Page 1 of 100
NUR 2811 Capstone Module 2 Exam
Study Guide | Practice Questions, Answers
& Detailed Explanations
EXAM COVERAGE SUMMARY
This exam covers the following key content areas from the uploaded material:
1. Patient Safety Concepts - Definition, error types (omission/commission), error categories
(communication, medication), IOM recommendations, sentinel events, and safety culture
characteristics
2. Quality Improvement in Healthcare - STEEEP framework, IOM 10 rules for redesign,
Fishbone diagrams, Quality of Healthcare in America project, and error prevention strategies
3. Patient-Centered Care (PCC) - Key elements including advocacy, cultural competency,
communication, physical comfort, family-centered care models, and Kleinman's questions
4. Cultural Competency & Health Equity - Diversity, inclusion, equity definitions, social
determinants of health, implicit/explicit bias, disparities, and discrimination in healthcare
5. Health Belief Model (HBM) - Six factors influencing health behavior, prediction of patient
compliance, and "Ask Me 3" program
6. Empathetic Communication - Behaviors that facilitate/non-empathetic communication,
age-related cognitive strategies, and therapeutic communication techniques
7. Nursing History & Pioneers - Contributions of Florence Nightingale, Mary Mahoney, Clara
Barton, Lillian Wald, Mary Breckinridge, Hippocrates, and Galen
, Page 2 of 100
8. Medication Safety - Error types, IOM 2006 recommendations, look-alike/sound-alike
medications (Dennis Quad), medication administration responsibilities
9. Healthcare System Errors - Human factor errors (skill-based, knowledge-based, rule-
based), error culture (individual vs. blame vs. safety), and system effectiveness
10. Interprofessional Practice - Training programs, patient-centered care delivery, coordination
of care conferences, bedside reporting, and caregiver roles
Exam
1. A nurse is educating a patient about a newly prescribed medication. According to the
material, which of the following represents the most appropriate approach to patient
education?
A) Provide all information at once to ensure completeness
B) Use medical terminology to maintain professional boundaries
C) Slow the pace of presentation and give smaller amounts of information
D) Ask the patient to read the medication insert independently
C) Slow the pace of presentation and give smaller amounts of information
Rationale: The document emphasizes strategies to accommodate age-related cognitive barriers
including slowing the pace of presentation and giving smaller amounts of information to
enhance patient understanding and retention.
2. The Agency for Healthcare Research and Quality (AHRQ) describes organizations with
a positive safety culture as having which foundational characteristic?
A) Strict hierarchical reporting structure
, Page 3 of 100
B) Mutual trust among all members
C) Financial incentives for error reporting
D) Mandatory overtime policies
B) Mutual trust among all members
Rationale: AHRQ describes positive safety culture organizations as having a foundation of
mutual trust, a common view that patient safety is important, and belief that preventative
measures are effective.
3. What percentage reduction in mortality rate did Florence Nightingale achieve at the
Barracks Hospital in Scutari, Turkey?
A) From 42.7% to 22.2%
B) From 42.7% to 10.5%
C) From 42.7% to 2.2%
D) From 50.0% to 5.0%
C) From 42.7% to 2.2%
Rationale: Through implementing clean dressings, proper sanitation, fresh air, and appealing
food, Nightingale reduced the mortality rate from 42.7% to 2.2% in just six months.
4. Which of the following is classified as a sentinel event according to the material?
A) Patient complaint about food quality
B) Medication error resulting in serious harm
C) Delayed discharge paperwork
D) Minor medication side effect
B) Medication error resulting in serious harm
, Page 4 of 100
Rationale: Sentinel events are unexpected occurrences involving death, serious physical or
psychological injury, or risk thereof, including medication errors resulting in serious harm.
5. The IOM (2000) report "To Err is Human" recommended which of the following
strategies for improving patient safety?
A) Increasing administrative paperwork
B) Standardization and simplification of procedures
C) Reducing staff training requirements
D) Eliminating patient feedback systems
B) Standardization and simplification of procedures
Rationale: The IOM 2000 report recommended user-centered designs, standardization and
simplification of procedures, work safety load management, and utilization of alarms and
checklists.
6. Who is credited with creating the title "public health nurse" and beginning school
nursing?
A) Florence Nightingale
B) Clara Barton
C) Lillian Wald
D) Mary Breckinridge
C) Lillian Wald
Rationale: Lillian Wald created the title "public health nurse," began school nursing, and
opened the Henry Street Settlement in 1893 where she lived and worked as a community
activist.
