NAHQ CPHQ REVIEW EXAMINATION SET
QUESTIONS AND ANSWERS SURE A+
✔✔a. The process has many owners - ✔✔A team approach in quality improvement
activities is preferred when
a. The process has many owners
b. Financial resources are scarce
c. The solution is evident
d. Data management is required
✔✔c. Documentation of nursing assessment - ✔✔A team has been tasked with
developing a program to prevent patient falls. Which of the following data elements from
an incident/occurrence report provides the most useful information for the team when
evaluating the program's success?
a. Patient demographics
b. Record of the time of the fall
c. Documentation of nursing assessment
d. Staffing ratio at the time of the fall
✔✔b. Review previous results and assess trends - ✔✔A quality improvement manager
received the results from the most recent customer survey. Sixty percent of the
residents in a nursing home have rated the temperature of foods served as poor. Which
of the following actions should be taken first?
a. Call the dietitian and ask for an explanation
b. Review previous results and assess trends
c. Set a continuous monitor for review
d. Ignore the results and assess next quarter
✔✔a. Organizational systems are inhibiting changes - ✔✔A performance improvement
training program has been conducted. The heath care quality professional has
determined that improvement has not occurred. The most likely cause for the lack of
improvement would be that
a. Organizational systems are inhibiting changes
, b. Employees practice what they are trained to do
c. Staff members thought the program was too long
d. The facilitator did not prepare agenda materials
✔✔c. Conduct multidisciplinary interactive sessions consistent with adult-learning
principles - ✔✔The best approach for training staff about quality and patient safety is to
a. Require staff to complete mandatory online training at convenient times
b. Develop posters and brochures that explain key quality concepts and place them in
strategically throughout the workplace
c. Conduct multidisciplinary interactive sessions consistent with adult-learning principles
d. Have the CEO meet with each department to explain the department's role in quality
and safety
✔✔d. Risk prevention - ✔✔The concept of "patient safety" applies most appropriately to
a. Environmental safety measures
b. Serious patient injuries
c. Patient complaint management
d. Risk prevention
✔✔a. Composition of the team - ✔✔A quality council has chartered a performance
improvement team to reduce medication errors. The team has been meeting for several
months and progress has been very slow. Which of the following is the most important
factor for the Quality Council to assess with the team leader?
a. Composition of the team
b. Number of medication errors since the team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings
✔✔b. Have employees demonstrate the use of PPE as part of staff competency - ✔✔A
facility decided to implement Standard Precautions one year ago, but compliance has
been poor. In addition to assessing the causes for poor compliance, the most effective
way for the organization to improve compliance is to
a. Stock personal protective equipment (PPE) in the clean utility room
b. Have employees demonstrate the use of PPE as part of staff competency
c. Show a video on standard precautions quarterly
d. Review and revise handwashing policies and procedures
✔✔b. Improve performance - ✔✔The primary reason healthcare organizations use
benchmarking is to
a. Comply with accreditation standards
b. Improve performance
c. Decrease risk to the organization
d. Provide risk adjustment
QUESTIONS AND ANSWERS SURE A+
✔✔a. The process has many owners - ✔✔A team approach in quality improvement
activities is preferred when
a. The process has many owners
b. Financial resources are scarce
c. The solution is evident
d. Data management is required
✔✔c. Documentation of nursing assessment - ✔✔A team has been tasked with
developing a program to prevent patient falls. Which of the following data elements from
an incident/occurrence report provides the most useful information for the team when
evaluating the program's success?
a. Patient demographics
b. Record of the time of the fall
c. Documentation of nursing assessment
d. Staffing ratio at the time of the fall
✔✔b. Review previous results and assess trends - ✔✔A quality improvement manager
received the results from the most recent customer survey. Sixty percent of the
residents in a nursing home have rated the temperature of foods served as poor. Which
of the following actions should be taken first?
a. Call the dietitian and ask for an explanation
b. Review previous results and assess trends
c. Set a continuous monitor for review
d. Ignore the results and assess next quarter
✔✔a. Organizational systems are inhibiting changes - ✔✔A performance improvement
training program has been conducted. The heath care quality professional has
determined that improvement has not occurred. The most likely cause for the lack of
improvement would be that
a. Organizational systems are inhibiting changes
, b. Employees practice what they are trained to do
c. Staff members thought the program was too long
d. The facilitator did not prepare agenda materials
✔✔c. Conduct multidisciplinary interactive sessions consistent with adult-learning
principles - ✔✔The best approach for training staff about quality and patient safety is to
a. Require staff to complete mandatory online training at convenient times
b. Develop posters and brochures that explain key quality concepts and place them in
strategically throughout the workplace
c. Conduct multidisciplinary interactive sessions consistent with adult-learning principles
d. Have the CEO meet with each department to explain the department's role in quality
and safety
✔✔d. Risk prevention - ✔✔The concept of "patient safety" applies most appropriately to
a. Environmental safety measures
b. Serious patient injuries
c. Patient complaint management
d. Risk prevention
✔✔a. Composition of the team - ✔✔A quality council has chartered a performance
improvement team to reduce medication errors. The team has been meeting for several
months and progress has been very slow. Which of the following is the most important
factor for the Quality Council to assess with the team leader?
a. Composition of the team
b. Number of medication errors since the team was chartered
c. Team members' ability to interpret graphs
d. Length of team meetings
✔✔b. Have employees demonstrate the use of PPE as part of staff competency - ✔✔A
facility decided to implement Standard Precautions one year ago, but compliance has
been poor. In addition to assessing the causes for poor compliance, the most effective
way for the organization to improve compliance is to
a. Stock personal protective equipment (PPE) in the clean utility room
b. Have employees demonstrate the use of PPE as part of staff competency
c. Show a video on standard precautions quarterly
d. Review and revise handwashing policies and procedures
✔✔b. Improve performance - ✔✔The primary reason healthcare organizations use
benchmarking is to
a. Comply with accreditation standards
b. Improve performance
c. Decrease risk to the organization
d. Provide risk adjustment
