Chapter 19 Measuring and Managing Outcomes Questions and Answers with Complete Solutions

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Chapter 19: Measuring and Managing Outcomes
Huber: Leadership & Nursing Care Management, 6th Edition


MULTIPLE CHOICE

1. The results people care about most when seeking treatment is known as a(n): a. achieved
benefit.
b. benchmark.
c. expected response.
d. outcome.



ANS: D
Simply put, an outcome is the result or results obtained from the efforts to accomplish a goal.
A patient-focused definition of outcomes considers them “the results people care about most
when seeking treatment, including functional improvement and the ability to live normal,
productive lives” that are “inherently condition-specific and multidimensional” (International
Consortium for Health Outcomes Measurement [ICHOM], 2016; Porter, 2010).

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

2. To determine whether her patient has responded favorably to a nursing intervention, a staff
nurse should observe the client for: a. improved health.
b. increased complaints.
c. outcome indicators.
d. signs and symptoms.



ANS: C
Indicators are valid and reliable measures related to performance. They are specific markers
used that make quality and quality differences visible to stakeholders in health care.

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

3. The outcomes concept that emphasizes the multidisciplinary process of providing health care
is known as outcomes: a. maintenance.
b. management.
c. measurement.
d. monitoring.



ANS: B




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Outcomes management is defined as a multidisciplinary process designed to provide quality
health care, decrease fragmentation, enhance outcomes, and constrain costs (Huber &
Oermann, 1998).

DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

4. Outcomes measurement is complex because:
a. budgets are unable to allocate sufficient funds.
b. health care is multidimensional.
c. patients may not cooperate.
d. treatments are not always necessary.



ANS: B
A patient-focused definition of outcomes considers them “the results people care about most
when seeking treatment, including functional improvement and the ability to live normal,
productive lives” that are “inherently condition-specific and multidimensional” (International
Consortium for Health Outcomes Measurement [ICHOM], 2016; Porter, 2010).

DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation
MSC: Client Needs: Safe and Effective Care Environment: Management of Care

5. The field in health care that aims at a better understanding of the end results of health care
practices and interventions is called: a. patient safety.
b. risk management.
c. outcomes research.
d. quality management.



ANS: C
Outcomes research aims at a better understanding of the end results of health care practices
and interventions, such as the impacts of care that are most important to patients, families,
payers, and society.

DIF: Cognitive Level: Remember (Knowledge) TOP: Nursing Process: Evaluation MSC: Client
Needs: Safe and Effective Care Environment: Management of Care

6. The specific tools used to make quality visible to stakeholders in health care are called: a.
indicators.
b. outcomes.
c. variable selections.
d. quality measures.




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