lOMoAR cPSD| 47061011
Chapter 18: Quality and Safety
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. The degree to which health services for individuals and populations increases the likelihood of
desired health outcomes that are consistent with current professional knowledge is known as the:
a. care delivery quotient.
b. excellence index.
c. quality of health care.
d. standard of care.
ANS: C
Quality of health care is defined as the degree to which health services for individuals and
populations increases the likelihood of desired health outcomes that are consistent with
current professional knowledge (Lohr, 1990).
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A nursing quality improvement supervisor is proposing to enhance the current quality
improvement program. One of the most important themes that a nursing quality improvement
supervisor should consider is: a. budgetary considerations.
b. collaboration between health care teams.
c. regular staff training programs.
d. suggestions from patients.
ANS: B
Collaborative partnerships are part of this imperative and shape the way professional nurses
act clinically and how they participate in performance and quality improvement efforts. As the
complexity of care increases, multidisciplinary and inter-professional teamwork is used to
solve complex problems in practice.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. To provide the best care to every patient every day through integrated clinical practice,
education, and research is an example of a(n): a. accountability agreement.
b. mission statement.
c. organizational standard.
d. vision and value proposal.
.
, lOMoAR cPSD| 47061011
ANS: B
The mission statement of an organization is a concise statement that answers the question:
What business are we in today?
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Hospitals must submit specific quality performance data regarding Medicare patients or risk: a.
an increase in federal tax.
b. decreased payments.
c. fewer physician referrals.
d. sanctions by The Joint Commission (TJC).
ANS: B
In 2011, CMS developed the Hospital Value-Based Purchasing Program, which applied to
payments beginning in fiscal year 2013 for discharges occurring on or after October 1, 2012.
Under the program, CMS makes value-based incentive payments to 3500 acute care hospitals
based either on how well the hospitals perform on certain quality measures or how much the
hospitals’ performance improves on certain quality measures from their performance during a
baseline period. Reimbursement is based on quality of care, not quantity. The higher a
hospital’s performance or improvement during the performance period for a fiscal year, the
higher the hospital’s value-based incentive payment for the fiscal year would be (CMS, 2015).
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Responding to a code called in the psychiatric unit where she works, a staff nurse finds that a
patient has committed suicide. The staff nurse correctly identifies this as a: a. benchmark
incident.
b. quality improvement issue.
c. performance breach.
d. sentinel event.
ANS: D
Specific sentinel event outcomes are considered “reviewable” by TJC. Reviewable sentinel
events are events that have resulted in an unanticipated death, permanent harm, or severe
temporary harm and include suicide of any patient receiving care, treatment, and services in a
staffed around-the-clock care setting.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
.
Chapter 18: Quality and Safety
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. The degree to which health services for individuals and populations increases the likelihood of
desired health outcomes that are consistent with current professional knowledge is known as the:
a. care delivery quotient.
b. excellence index.
c. quality of health care.
d. standard of care.
ANS: C
Quality of health care is defined as the degree to which health services for individuals and
populations increases the likelihood of desired health outcomes that are consistent with
current professional knowledge (Lohr, 1990).
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. A nursing quality improvement supervisor is proposing to enhance the current quality
improvement program. One of the most important themes that a nursing quality improvement
supervisor should consider is: a. budgetary considerations.
b. collaboration between health care teams.
c. regular staff training programs.
d. suggestions from patients.
ANS: B
Collaborative partnerships are part of this imperative and shape the way professional nurses
act clinically and how they participate in performance and quality improvement efforts. As the
complexity of care increases, multidisciplinary and inter-professional teamwork is used to
solve complex problems in practice.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. To provide the best care to every patient every day through integrated clinical practice,
education, and research is an example of a(n): a. accountability agreement.
b. mission statement.
c. organizational standard.
d. vision and value proposal.
.
, lOMoAR cPSD| 47061011
ANS: B
The mission statement of an organization is a concise statement that answers the question:
What business are we in today?
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. Hospitals must submit specific quality performance data regarding Medicare patients or risk: a.
an increase in federal tax.
b. decreased payments.
c. fewer physician referrals.
d. sanctions by The Joint Commission (TJC).
ANS: B
In 2011, CMS developed the Hospital Value-Based Purchasing Program, which applied to
payments beginning in fiscal year 2013 for discharges occurring on or after October 1, 2012.
Under the program, CMS makes value-based incentive payments to 3500 acute care hospitals
based either on how well the hospitals perform on certain quality measures or how much the
hospitals’ performance improves on certain quality measures from their performance during a
baseline period. Reimbursement is based on quality of care, not quantity. The higher a
hospital’s performance or improvement during the performance period for a fiscal year, the
higher the hospital’s value-based incentive payment for the fiscal year would be (CMS, 2015).
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Responding to a code called in the psychiatric unit where she works, a staff nurse finds that a
patient has committed suicide. The staff nurse correctly identifies this as a: a. benchmark
incident.
b. quality improvement issue.
c. performance breach.
d. sentinel event.
ANS: D
Specific sentinel event outcomes are considered “reviewable” by TJC. Reviewable sentinel
events are events that have resulted in an unanticipated death, permanent harm, or severe
temporary harm and include suicide of any patient receiving care, treatment, and services in a
staffed around-the-clock care setting.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
.
