NAHQ CPHQ EXAM 2 ANSWERS AND QUESTIONS
SET A+
✔✔c. Total number of cases and the population at risk - ✔✔The prevalence rate of a
disease depends on the
a. Incidence rate and duration of the disease
b. Number of new cases and the population at risk
c. Total number of cases and the population at risk
d. Incidence and change in the balance of etiological factors
✔✔a. Survey all employees and physicians - ✔✔A large facility has fostered a culture of
patient safety through staff education, support of process improvements at department
levels, and implementation of a non-punitive approach to error reporting. Compliance
with patient safety goals ranges from 75-100%. In assessing the culture of patient
safety, a healthcare quality professional should
a. Survey all employees and physicians
b. Survey patients from the last six months
c. Review data collected through incidents reports
d. Review post-surgical infection rate data
✔✔b. Compliance with fall protocol - ✔✔Which of the following additional information is
most important to evaluate the cause of the falls?
a. Number of falls
b. Compliance with fall protocol
c. Medication education
d. Time of day
✔✔c. Maximize expertise and perspectives - ✔✔Multidisciplinary quality improvement
teams are beneficial because they
a. Improve managerial control
b. Promote competition and pride among members
c. Maximize expertise and perspectives
d. Authorize solution to problems
, ✔✔c. Integrate patient safety into all employees' job expectations - ✔✔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. Integrate patient safety into all employees' job expectations
d. Include a presentation on patient safety in employee orientation
✔✔a. Hospital infection rates following surgery among similar facilities - ✔✔A
performance improvement team has been created to examine infection rates following
surgery. Which of the following is the best reference for the team to use?
a. Hospital infection rates following surgery among similar facilities
b. Individual infection rates for each surgeon
c. Postoperative antibiotic use among surgeons
d. Number of surgeries performed among similar facilities
✔✔d. Assess the organization's readiness for change - ✔✔When introducing
continuous quality improvement (CQI) into an organization, a chief executive officer
must first
a. Reach consensus with the staff
b. Educate supervisors in CQI principles
c. Obtain funding from the governing body
d. Assess the organization's readiness for change
✔✔a. Autopsy results - ✔✔Which of the following is most useful in performing a
morbidity/mortality review?
a. Autopsy results
b. Physician profiling
c. Do-not-resuscitate policy
d. Length of stay
✔✔a. Evaluating the project - ✔✔Team building goals for a first meeting should include
all of the following EXCEPT
a. Evaluating the project
b. Learning to work as a team
c. Getting to know one another
d. Setting meeting ground rules
✔✔a. Identify problems to be addressed in the organization - ✔✔Which of the following
steps occurs first in facilitating change in an organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan
SET A+
✔✔c. Total number of cases and the population at risk - ✔✔The prevalence rate of a
disease depends on the
a. Incidence rate and duration of the disease
b. Number of new cases and the population at risk
c. Total number of cases and the population at risk
d. Incidence and change in the balance of etiological factors
✔✔a. Survey all employees and physicians - ✔✔A large facility has fostered a culture of
patient safety through staff education, support of process improvements at department
levels, and implementation of a non-punitive approach to error reporting. Compliance
with patient safety goals ranges from 75-100%. In assessing the culture of patient
safety, a healthcare quality professional should
a. Survey all employees and physicians
b. Survey patients from the last six months
c. Review data collected through incidents reports
d. Review post-surgical infection rate data
✔✔b. Compliance with fall protocol - ✔✔Which of the following additional information is
most important to evaluate the cause of the falls?
a. Number of falls
b. Compliance with fall protocol
c. Medication education
d. Time of day
✔✔c. Maximize expertise and perspectives - ✔✔Multidisciplinary quality improvement
teams are beneficial because they
a. Improve managerial control
b. Promote competition and pride among members
c. Maximize expertise and perspectives
d. Authorize solution to problems
, ✔✔c. Integrate patient safety into all employees' job expectations - ✔✔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. Integrate patient safety into all employees' job expectations
d. Include a presentation on patient safety in employee orientation
✔✔a. Hospital infection rates following surgery among similar facilities - ✔✔A
performance improvement team has been created to examine infection rates following
surgery. Which of the following is the best reference for the team to use?
a. Hospital infection rates following surgery among similar facilities
b. Individual infection rates for each surgeon
c. Postoperative antibiotic use among surgeons
d. Number of surgeries performed among similar facilities
✔✔d. Assess the organization's readiness for change - ✔✔When introducing
continuous quality improvement (CQI) into an organization, a chief executive officer
must first
a. Reach consensus with the staff
b. Educate supervisors in CQI principles
c. Obtain funding from the governing body
d. Assess the organization's readiness for change
✔✔a. Autopsy results - ✔✔Which of the following is most useful in performing a
morbidity/mortality review?
a. Autopsy results
b. Physician profiling
c. Do-not-resuscitate policy
d. Length of stay
✔✔a. Evaluating the project - ✔✔Team building goals for a first meeting should include
all of the following EXCEPT
a. Evaluating the project
b. Learning to work as a team
c. Getting to know one another
d. Setting meeting ground rules
✔✔a. Identify problems to be addressed in the organization - ✔✔Which of the following
steps occurs first in facilitating change in an organization?
a. Identify problems to be addressed in the organization
b. Solicit feedback from management
c. Select key people in the organization to serve on the team
d. Develop a performance improvement plan
