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Chapter 22: Understanding Safety, Quality and Risk
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
A new graduate is asked to serve on the hospital‘s quality improvement (QI) committ
ee. The nurse understands that the first step in quality improvement is to:
Collect data to determine whether standards are being met.
Implement a plan to correct the problem.
Identify the standard.
Determine whether the findings warrant correction.
ANS: C
Identifying standards most important to the user of health care services is the first step
i n a six-step process for quality improvement.
DIF: Cognitive Level: Apply REF:
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Nursing Process: Implementation
2.
The chief executive officer asks the nurse manager of the telemetry unit to j
ustify t he disproportionately high number of registered nurses on the telemetry un
it. The nurse manager explains that nursing research has validated which statement
about a low nurse-to-patient ratio?
a. ―It promotes teamwork among health care providers.‖
b. ―It increases adverse events.‖
NRIGB.CM
c. ―It improves outcomes. ‖
U S N T O
―It contributes to duplicationHofHservices.
d. ‖
ANS: C
Findings related to staffing and patient outcomes suggest that patient outcomes are impr
oved with a low ratio of nurses to patients and especially with a low ratio of registered n
urses to patients.
DIF: Cognitive Level: Understand REF:
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Nursing Process: Assessment
A nurse manager wants to decrease the number of medication errors that occur in
h er department. The manager arranges a meeting with the staff to discuss the issu
e. The manager conveys a philosophy of total quality management (QM) by:
Explaining to the staff that disciplinary action will be taken in cases of additio
n al errors.
Recommending that a multidisciplinary team assess the root cause of error
s in medication.
Suggesting that the pharmacy department explore its role in the problem.
,ANS:
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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Changing the unit policy to allow a certain number of medication errors per y
e ar without penalty.
ANS: HH
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