NUR374
Managing System Change &
Improving Patient Outcomes
Final Exam Review
(Questions & Solutions)
2025
1
, Section I – Multiple Choice (10 Questions)
1. Which framework is most commonly used to structure continuous
quality improvement and system change in healthcare?
A. SWOT Analysis
B. Plan-Do-Study-Act (PDSA) Cycle
C. Root Cause Analysis
D. Lean Six Sigma
ANS: B
Rationale: The PDSA cycle is a widely recognized framework for
implementing continuous quality improvement. It involves planning a
change, implementing (doing) the change, studying the results, and
acting to institutionalize improvements—making it essential for
managing system change.
---
2. Which leadership style is most effective in facilitating positive
transitions and system change that lead to improved patient outcomes?
A. Autocratic Leadership
B. Transactional Leadership
C. Transformational Leadership
D. Laissez-Faire Leadership
ANS: C
Rationale: Transformational leadership is characterized by inspiring,
motivating, and engaging staff to innovate and embrace change. This
style fosters a culture of quality continuous improvement and is
associated with improved patient outcomes.
---
2
, 3. What key process is used to identify underlying problems within a
system and is essential for driving sustainable quality improvement in
healthcare?
A. Process Mapping
B. Root Cause Analysis (RCA)
C. SWOT Analysis
D. Benchmarking
ANS: B
Rationale: Root Cause Analysis (RCA) is a systematic technique used to
identify the fundamental causes of problems. It helps healthcare teams
implement targeted improvements that can reduce errors and enhance
patient outcomes.
---
4. Which payment model encourages healthcare providers to deliver
high-quality, coordinated care by rewarding improved patient outcomes
rather than service volume?
A. Fee-for-Service
B. Capitation
C. Bundled Payment
D. Value-Based Care
ANS: D
Rationale: Value-Based Care links reimbursement to quality measures
and patient outcomes. It incentivizes care providers to deliver efficient
and effective care rather than high volumes of services.
---
5. In facilitating system change, interprofessional collaboration is crucial
because it:
A. Reduces the importance of clinical expertise
3
Managing System Change &
Improving Patient Outcomes
Final Exam Review
(Questions & Solutions)
2025
1
, Section I – Multiple Choice (10 Questions)
1. Which framework is most commonly used to structure continuous
quality improvement and system change in healthcare?
A. SWOT Analysis
B. Plan-Do-Study-Act (PDSA) Cycle
C. Root Cause Analysis
D. Lean Six Sigma
ANS: B
Rationale: The PDSA cycle is a widely recognized framework for
implementing continuous quality improvement. It involves planning a
change, implementing (doing) the change, studying the results, and
acting to institutionalize improvements—making it essential for
managing system change.
---
2. Which leadership style is most effective in facilitating positive
transitions and system change that lead to improved patient outcomes?
A. Autocratic Leadership
B. Transactional Leadership
C. Transformational Leadership
D. Laissez-Faire Leadership
ANS: C
Rationale: Transformational leadership is characterized by inspiring,
motivating, and engaging staff to innovate and embrace change. This
style fosters a culture of quality continuous improvement and is
associated with improved patient outcomes.
---
2
, 3. What key process is used to identify underlying problems within a
system and is essential for driving sustainable quality improvement in
healthcare?
A. Process Mapping
B. Root Cause Analysis (RCA)
C. SWOT Analysis
D. Benchmarking
ANS: B
Rationale: Root Cause Analysis (RCA) is a systematic technique used to
identify the fundamental causes of problems. It helps healthcare teams
implement targeted improvements that can reduce errors and enhance
patient outcomes.
---
4. Which payment model encourages healthcare providers to deliver
high-quality, coordinated care by rewarding improved patient outcomes
rather than service volume?
A. Fee-for-Service
B. Capitation
C. Bundled Payment
D. Value-Based Care
ANS: D
Rationale: Value-Based Care links reimbursement to quality measures
and patient outcomes. It incentivizes care providers to deliver efficient
and effective care rather than high volumes of services.
---
5. In facilitating system change, interprofessional collaboration is crucial
because it:
A. Reduces the importance of clinical expertise
3
