. Allowing only RN staff in the medication room
d. Leaving the medication room unlocked
ANS: D
The door to the medication room must be locked at all times to prevent unapproved people
from accessing medications, syringes, needles, etc. Options A and B are not regulated by state
regulatory agencies. Option C is incorrect because other employees may need access for
various reasons.
DIF: Cognitive Level: Analysis REF: page 60
6. The state regulatory agency may impose a fine on a hospital for which patient safety
infraction?
a. Not reporting a patient’s change in condition
b. Physical abuse to patient N
URSINGTB.COM
by staff
c. Not documenting pain management
d. Not feeding a confused patient
ANS: B
Physical abuse of a patient would be investigated by a state regulatory agency. The other
infractions do not require state investigation.
DIF: Cognitive Level: Analysis REF: page 62
7. The National League of Nursing Accrediting Committee (NLNAC) is an example of an
accrediting body for nursing programs. Besides the nursing school, for what other agencies
are they responsible to ensure compliance to their standards?
a. Hospitals where students provide care to patients
b. Medical schools
c. Nursing homes in the area
d. Other similar hospital settings
ANS: A
Hospitals must be in compliance with the standards of the regulating bodies for nursing school
programs and will receive a visit when the schools that use those facilities are being
accredited. The others are sites that are not visited during the accreditation of nursing schools.
DIF: Cognitive Level: Application REF: pages 57-58
This study source was downloaded by 100000832361371 from CourseHero.com on 04-12-2022 23:51:09 GMT -05:00
https://www.coursehero.com/file/53644858/05pdf/ NURSINGTB.COM
Chapter 05: Healthcare Regulatory and Certifying Agencies
Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition
Q&A
MULTIPLE CHOICE
1. The Joint Commission (TJC) is a voluntary accrediting agency that is nationally recognized
for its performance standards. A hospital accredited by the agency will most likely experience
which outcome?
a. Improved patient outcomes
b. Dedicated staff
c. Higher salaries
d. Loss of practicing physicians
ANS: A
Adherence to the performance standards set by TJC should lead to better patient outcomes.
Options B and C may result from accreditation but there are no data to support this. Option D
is incorrect because accreditation should have the opposite effect.
DIF: Cognitive Level: Application REF: page 58
2. In which situation should the SBAR (Situation-Background-Assessment-Recommendation)
tool most appropriately be used?
a. To reduce the risk of nosocomial infections
b. To improve response to changes in patient condition
c. In hand-off communication
d. For accuracy of patient identification
NURSINGTB.COM
ANS: C
SBAR is supported by TJC as a tool to improve communication between care givers. The
other options are goals of TJC but is not related to the use of SBAR.
DIF: Cognitive Level: Application REF: page 91
3. Federal and state departments of health regulatory agencies have been established to ensure
optimal standards and delivery of care. Which action is the jurisdiction of these agencies?
a. Investigation of medication errors
b. Investigation of patient- or family-reported complaints
c. Investigation of patient falls
d. Investigation of staffing shortages
ANS: B
These agencies investigate and make judgments on complaints brought by consumers of the
services and the public. The other actions would be investigated internally.
DIF: Cognitive Level: Application REF: page 57
4. The state regulatory agency may impose a fine on a hospital for which patient safety
infraction?
a. Inconsistent adherence to isolation protocol
b. Medication administration error resulting in no harm to the patient
This study source was downloaded by 100000832361371 from CourseHero.com on 04-12-2022 23:51:09 GMT -05:00
https://www.coursehero.com/file/53644858/05pdf/ NURSINGTB.COM
, Nursing Delegation and Management of Patient Care 2nd Edition Motacki Test Bank
c. Wrong patient sent for chest radiograph
d. Repetitive staffing shortage due to staff discontent
ANS: A
Hospitals may be cited and fined by the state regulatory agency because of nonadherence to
isolation protocol. The other infractions would be managed internally.
DIF: Cognitive Level: Analysis REF: page 57
5. The state regulatory agency may impose a fine on a hospital for which patient safety
infraction?
a. A UAP ambulating a patient
b. A UAP checking a blood glucose level
c. Allowing only RN staff in the medication room
d. Leaving the medication room unlocked
ANS: D
The door to the medication room must be locked at all times to prevent unapproved people
from accessing medications, syringes, needles, etc. Options A and B are not regulated by state
regulatory agencies. Option C is incorrect because other employees may need access for
various reasons.
DIF: Cognitive Level: Analysis REF: page 60
6. The state regulatory agency may impose a fine on a hospital for which patient safety
infraction?
a. Not reporting a patient’s change in condition
b. Physical abuse to patient N
URSINGTB.COM
by staff
c. Not documenting pain management
d. Not feeding a confused patient
ANS: B
Physical abuse of a patient would be investigated by a state regulatory agency. The other
infractions do not require state investigation.
DIF: Cognitive Level: Analysis REF: page 62
7. The National League of Nursing Accrediting Committee (NLNAC) is an example of an
accrediting body for nursing programs. Besides the nursing school, for what other agencies
are they responsible to ensure compliance to their standards?
a. Hospitals where students provide care to patients
b. Medical schools
c. Nursing homes in the area
d. Other similar hospital settings
ANS: A
Hospitals must be in compliance with the standards of the regulating bodies for nursing school
programs and will receive a visit when the schools that use those facilities are being
accredited. The others are sites that are not visited during the accreditation of nursing schools.
DIF: Cognitive Level: Application REF: pages 57-58
This study source was downloaded by 100000832361371 from CourseHero.com on 04-12-2022 23:51:09 GMT -05:00
https://www.coursehero.com/file/53644858/05pdf/ NURSINGTB.COM
