NAHQ CPHQ UPDATED EXAM SCRIPT QUESTIONS AND
ANSWERS RATED A+
✔✔5- Which of the following is an essential component in a performance improvement
report?
A.
governing body approval
B.
data analysis and display
C.
individual performance review
D.
team composition and attendance - ✔✔EXPLANATIONS:
A. The governing body is accountable for the performance improvement program, but
their approval is not a component of a performance improvement report.
B. The report has no value without having the data displayed and analyzed.
C. An individual performance review is not an essential part of a performance
improvement report.
D. Team composition and attendance are not usually included in a performance
improvement report.
✔✔6- Which of the following is the primary goal of risk management?
A.
Identify and manage risks to promote patient safety.
B.
Maintain an effective incident reporting system.
C.
Perform failure mode and effects analyses.
D.
Eliminate financial loss associated with legal actions. - ✔✔EXPLANATIONS:
A. Improving patient safety is the primary goal of risk management.
B. Incident reporting is a tool that may be used in risk management, but is not the
primary goal.
C. A failure mode and effects analysis is a proactive method used to help identify
problems.
D. Risk management programs help protect an organization from financial loss, but it is
not the primary goal.
7-
✔✔7- The relationship between patient satisfaction and hours per patient day on a
medical unit was found to be (r = 0.60, p < 0.05). What is the correlation between these
two values?
A.
0.05
B.
0.36
,C.
0.55
D.
0.60 - ✔✔EXPLANATIONS:
A. See explanation D.
B. See explanation D.
C. See explanation D.
D. The correlation coefficient (r) is an index that ranges from -1.0 to 1.0 and reflects the
extent of a linear relationship between two data sets. The correlation coefficient is 0.60.
✔✔8- Hospital A has recently merged with Hospital B. After 6 months, it is noted that
Hospital A has successfully transitioned their staff to new organizational values, while
Hospital B still struggles. Hospital A's success can best be attributed to
A.
requiring adoption of new values by all staff.
B.
support of both hospitals' mission statements.
C.
acceptance of the new mission and vision statements.
D.
integrating technology and databases. - ✔✔EXPLANATIONS:
A. There is not enough information provided to show that the values were adopted by all
staff.
B. Support of two mission statements could be confusing to staff and would not lead to
an integrated organization.
C. Acceptance of the new mission and vision statements demonstrates integration of
the two facilities.
D. Values are not dependent on the integration of technology and databases.
✔✔9- For a quality improvement team to deal effectively with conflict, it is important to
appoint which of the following to its membership?
A.
risk manager
B.
human resources representative
C.
facilitator
D.
senior leader - ✔✔EXPLANATIONS:
A. A risk manager's role would not necessarily deal with conflict within a quality
improvement team.
B. A human resources representative handles staffing issues, but not necessarily
conflict, within a team.
C. A facilitator is an unbiased party that may help groups deal with conflict.
D. A senior leader's role would not necessarily deal with conflict within a quality
improvement team.
,✔✔10- A Failure Mode and Effects Analysis (FMEA) is performed
A.
to immediately investigate an incident that occurred.
B.
as a preventative measure before an incident occurs.
C.
if the severity of an incident led to a patient death.
D.
when there is a chance of an incident reoccurring. - ✔✔EXPLANATIONS:
A. The FMEA process is performed before an incident occurs.
B. The FMEA process is a proactive, systematic method of identifying and preventing
incidents from occurring.
C. The FMEA process examines severity, but before an incident or a death occurs.
D. The FMEA process examines the likelihood of occurrence, but before an incident
occurs.
✔✔11- Which of the following best describes an organizational vision statement?
A.
It is used as a marketing strategy.
B.
It defines the structure of the institution.
C.
It describes the organization's strategic plan.
D.
It reflects the organization's aspirations. - ✔✔EXPLANATIONS:
A. The vision statement may be used for marketing purposes, but it does not define
marketing strategies.
B. The structure of the institution is not defined in the vision statement.
C. The strategic plan is not part of an organization's vision statement.
D. Vision is the image or description of what the organization desires to become.
✔✔12- The most effective way for a healthcare quality professional to communicate
quality improvement activities to the medical staff is by
A.
developing professional relationships.
B.
inviting medical staff to an inservice on quality tools.
C.
evaluating physician participation on quality teams.
