NAHQ CPHQ STANDARD EXAMS ANSWERS AND
QUESTIONS SET A+
✔✔41- Which of the following steps occurs first in facilitating change in an organization?
A.
Identify problems to be addressed in the organization.
B.
Get feedback from management.
C.
Identify key people in the organization who should be involved.
D.
Develop a performance improvement plan. - ✔✔EXPLANATIONS:
A. Performance improvement methodology includes identifying issues and/or problems
before taking action.
B. Management feedback may be useful, but the problems should be identified first and
feedback should be sought from all stakeholders.
C. Identifying key people who should be involved is important, but those people cannot
be selected until the problems have been identified.
D. A performance improvement plan cannot be developed until the problems have been
identified.
✔✔42- Which of the following tools should be used to record patient and practitioner-
specific data?
A.
flowchart
B.
graphs
C.
histogram
D.
spreadsheet - ✔✔EXPLANATIONS:
A. A flowchart shows a process.
B. There is not enough information provided to determine whether graphs could be
used.
,C. There is not enough information provided to determine whether a histogram could be
used.
D. A spreadsheet allows for individualized data to be represented.
✔✔43- Two surveys were completed in a healthcare facility that showed conflicting
results concerning patient satisfaction with food services. The two surveys were
independently designed and distributed by different departments within the facility. The
healthcare quality professional should first
A.
set up a quality improvement team to improve food service.
B.
distribute the surveys to obtain a larger sample size.
C.
design, distribute, and analyze a new survey instrument.
D.
meet with the departments to review the survey processes. - ✔✔EXPLANATIONS:
A. The data must be analyzed before action steps can be taken.
B. A larger sample size may not be necessary.
C. The current surveys should be investigated before creating a new survey.
D. Reviewing the survey processes with the departments will help the understanding of
the survey tools and the processes used
✔✔44- A chief quality officer has the responsibility for education and implementation of
a quality improvement process. To affect cultural change, the chief quality officer must
A.
believe the costs are justified by the benefits.
B.
be a visible participant in the process.
C.
receive quarterly reports.
D.
limit training to managers and supervisors - ✔✔EXPLANATIONS:
A. For administration support and resources to be provided, administration must believe
the costs are justified in order to affect culture change.
B. Administration and organization leaders, such as the chief quality officer, must be
part of the effort to affect cultural change.
C. Receiving quarterly reports does not affect culture change.
D. Limiting training to certain staff members does not affect culture change.
✔✔45- A Quality Council has created a Patient Safety Council. The council is
concerned that staff may see this as another program that has been added to their busy
schedules that will eventually go away. The best way for the organization to establish
patient safety as an ongoing part of the organization's culture is to
A.
display the number of incident reports monthly with lessons learned.
B.
, identify the patient safety goals and how they will be monitored.
C.
make patient safety a part of the employees' job descriptions.
D.
include a presentation on patient safety in employee orientation. - ✔✔EXPLANATIONS:
A. Sharing risk data may help develop a patient safety program, but it will not change
the culture of an organization.
B. Identifying and monitoring goals is a necessary part of a patient safety program, but
will not change the culture of an organization.
C. Including patient safety in the job description provides a mechanism to hold
employees accountable.
D. Providing presentations on patient safety may be helpful, but is not the best way to
change the culture of an organization
✔✔46- Meaningful quality process measures must be
A.
relevant and valid.
B.
feasible and explainable.
C.
relevant and explainable.
D.
valid and feasible. - ✔✔EXPLANATIONS:
A. Data must be reproducible to be valid. For data to be reproduced, it should be
relevant. Relevance of data is important because the data must relate to the quality
process being measured.
B. See explanation A.
C. While the data must be relevant; if it is not valid, it is not meaningful.
D. While the data must be valid, feasibility is not one of the typical characteristics used
to determine whether a quality process is
meaningful.
✔✔47- Clinical decision support systems can best support medication safety by alerting
prescribers to
A.
patient compliance and allergies.
B.
the need for dose adjustments and patient weight changes.
C.
drug interactions and patient weight changes.
D.
allergies and drug interactions. - ✔✔EXPLANATIONS:
A. Patient compliance is not part of a support system.
B. Dose adjustment and weight change alerts may be programmed, but are not the
primary purpose of the system.