NUR 2811 Capstone Module 2 Exam
Study Guide | Practice Questions, Answers
& Detailed Explanations
EXAM COVERAGE SUMMARY
This exam covers the following key content areas from the uploaded material:
1. Patient Safety Concepts - Definition, error types (omission/commission), error categories
(communication, medication), IOM recommendations, sentinel events, and safety culture
characteristics
2. Quality Improvement in Healthcare - STEEEP framework, IOM 10 rules for redesign,
Fishbone diagrams, Quality of Healthcare in America project, and error prevention strategies
3. Patient-Centered Care (PCC) - Key elements including advocacy, cultural competency,
communication, physical comfort, family-centered care models, and Kleinman's questions
4. Cultural Competency & Health Equity - Diversity, inclusion, equity definitions, social
determinants of health, implicit/explicit bias, disparities, and discrimination in healthcare
5. Health Belief Model (HBM) - Six factors influencing health behavior, prediction of patient
compliance, and "Ask Me 3" program
6. Empathetic Communication - Behaviors that facilitate/non-empathetic communication,
age-related cognitive strategies, and therapeutic communication techniques
7. Nursing History & Pioneers - Contributions of Florence Nightingale, Mary Mahoney, Clara
Barton, Lillian Wald, Mary Breckinridge, Hippocrates, and Galen
, Page 2 of 100
8. Medication Safety - Error types, IOM 2006 recommendations, look-alike/sound-alike
medications (Dennis Quad), medication administration responsibilities
9. Healthcare System Errors - Human factor errors (skill-based, knowledge-based, rule-
based), error culture (individual vs. blame vs. safety), and system effectiveness
10. Interprofessional Practice - Training programs, patient-centered care delivery, coordination
of care conferences, bedside reporting, and caregiver roles
Exam
1. A nurse is educating a patient about a newly prescribed medication. According to the
material, which of the following represents the most appropriate approach to patient
education?
A) Provide all information at once to ensure completeness
B) Use medical terminology to maintain professional boundaries
C) Slow the pace of presentation and give smaller amounts of information
D) Ask the patient to read the medication insert independently
C) Slow the pace of presentation and give smaller amounts of information
Rationale: The document emphasizes strategies to accommodate age-related cognitive barriers
including slowing the pace of presentation and giving smaller amounts of information to
enhance patient understanding and retention.
2. The Agency for Healthcare Research and Quality (AHRQ) describes organizations with
a positive safety culture as having which foundational characteristic?
A) Strict hierarchical reporting structure
, Page 3 of 100
B) Mutual trust among all members
C) Financial incentives for error reporting
D) Mandatory overtime policies
B) Mutual trust among all members
Rationale: AHRQ describes positive safety culture organizations as having a foundation of
mutual trust, a common view that patient safety is important, and belief that preventative
measures are effective.
3. What percentage reduction in mortality rate did Florence Nightingale achieve at the
Barracks Hospital in Scutari, Turkey?
A) From 42.7% to 22.2%
B) From 42.7% to 10.5%
C) From 42.7% to 2.2%
D) From 50.0% to 5.0%
C) From 42.7% to 2.2%
Rationale: Through implementing clean dressings, proper sanitation, fresh air, and appealing
food, Nightingale reduced the mortality rate from 42.7% to 2.2% in just six months.
4. Which of the following is classified as a sentinel event according to the material?
A) Patient complaint about food quality
B) Medication error resulting in serious harm
C) Delayed discharge paperwork
D) Minor medication side effect
B) Medication error resulting in serious harm
, Page 4 of 100
Rationale: Sentinel events are unexpected occurrences involving death, serious physical or
psychological injury, or risk thereof, including medication errors resulting in serious harm.
5. The IOM (2000) report "To Err is Human" recommended which of the following
strategies for improving patient safety?
A) Increasing administrative paperwork
B) Standardization and simplification of procedures
C) Reducing staff training requirements
D) Eliminating patient feedback systems
B) Standardization and simplification of procedures
Rationale: The IOM 2000 report recommended user-centered designs, standardization and
simplification of procedures, work safety load management, and utilization of alarms and
checklists.
6. Who is credited with creating the title "public health nurse" and beginning school
nursing?
A) Florence Nightingale
B) Clara Barton
C) Lillian Wald
D) Mary Breckinridge
C) Lillian Wald
Rationale: Lillian Wald created the title "public health nurse," began school nursing, and
opened the Henry Street Settlement in 1893 where she lived and worked as a community
activist.
