PN 4001 Final Exam – Questions With Applicable
Solutions
Standard Correct Answer - ▪Predetermined baseline condition
or level of excellence that constitutes a model to be followed and
practiced
-foundation for all RNs in practice; ie nurse manager, diabetes
educator, home health nursing, forensic nursing practice
-should be objective and attainable
The _______ has placed a key role in developing standards for the
profession Correct Answer - ANA
Standards must be:
A.Subjective
B.Uniform across all organizations
C.Attainable
D.All of the above Correct Answer - . Attainable
Rationale: Standards should be objective and attainable but tailored
to each individual organization's needs.
Three steps of quality control process Correct Answer - 1)The
criterion or standard is determined.
2)Information is collected to determine whether the standard has
been met.
3)Educational or corrective action is taken if the criterion has not
been met.
Benchmarking Correct Answer - -process of measuring
products, practices, or services against best-performing
organizations
,-▪Organizations can determine how and why their organization
differs from these exemplars and then use the exemplars as role
models for standard development and performance improvement.
Fifth and final step of management process Correct Answer -
quality control
Quality Control Correct Answer - ▪Activities that are used to
evaluate, monitor, or regulate services rendered to consumers
▪Performance is measured against predetermined standards.
▪Action is taken to correct discrepancies between these standards
and actual performance.
Hallmarks of Effective Quality Control Programs Correct Answer -
1. Support from top-level administration
2. Commitment by the organization in terms of fiscal and human
resources
3. Quality goals reflect search for excellence rather than minimums.
4. Process is ongoing (continuous).
Quality Improvement Models examples Correct Answer - total
quality management (TQM) and the Toyota Production System
(TPS).
AHRQ (clinical practice quidelines) Correct Answer - Agency
for Health Research and Quality
Provide diagnosis-based step-by-step interventions for providers to
follow in an effort to promote quality care
Also called standardized clinical guidelines
Should reflect evidence-based practice (EBP); that is, they should be
based on cutting-edge research and best practices
NDNQI Correct Answer - National Database of Nursing Quality
Indicators,
, first largest nursing quality indicator
HCAHPS Correct Answer - Hospital Consumer Assessment of
Healthcare Providers and Systems
▪focus on patient's perception of hospital experience; public
reporting
Core measures Correct Answer - key quality indicators that
help health care institutions improve performance, increase
accountability, and reduce costs
- effort to better standardize its valid, reliable and evidence-based
data sets
National Patient Safety Goals Correct Answer - -Improve
accuracy of client identification.
-Improve effectiveness of communication
among caregivers.
-Improve safety of using medications.
-Reduce risk of health-care-associated infections.
-Identify client safety risks inherent in its
patient population.
Profile of Impaired Nurse Correct Answer - may vary greatly
typically behavior changes are seen in following three areas
-personality/behavior changes
-job performance changes
-time and attendance changes
Chemicals Most Commonly Abused by Nurses Correct Answer -
▪Alcohol (most frequently used)
▪Demerol
▪OxyContin
▪Klonopin
▪Valium
Solutions
Standard Correct Answer - ▪Predetermined baseline condition
or level of excellence that constitutes a model to be followed and
practiced
-foundation for all RNs in practice; ie nurse manager, diabetes
educator, home health nursing, forensic nursing practice
-should be objective and attainable
The _______ has placed a key role in developing standards for the
profession Correct Answer - ANA
Standards must be:
A.Subjective
B.Uniform across all organizations
C.Attainable
D.All of the above Correct Answer - . Attainable
Rationale: Standards should be objective and attainable but tailored
to each individual organization's needs.
Three steps of quality control process Correct Answer - 1)The
criterion or standard is determined.
2)Information is collected to determine whether the standard has
been met.
3)Educational or corrective action is taken if the criterion has not
been met.
Benchmarking Correct Answer - -process of measuring
products, practices, or services against best-performing
organizations
,-▪Organizations can determine how and why their organization
differs from these exemplars and then use the exemplars as role
models for standard development and performance improvement.
Fifth and final step of management process Correct Answer -
quality control
Quality Control Correct Answer - ▪Activities that are used to
evaluate, monitor, or regulate services rendered to consumers
▪Performance is measured against predetermined standards.
▪Action is taken to correct discrepancies between these standards
and actual performance.
Hallmarks of Effective Quality Control Programs Correct Answer -
1. Support from top-level administration
2. Commitment by the organization in terms of fiscal and human
resources
3. Quality goals reflect search for excellence rather than minimums.
4. Process is ongoing (continuous).
Quality Improvement Models examples Correct Answer - total
quality management (TQM) and the Toyota Production System
(TPS).
AHRQ (clinical practice quidelines) Correct Answer - Agency
for Health Research and Quality
Provide diagnosis-based step-by-step interventions for providers to
follow in an effort to promote quality care
Also called standardized clinical guidelines
Should reflect evidence-based practice (EBP); that is, they should be
based on cutting-edge research and best practices
NDNQI Correct Answer - National Database of Nursing Quality
Indicators,
, first largest nursing quality indicator
HCAHPS Correct Answer - Hospital Consumer Assessment of
Healthcare Providers and Systems
▪focus on patient's perception of hospital experience; public
reporting
Core measures Correct Answer - key quality indicators that
help health care institutions improve performance, increase
accountability, and reduce costs
- effort to better standardize its valid, reliable and evidence-based
data sets
National Patient Safety Goals Correct Answer - -Improve
accuracy of client identification.
-Improve effectiveness of communication
among caregivers.
-Improve safety of using medications.
-Reduce risk of health-care-associated infections.
-Identify client safety risks inherent in its
patient population.
Profile of Impaired Nurse Correct Answer - may vary greatly
typically behavior changes are seen in following three areas
-personality/behavior changes
-job performance changes
-time and attendance changes
Chemicals Most Commonly Abused by Nurses Correct Answer -
▪Alcohol (most frequently used)
▪Demerol
▪OxyContin
▪Klonopin
▪Valium