D.
providing outcome data at medical staff meetings. - ✔✔EXPLANATIONS:
A. Relationships are needed, but they are not the most effective way to communicate
quality improvement activities.
B. Inviting medical staff to an inservice does not ensure attendance.
C. Evaluating participation is not a communication tool.
, D. Outcome data communicates objective feedback to medical staff.
✔✔13- Quality improvement team progress is best evaluated by which of the following?
A.
team leader
B.
senior leadership
C.
PDCA process
D.
nominal group technique - ✔✔EXPLANATIONS:
A. The team leader may be biased and is not the best source for team evaluations.
B. Senior leadership is not usually involved in evaluating a team.
C. The Plan, Do, Check, Act process is a comprehensive methodology used to conduct
performance improvement activities, including the analysis of progress.
D. The nominal group technique is a group decision-making process for generating a
large number of ideas where each member works individually. This technique would not
be helpful in evaluating team progress.
✔✔14- To reduce the incidence of ventilator-associated pneumonia (VAP) in a critical
care unit, who should be included on a quality improvement team?
A.
intensivist, ICU nurse, and respiratory therapist
B.
primary care physician, infection control nurse, and surgeon
C.
ICU manager, respiratory therapist, and pharmacist
D.
pharmacist, intensivist, and infection control nurse - ✔✔EXPLANATIONS: A. Intensive-
care medicine or critical-care medicine is concerned with the provision of life support or
organ support systems in patients who are critically ill and who usually require intensive
monitoring. In this scenario, the healthcare quality professional would involve staff that
would most commonly be related to the care of a patient with VAP. The involvement of
the intensivist, ICU nurse, and respiratory therapist would be considered common, and
would comprise the ideal and appropriate team to care for a patient with VAP.
B. While the primary care physician may be involved, it is not common practice for the
infection control nurse/preventionist to be involved in the
daily care of a patient with VAP.
C. While the ICU manager and pharmacist could be involved in the care of a patient
with VAP, they would not be ideal members of a quality improvement team.
D. While the pharmacist, intensivist, and infection control nurse/practitioner could be
part of the VAP quality improvement team, this response is not ideal as it does not
include the respiratory therapist or ICU nurse.
ANSWERS RATED A+
✔✔5- Which of the following is an essential component in a performance improvement
report?
A.
governing body approval
B.
data analysis and display
C.
individual performance review
D.
team composition and attendance - ✔✔EXPLANATIONS:
A. The governing body is accountable for the performance improvement program, but
their approval is not a component of a performance improvement report.
B. The report has no value without having the data displayed and analyzed.
C. An individual performance review is not an essential part of a performance
improvement report.
D. Team composition and attendance are not usually included in a performance
improvement report.
✔✔6- Which of the following is the primary goal of risk management?
A.
Identify and manage risks to promote patient safety.
B.
Maintain an effective incident reporting system.
C.
Perform failure mode and effects analyses.
D.
Eliminate financial loss associated with legal actions. - ✔✔EXPLANATIONS:
A. Improving patient safety is the primary goal of risk management.
B. Incident reporting is a tool that may be used in risk management, but is not the
primary goal.
C. A failure mode and effects analysis is a proactive method used to help identify
problems.
D. Risk management programs help protect an organization from financial loss, but it is
not the primary goal.
7-
✔✔7- The relationship between patient satisfaction and hours per patient day on a
medical unit was found to be (r = 0.60, p < 0.05). What is the correlation between these
two values?
A.
0.05
B.
0.36
,C.
0.55
D.
0.60 - ✔✔EXPLANATIONS:
A. See explanation D.
B. See explanation D.
C. See explanation D.
D. The correlation coefficient (r) is an index that ranges from -1.0 to 1.0 and reflects the
extent of a linear relationship between two data sets. The correlation coefficient is 0.60.
✔✔8- Hospital A has recently merged with Hospital B. After 6 months, it is noted that
Hospital A has successfully transitioned their staff to new organizational values, while
Hospital B still struggles. Hospital A's success can best be attributed to
A.
requiring adoption of new values by all staff.
B.
support of both hospitals' mission statements.
C.
acceptance of the new mission and vision statements.
D.
integrating technology and databases. - ✔✔EXPLANATIONS:
A. There is not enough information provided to show that the values were adopted by all
staff.
