Chapter 02: Quality and Safety Test
Bank Written by Yoder.
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital
reduced the number of its managers and increased the number of units for which each
manager was responsible. Within a year, the number of adverse events on the units had
doubled. How do the increase in adverse events relate to decreased managers?
a. The overload of staff nurse duties
b. Resistance to change by staff
c. A change in reporting system for everyone
d. Fewer clinical leaders to facilitate best practice - Answer d. Fewer clinical leaders to
facilitate best practice
Eliminating barriers to the implementation of best practices is the role of managers and leaders.
When there are insufficient resources for leadership to encourage a culture in which evidence-
based practice is embraced, frontline nurses recognize this as a stumbling block for delivering
quality care.
The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What
interventions might assist to reduce the number of falls on the unit?
a. Determining who is responsible for the falls
b. Strengthening unit policies to avoid inappropriate admissions
c. Encouraging involvement of nurses in education related to falls and safety
d. Ensuring that patients are appropriately restrained if they are at risk for falls - Answer c.
Encouraging involvement of nurses in education related to falls and safety
The IOM (2010) emphasizes the need for nurses to engage in lifelong learning and to use
evidence and best practices to inform practice and ensure safety.
How would the nurse executive begin to increase safety in patient care areas of the Valley
Hospital?
, d. Instituting improved practices to reduce needlestick injuries - Answer c. Ensuring that the
senior nursing officer attends the board meetings
The IOM report (2004) highlighted the importance of the attendance of the senior nurse
executive at board meetings to be a key spokesperson on safety and quality issues.
During review of back injuries, it is determined that a large number of injuries are occurring in
spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated.
In addressing this concern, the unit manager:
a. meets individually with nurses who are observed to be using the lifts incorrectly to review the
correct procedure.
b. after consultation with the staff about the review, orders new lifts to replace older ones that
are malfunctioning.
c. blames the system for inadequate funding for resources.
d. reviews the system of reporting incidents to ensure that appropriate reportingis occurring. -
Answer a. meets individually with nurses who are observed to be using the lifts incorrectly to
review the correct procedure.
The involvement of staff nurses in safety on the unit is imperative in improvement of quality and
the provision of patient care. This is a relationship engagement by the manager to engage the
nurses and building these relationships improves quality.
What did the IOM Health Professions Education report highlight as a concern for patient safety?
a. A normal risk in professional practice
b. A result of disciplinary silos
c. A reflection of frontline staff
d. Related to systems errors - Answer b. A result of disciplinary silos
The IOM Health Professions Education report (2004) highlighted the education of health
disciplines in silos as a major concern in patient safety and endorsed five recommendations.
One to be increased and improved communication between the health disciplines.
A nurse manager is implementing strategies to support the steps in the AHRQ Team Strategies
Bank Written by Yoder.
In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital
reduced the number of its managers and increased the number of units for which each
manager was responsible. Within a year, the number of adverse events on the units had
doubled. How do the increase in adverse events relate to decreased managers?
a. The overload of staff nurse duties
b. Resistance to change by staff
c. A change in reporting system for everyone
d. Fewer clinical leaders to facilitate best practice - Answer d. Fewer clinical leaders to
facilitate best practice
Eliminating barriers to the implementation of best practices is the role of managers and leaders.
When there are insufficient resources for leadership to encourage a culture in which evidence-
based practice is embraced, frontline nurses recognize this as a stumbling block for delivering
quality care.
The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What
interventions might assist to reduce the number of falls on the unit?
a. Determining who is responsible for the falls
b. Strengthening unit policies to avoid inappropriate admissions
c. Encouraging involvement of nurses in education related to falls and safety
d. Ensuring that patients are appropriately restrained if they are at risk for falls - Answer c.
Encouraging involvement of nurses in education related to falls and safety
The IOM (2010) emphasizes the need for nurses to engage in lifelong learning and to use
evidence and best practices to inform practice and ensure safety.
How would the nurse executive begin to increase safety in patient care areas of the Valley
Hospital?
, d. Instituting improved practices to reduce needlestick injuries - Answer c. Ensuring that the
senior nursing officer attends the board meetings
The IOM report (2004) highlighted the importance of the attendance of the senior nurse
executive at board meetings to be a key spokesperson on safety and quality issues.
During review of back injuries, it is determined that a large number of injuries are occurring in
spite of mechanical lifts being used. Furthermore, it is determined that some lifts are outdated.
In addressing this concern, the unit manager:
a. meets individually with nurses who are observed to be using the lifts incorrectly to review the
correct procedure.
b. after consultation with the staff about the review, orders new lifts to replace older ones that
are malfunctioning.
c. blames the system for inadequate funding for resources.
d. reviews the system of reporting incidents to ensure that appropriate reportingis occurring. -
Answer a. meets individually with nurses who are observed to be using the lifts incorrectly to
review the correct procedure.
The involvement of staff nurses in safety on the unit is imperative in improvement of quality and
the provision of patient care. This is a relationship engagement by the manager to engage the
nurses and building these relationships improves quality.
What did the IOM Health Professions Education report highlight as a concern for patient safety?
a. A normal risk in professional practice
b. A result of disciplinary silos
c. A reflection of frontline staff
d. Related to systems errors - Answer b. A result of disciplinary silos
The IOM Health Professions Education report (2004) highlighted the education of health
disciplines in silos as a major concern in patient safety and endorsed five recommendations.
One to be increased and improved communication between the health disciplines.
A nurse manager is implementing strategies to support the steps in the AHRQ Team Strategies
