CPPS Practice Exam – Culture /Questions And
Answers
Quiz :A hospital is using the AHRQ Hospital Survey on Patient Safety Culture.
There were 80 employees who responded. Responses to the survey item that
states "we have patient safety problems in this unit" were as follows:
Response # of Respondents
Strongly Agree 16
Agree 32
Neither Agree nor Disagree 12
Disagree 17
Strongly Disagree 3
What is the Percent Positive Score that should be reported for this item?
A. 75%
B. 60%
C. 25%
D. 20% - Answer :C. 25%
Quiz :To improve culture of safety survey results, an organization should:
a) Offer coaching and apply Just Culture principles to leaders in lower
performing areas
b) Acknowledge and celebrate high performing areas in front of leadership
c) Perform root cause analysis on underperforming units to better understand
their results
d) Identify best practice in high performing units and disseminate to other
settings - Answer :d) Identify best practice in high performing units and
disseminate to other settings
Quiz :The human resource department asked the patient safety specialist for
recommendations on new policies to help support safety culture. The
recommendation that best promotes a culture of safety is:
a) Sending human resources all event data so they can record involvement in
adverse events in personnel files
b) Including human resources in all root cause analyses so they can provide
guidance on recommended training updates for staff
c) Implementation of routine use of a tool to determine which events are
attributed to human error, at risk behavior, and reckless behavior
, d) Implementation of routine use of a tool to determine which events are
attributed to human error, at risk behavior, and reckless behavior and consult
with human resources on risk and reckless behavior cases - Answer :d)
Implementation of routine use of a tool to determine which events are
attributed to human error, at risk behavior, and reckless behavior and consult
with human resources on risk and reckless behavior cases
Quiz :4. In which of the following activities would a patient safety specialist
engage to promote a culture of safety?
a) Review annual data on defects and successes
b) Instruct team members to act in a safe and respectful manner
c) Apply best evidence with the goal of failure free operation over time
d) Focus on a list of projects identified by senior stakeholders - Answer :c)
Apply best evidence with the goal of failure free operation over time
Quiz :5. A staff nurse administers a high alert medication requiring a double
check, per policy, to the incorrect patient and the patient suffers an
arrhythmia. When reviewing James Reason's unsafe acts algorithm, what is a
strategy to use prior to holding the nurse personally accountable?
a) Have the chief nursing officer interview the nurse
b) Hold a root cause analysis
c) Perform the substitution test with three other nurses
d) Ask other nurses if the staff nurse is trustworthy - Answer :c) Perform the
substitution test with three other nurses
Quiz :A first step in changing the culture of safety in a healthcare organization
is:
a) Hire a strong, experienced patient safety officer
b) Conduct an assessment and gather focused data
c) Develop policies, procedures, and checklists for safety
d) Implement communication and teamwork tools - Answer :b) Conduct an
assessment and gather focused data
Quiz :The Just Culture model includes creating a learning culture, designing
safe systems, and which of the following activities?
a) Managing behavioral choices
b) Finding the individual to blame
c) Providing punishment equal to the harm caused
d) Decreasing the amount of reported errors - Answer :a) Managing behavioral
choices
Answers
Quiz :A hospital is using the AHRQ Hospital Survey on Patient Safety Culture.
There were 80 employees who responded. Responses to the survey item that
states "we have patient safety problems in this unit" were as follows:
Response # of Respondents
Strongly Agree 16
Agree 32
Neither Agree nor Disagree 12
Disagree 17
Strongly Disagree 3
What is the Percent Positive Score that should be reported for this item?
A. 75%
B. 60%
C. 25%
D. 20% - Answer :C. 25%
Quiz :To improve culture of safety survey results, an organization should:
a) Offer coaching and apply Just Culture principles to leaders in lower
performing areas
b) Acknowledge and celebrate high performing areas in front of leadership
c) Perform root cause analysis on underperforming units to better understand
their results
d) Identify best practice in high performing units and disseminate to other
settings - Answer :d) Identify best practice in high performing units and
disseminate to other settings
Quiz :The human resource department asked the patient safety specialist for
recommendations on new policies to help support safety culture. The
recommendation that best promotes a culture of safety is:
a) Sending human resources all event data so they can record involvement in
adverse events in personnel files
b) Including human resources in all root cause analyses so they can provide
guidance on recommended training updates for staff
c) Implementation of routine use of a tool to determine which events are
attributed to human error, at risk behavior, and reckless behavior
, d) Implementation of routine use of a tool to determine which events are
attributed to human error, at risk behavior, and reckless behavior and consult
with human resources on risk and reckless behavior cases - Answer :d)
Implementation of routine use of a tool to determine which events are
attributed to human error, at risk behavior, and reckless behavior and consult
with human resources on risk and reckless behavior cases
Quiz :4. In which of the following activities would a patient safety specialist
engage to promote a culture of safety?
a) Review annual data on defects and successes
b) Instruct team members to act in a safe and respectful manner
c) Apply best evidence with the goal of failure free operation over time
d) Focus on a list of projects identified by senior stakeholders - Answer :c)
Apply best evidence with the goal of failure free operation over time
Quiz :5. A staff nurse administers a high alert medication requiring a double
check, per policy, to the incorrect patient and the patient suffers an
arrhythmia. When reviewing James Reason's unsafe acts algorithm, what is a
strategy to use prior to holding the nurse personally accountable?
a) Have the chief nursing officer interview the nurse
b) Hold a root cause analysis
c) Perform the substitution test with three other nurses
d) Ask other nurses if the staff nurse is trustworthy - Answer :c) Perform the
substitution test with three other nurses
Quiz :A first step in changing the culture of safety in a healthcare organization
is:
a) Hire a strong, experienced patient safety officer
b) Conduct an assessment and gather focused data
c) Develop policies, procedures, and checklists for safety
d) Implement communication and teamwork tools - Answer :b) Conduct an
assessment and gather focused data
Quiz :The Just Culture model includes creating a learning culture, designing
safe systems, and which of the following activities?
a) Managing behavioral choices
b) Finding the individual to blame
c) Providing punishment equal to the harm caused
d) Decreasing the amount of reported errors - Answer :a) Managing behavioral
choices
