NAHQ CPHQ EXAM ALL TEST ANSWERS AND
QUESTIONS SET A+
✔✔20- An emergency department tracks wait times from patient arrival to physician
assessment. Data are reported using a run chart. Which of the following demonstrates a
true statistical increase in treatment delays?
A.
6 consecutive ascending data points
B.
7 consecutive descending data points
C.
a zigzag pattern of 10 data points
D.
data points close to the mean line - ✔✔EXPLANATIONS:
A. A true statistical increase is indicated by 6 consecutive ascending data points.
B. Descending data points do not indicate an increase in this particular case.
C. A zigzag pattern of data points demonstrates variability in the data.
D. Data points close to the mean demonstrate minimal variation in the data.
✔✔21- Which of the following are essential functions of an infection control program?
A.
risk management and surveillance
B.
prevention and education
C.
surveillance and prevention
D.
patient safety and risk management - ✔✔EXPLANATIONS:
A. Risk management is not an essential function of an infection control program.
B. Education is a component of prevention, but is not an essential function of an
infection control program by itself.
C. Two principal functions of infection control are surveillance and prevention.
D. Patient safety and risk management are not essential functions of an infection control
program.
,✔✔22- A surgery department's monthly case review revealed 10 records meeting
criteria and six additional records that did not meet the criteria. In calculating the
incidence rate, the denominator is
A.
4.
B.
6.
C.
10.
D.
16. - ✔✔EXPLANATIONS:
A. See explanation D.
B. See explanation D.
C. See explanation D.
D. The denominator is the total of all of the medical records, which equals 16.
✔✔23- The concept of organizational liability is most important to the field of healthcare
quality because it holds the organization responsible for
A.
maintaining confidentiality of all documents.
B.
requiring physicians to carry adequate malpractice insurance.
C.
maintaining a process to identify deficiencies in the provision of care.
D.
ensuring that peer review physicians have no conflict of interest in cases being
reviewed. - ✔✔EXPLANATIONS:
A. Confidentiality of all documents is not the most important part of organizational
liability.
B. Carrying adequate malpractice insurance is usually required, but is not the most
important aspect.
C. Maintaining quality of care is the ultimate responsibility of the governing body of an
organization.
D. Conducting unbiased peer reviews is a process that helps identify deficiencies in
care.
✔✔24- A root cause analysis revealed a patient in an acute psychiatric unit committed
suicide by hanging himself with his shoelaces. To prevent this from occurring again, the
most appropriate action is to institute
A.
patient checks every 15 minutes.
B.
a policy allowing only non-laced shoes.
C.
a 24-hour video monitoring system.
D.
, a buddy system for the patients. - ✔✔EXPLANATIONS:
A. Checking patients every 15 minutes may not prevent suicide.
B. This policy eliminates the object that was used to commit suicide and creates a safer
environment.
C. A monitoring system may not prevent suicide.
D. A buddy system may not prevent suicide.
✔✔25- Patient satisfaction scores for a community hospital demonstrate multiple areas
for improvement including a need to improve attractiveness of the facility,
responsiveness to patient needs, and physician and nursing communication. Based on
these results, which of the following should the healthcare quality professional also
expect to find?
A.
administration prioritizing and leading units to achieve organizational goals
B.
unit managers who openly discuss patient satisfaction scores
C.
units operating independently with little communication between units
D.
employee satisfaction scores in the 80th percentile compared to other peer
organizations - ✔✔EXPLANATIONS:
A. Based on the information provided, leadership may not have prioritized these issues
to achieve organizational goals.
B. There is not enough information provided to determine if managers are discussing
patient satisfaction scores.
C. Responsiveness to patient needs requires effective communication between multiple
units as well as staff.
D. Employee satisfaction does not necessarily correlate with these patient satisfaction
scores.
✔✔26- A team approach to problem solving is most useful when
A.
the organization's goals are unclear.
B.
diverse areas of expertise are required.
C.
communication challenges exist.
D.
there are ample resources within the organization. - ✔✔EXPLANATIONS:
A. It is leadership's responsibility, not the team's responsibility, to clearly define
organizational goals.
B. The make-up of a team that varies in perspective and experience provides a variety
of skill sets that will help solve problems.
C. Communication challenges may make working within a team more difficult.
D. A team approach to problem solving should not be dependent on the amount of
resources.