QUESTIONS SET A+
✔✔41- Which of the following steps occurs first in facilitating change in an organization?
A.
Identify problems to be addressed in the organization.
B.
Get feedback from management.
C.
Identify key people in the organization who should be involved.
D.
Develop a performance improvement plan. - ✔✔EXPLANATIONS:
A. Performance improvement methodology includes identifying issues and/or problems
before taking action.
B. Management feedback may be useful, but the problems should be identified first and
feedback should be sought from all stakeholders.
C. Identifying key people who should be involved is important, but those people cannot
be selected until the problems have been identified.
D. A performance improvement plan cannot be developed until the problems have been
identified.
✔✔42- Which of the following tools should be used to record patient and practitioner-
specific data?
A.
flowchart
B.
graphs
C.
histogram
D.
spreadsheet - ✔✔EXPLANATIONS:
A. A flowchart shows a process.
B. There is not enough information provided to determine whether graphs could be
used.
,C. There is not enough information provided to determine whether a histogram could be
used.
D. A spreadsheet allows for individualized data to be represented.
✔✔43- Two surveys were completed in a healthcare facility that showed conflicting
results concerning patient satisfaction with food services. The two surveys were
independently designed and distributed by different departments within the facility. The
healthcare quality professional should first
A.
set up a quality improvement team to improve food service.
B.
distribute the surveys to obtain a larger sample size.
C.
design, distribute, and analyze a new survey instrument.
D.
meet with the departments to review the survey processes. - ✔✔EXPLANATIONS:
A. The data must be analyzed before action steps can be taken.
B. A larger sample size may not be necessary.
C. The current surveys should be investigated before creating a new survey.
D. Reviewing the survey processes with the departments will help the understanding of
the survey tools and the processes used
✔✔44- A chief quality officer has the responsibility for education and implementation of
a quality improvement process. To affect cultural change, the chief quality officer must
A.
believe the costs are justified by the benefits.
B.
be a visible participant in the process.
C.
receive quarterly reports.
D.
limit training to managers and supervisors - ✔✔EXPLANATIONS:
A. For administration support and resources to be provided, administration must believe
the costs are justified in order to affect culture change.
B. Administration and organization leaders, such as the chief quality officer, must be
part of the effort to affect cultural change.
C. Receiving quarterly reports does not affect culture change.
D. Limiting training to certain staff members does not affect culture change.
✔✔45- A Quality Council has created a Patient Safety Council. The council is
concerned that staff may see this as another program that has been added to their busy
schedules that will eventually go away. The best way for the organization to establish
patient safety as an ongoing part of the organization's culture is to
A.
display the number of incident reports monthly with lessons learned.
B.
, identify the patient safety goals and how they will be monitored.
C.
make patient safety a part of the employees' job descriptions.
D.
include a presentation on patient safety in employee orientation. - ✔✔EXPLANATIONS:
A. Sharing risk data may help develop a patient safety program, but it will not change
the culture of an organization.
B. Identifying and monitoring goals is a necessary part of a patient safety program, but
will not change the culture of an organization.
C. Including patient safety in the job description provides a mechanism to hold
employees accountable.
D. Providing presentations on patient safety may be helpful, but is not the best way to
change the culture of an organization
✔✔46- Meaningful quality process measures must be
A.
relevant and valid.
B.
feasible and explainable.
C.
relevant and explainable.
D.
valid and feasible. - ✔✔EXPLANATIONS:
A. Data must be reproducible to be valid. For data to be reproduced, it should be
relevant. Relevance of data is important because the data must relate to the quality
process being measured.
B. See explanation A.
C. While the data must be relevant; if it is not valid, it is not meaningful.
D. While the data must be valid, feasibility is not one of the typical characteristics used
to determine whether a quality process is
meaningful.
✔✔47- Clinical decision support systems can best support medication safety by alerting
prescribers to
A.
patient compliance and allergies.
B.
the need for dose adjustments and patient weight changes.
C.
drug interactions and patient weight changes.
D.
allergies and drug interactions. - ✔✔EXPLANATIONS:
A. Patient compliance is not part of a support system.
B. Dose adjustment and weight change alerts may be programmed, but are not the
primary purpose of the system.
