NAHQ CPHQ COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔48- The following data are being analyzed based on 6 months of incident reports for
falls in a facility with 10 ICU beds and 40 Med/Surg beds:
Which of the following is the next step for the healthcare quality professional to pursue?
A.
Continue to track and trend incident reports.
B.
Educate Med/Surg units on fall prevention.
C.
Form a team to change the ICU fall protocol.
D.
Conduct further analysis of fall data. - ✔✔EXPLANATIONS:
A. Action needs to be taken to investigate fall patterns because not enough information
is provided from the above data.
B. Education should be targeted toward identified issues after further analyzing the
data.
C. Revision may be necessary, but the first step is to determine the cause of the falls.
D. The data need to be analyzed further to determine the significance and/or incidence.
✔✔50- Which of the following is the first step in the strategic planning process?
A.
setting goals and objectives
B.
defining organizational structure
C.
determining productivity indicators
D.
establishing and controlling a budget - ✔✔EXPLANATIONS:
A. The strategic planning process is based on what the organization wants to achieve
(i.e., goals and objectives). The quality professional might consider other possibilities as
first steps, but those were not presented in the options.
B. Organizational structure may not be a component of a strategic plan.
C. Productivity indicators are measures of the progress made toward the goals and
objectives.
D. Budget determinations are made based on the goals and objectives.
✔✔51- A patient is transferred to a neighboring hospital for a magnetic resonance
imaging (MRI) exam. Due to a misinterpretation of orders, the procedure is performed
on the wrong part of the body. Which of the following should the healthcare quality
professional do?
A.
Report this as a sentinel event to the transferring hospital.
B.
Do nothing since it happened at another facility.
, C.
Conduct an analysis to reduce future occurrences.
D.
Recommend disciplinary action for the offenders. - ✔✔EXPLANATIONS:
A. Simply reporting the event to the transferring hospital does not
constitute an investigation.
B. Performing a procedure on the wrong part of a patient's body is, by The Joint
Commission definition, a sentinel event. Therefore, doing nothing is not the correct
response, regardless of whether or not it occurred at another facility due to the fact the
patient originated at the quality professional's facility.
C. According to The Joint Commission definition, performing a procedure on the wrong
patient or the wrong body part is a sentinel event. Any sentinel event that occurs,
regardless if another facility is involved, must be investigated in an attempt to reduce
further occurrences.
D. Recommending disciplinary action would not be appropriate until the completion of
the investigation determines its necessity.
✔✔52- The most effective tool to improve communication between caregivers is known
as
A.
FMEA.
B.
PDCA.
C.
PDSA.
D.
SBAR. - ✔✔EXPLANATIONS:
A. Failure Mode and Effect Analysis (FMEA) is a prospective analysis tool.
B. Plan, Do, Check, Act (PDCA) is a performance improvement methodology.
C. Plan, Do, Study, Act (PDSA) is a performance improvement methodology.
D. Situation, Background, Assessment, Recommendation (SBAR) creates a shared
model for effective information transfer by providing a standardized structure for concise
factual communication among clinicians.
✔✔53- A healthcare quality professional is developing a policy regarding access to
physician quality files. In addition to the date and name of the person requesting the
information, which of the following should be included in the policy?
A.
requestor's contact information
B.
purpose of the request
C.
the credentialing application
D.
the practitioner privilege form - ✔✔A. The requestor's contact information is not an
essential element to include as a requirement in this policy.
ANSWERS RATED A+
✔✔48- The following data are being analyzed based on 6 months of incident reports for
falls in a facility with 10 ICU beds and 40 Med/Surg beds:
Which of the following is the next step for the healthcare quality professional to pursue?
A.
Continue to track and trend incident reports.
B.
Educate Med/Surg units on fall prevention.
C.
Form a team to change the ICU fall protocol.
D.
Conduct further analysis of fall data. - ✔✔EXPLANATIONS:
A. Action needs to be taken to investigate fall patterns because not enough information
is provided from the above data.
B. Education should be targeted toward identified issues after further analyzing the
data.
C. Revision may be necessary, but the first step is to determine the cause of the falls.
D. The data need to be analyzed further to determine the significance and/or incidence.
✔✔50- Which of the following is the first step in the strategic planning process?
A.
setting goals and objectives
B.
defining organizational structure
C.
determining productivity indicators
D.
establishing and controlling a budget - ✔✔EXPLANATIONS:
A. The strategic planning process is based on what the organization wants to achieve
(i.e., goals and objectives). The quality professional might consider other possibilities as
first steps, but those were not presented in the options.
B. Organizational structure may not be a component of a strategic plan.
C. Productivity indicators are measures of the progress made toward the goals and
objectives.
D. Budget determinations are made based on the goals and objectives.
✔✔51- A patient is transferred to a neighboring hospital for a magnetic resonance
imaging (MRI) exam. Due to a misinterpretation of orders, the procedure is performed
on the wrong part of the body. Which of the following should the healthcare quality
professional do?
A.
Report this as a sentinel event to the transferring hospital.
B.
Do nothing since it happened at another facility.
, C.
Conduct an analysis to reduce future occurrences.
D.
Recommend disciplinary action for the offenders. - ✔✔EXPLANATIONS:
A. Simply reporting the event to the transferring hospital does not
constitute an investigation.
B. Performing a procedure on the wrong part of a patient's body is, by The Joint
Commission definition, a sentinel event. Therefore, doing nothing is not the correct
response, regardless of whether or not it occurred at another facility due to the fact the
patient originated at the quality professional's facility.
C. According to The Joint Commission definition, performing a procedure on the wrong
patient or the wrong body part is a sentinel event. Any sentinel event that occurs,
regardless if another facility is involved, must be investigated in an attempt to reduce
further occurrences.
D. Recommending disciplinary action would not be appropriate until the completion of
the investigation determines its necessity.
✔✔52- The most effective tool to improve communication between caregivers is known
as
A.
FMEA.
B.
PDCA.
C.
PDSA.
D.
SBAR. - ✔✔EXPLANATIONS:
A. Failure Mode and Effect Analysis (FMEA) is a prospective analysis tool.
B. Plan, Do, Check, Act (PDCA) is a performance improvement methodology.
C. Plan, Do, Study, Act (PDSA) is a performance improvement methodology.
D. Situation, Background, Assessment, Recommendation (SBAR) creates a shared
model for effective information transfer by providing a standardized structure for concise
factual communication among clinicians.
✔✔53- A healthcare quality professional is developing a policy regarding access to
physician quality files. In addition to the date and name of the person requesting the
information, which of the following should be included in the policy?
A.
requestor's contact information
B.
purpose of the request
C.
the credentialing application
D.
the practitioner privilege form - ✔✔A. The requestor's contact information is not an
essential element to include as a requirement in this policy.