QUESTIONS SET A+
✔✔20- An emergency department tracks wait times from patient arrival to physician
assessment. Data are reported using a run chart. Which of the following demonstrates a
true statistical increase in treatment delays?
A.
6 consecutive ascending data points
B.
7 consecutive descending data points
C.
a zigzag pattern of 10 data points
D.
data points close to the mean line - ✔✔EXPLANATIONS:
A. A true statistical increase is indicated by 6 consecutive ascending data points.
B. Descending data points do not indicate an increase in this particular case.
C. A zigzag pattern of data points demonstrates variability in the data.
D. Data points close to the mean demonstrate minimal variation in the data.
✔✔21- Which of the following are essential functions of an infection control program?
A.
risk management and surveillance
B.
prevention and education
C.
surveillance and prevention
D.
patient safety and risk management - ✔✔EXPLANATIONS:
A. Risk management is not an essential function of an infection control program.
B. Education is a component of prevention, but is not an essential function of an
infection control program by itself.
C. Two principal functions of infection control are surveillance and prevention.
D. Patient safety and risk management are not essential functions of an infection control
program.
,✔✔22- A surgery department's monthly case review revealed 10 records meeting
criteria and six additional records that did not meet the criteria. In calculating the
incidence rate, the denominator is
A.
4.
B.
6.
C.
10.
D.
16. - ✔✔EXPLANATIONS:
A. See explanation D.
B. See explanation D.
C. See explanation D.
D. The denominator is the total of all of the medical records, which equals 16.
✔✔23- The concept of organizational liability is most important to the field of healthcare
quality because it holds the organization responsible for
A.
maintaining confidentiality of all documents.
B.
requiring physicians to carry adequate malpractice insurance.
C.
maintaining a process to identify deficiencies in the provision of care.
D.
ensuring that peer review physicians have no conflict of interest in cases being
reviewed. - ✔✔EXPLANATIONS:
A. Confidentiality of all documents is not the most important part of organizational
liability.
B. Carrying adequate malpractice insurance is usually required, but is not the most
important aspect.
C. Maintaining quality of care is the ultimate responsibility of the governing body of an
organization.
D. Conducting unbiased peer reviews is a process that helps identify deficiencies in
care.
✔✔24- A root cause analysis revealed a patient in an acute psychiatric unit committed
suicide by hanging himself with his shoelaces. To prevent this from occurring again, the
most appropriate action is to institute
A.
patient checks every 15 minutes.
B.
a policy allowing only non-laced shoes.
C.
a 24-hour video monitoring system.
D.
, a buddy system for the patients. - ✔✔EXPLANATIONS:
A. Checking patients every 15 minutes may not prevent suicide.
B. This policy eliminates the object that was used to commit suicide and creates a safer
environment.
C. A monitoring system may not prevent suicide.
D. A buddy system may not prevent suicide.
✔✔25- Patient satisfaction scores for a community hospital demonstrate multiple areas
for improvement including a need to improve attractiveness of the facility,
responsiveness to patient needs, and physician and nursing communication. Based on
these results, which of the following should the healthcare quality professional also
expect to find?
A.
administration prioritizing and leading units to achieve organizational goals
B.
unit managers who openly discuss patient satisfaction scores
C.
units operating independently with little communication between units
D.
employee satisfaction scores in the 80th percentile compared to other peer
organizations - ✔✔EXPLANATIONS:
A. Based on the information provided, leadership may not have prioritized these issues
to achieve organizational goals.
B. There is not enough information provided to determine if managers are discussing
patient satisfaction scores.
C. Responsiveness to patient needs requires effective communication between multiple
units as well as staff.
D. Employee satisfaction does not necessarily correlate with these patient satisfaction
scores.
✔✔26- A team approach to problem solving is most useful when
A.
the organization's goals are unclear.
B.
diverse areas of expertise are required.
C.
communication challenges exist.
D.
there are ample resources within the organization. - ✔✔EXPLANATIONS:
A. It is leadership's responsibility, not the team's responsibility, to clearly define
organizational goals.
B. The make-up of a team that varies in perspective and experience provides a variety
of skill sets that will help solve problems.
C. Communication challenges may make working within a team more difficult.
D. A team approach to problem solving should not be dependent on the amount of
resources.