B. Support of two mission statements could be confusing to staff and would not lead to
an integrated organization.
C. Acceptance of the new mission and vision statements demonstrates integration of
the two facilities.
D. Values are not dependent on the integration of technology and databases.
✔✔9- For a quality improvement team to deal effectively with conflict, it is important to
appoint which of the following to its membership?
A.
risk manager
B.
human resources representative
C.
facilitator
D.
senior leader - ✔✔EXPLANATIONS:
A. A risk manager's role would not necessarily deal with conflict within a quality
improvement team.
B. A human resources representative handles staffing issues, but not necessarily
conflict, within a team.
C. A facilitator is an unbiased party that may help groups deal with conflict.
D. A senior leader's role would not necessarily deal with conflict within a quality
improvement team.
,✔✔10- A Failure Mode and Effects Analysis (FMEA) is performed
A.
to immediately investigate an incident that occurred.
B.
as a preventative measure before an incident occurs.
C.
if the severity of an incident led to a patient death.
D.
when there is a chance of an incident reoccurring. - ✔✔EXPLANATIONS:
A. The FMEA process is performed before an incident occurs.
B. The FMEA process is a proactive, systematic method of identifying and preventing
incidents from occurring.
C. The FMEA process examines severity, but before an incident or a death occurs.
D. The FMEA process examines the likelihood of occurrence, but before an incident
occurs.
✔✔11- Which of the following best describes an organizational vision statement?
A.
It is used as a marketing strategy.
B.
It defines the structure of the institution.
C.
It describes the organization's strategic plan.
D.
It reflects the organization's aspirations. - ✔✔EXPLANATIONS:
A. The vision statement may be used for marketing purposes, but it does not define
marketing strategies.
B. The structure of the institution is not defined in the vision statement.
C. The strategic plan is not part of an organization's vision statement.
D. Vision is the image or description of what the organization desires to become.
✔✔12- The most effective way for a healthcare quality professional to communicate
quality improvement activities to the medical staff is by
A.
developing professional relationships.
B.
inviting medical staff to an inservice on quality tools.
C.
evaluating physician participation on quality teams.
D.
providing outcome data at medical staff meetings. - ✔✔EXPLANATIONS:
A. Relationships are needed, but they are not the most effective way to communicate
quality improvement activities.
B. Inviting medical staff to an inservice does not ensure attendance.
C. Evaluating participation is not a communication tool.
, D. Outcome data communicates objective feedback to medical staff.
✔✔13- Quality improvement team progress is best evaluated by which of the following?
A.
team leader
B.
senior leadership
C.
PDCA process
D.
nominal group technique - ✔✔EXPLANATIONS:
A. The team leader may be biased and is not the best source for team evaluations.
B. Senior leadership is not usually involved in evaluating a team.
C. The Plan, Do, Check, Act process is a comprehensive methodology used to conduct
performance improvement activities, including the analysis of progress.
D. The nominal group technique is a group decision-making process for generating a
large number of ideas where each member works individually. This technique would not
be helpful in evaluating team progress.
✔✔14- To reduce the incidence of ventilator-associated pneumonia (VAP) in a critical
care unit, who should be included on a quality improvement team?
A.
intensivist, ICU nurse, and respiratory therapist
B.
primary care physician, infection control nurse, and surgeon
C.
ICU manager, respiratory therapist, and pharmacist
D.
pharmacist, intensivist, and infection control nurse - ✔✔EXPLANATIONS: A. Intensive-
care medicine or critical-care medicine is concerned with the provision of life support or
organ support systems in patients who are critically ill and who usually require intensive
monitoring. In this scenario, the healthcare quality professional would involve staff that
would most commonly be related to the care of a patient with VAP. The involvement of
the intensivist, ICU nurse, and respiratory therapist would be considered common, and
would comprise the ideal and appropriate team to care for a patient with VAP.
B. While the primary care physician may be involved, it is not common practice for the
infection control nurse/preventionist to be involved in the
daily care of a patient with VAP.
C. While the ICU manager and pharmacist could be involved in the care of a patient
with VAP, they would not be ideal members of a quality improvement team.
D. While the pharmacist, intensivist, and infection control nurse/practitioner could be
part of the VAP quality improvement team, this response is not ideal as it does not
include the respiratory therapist or ICU nurse.
