LEADERSHIP NUR 4590 STUDY GUIDE QUESTIONS
AND ANSWERS SET A+
✔✔Which of the following is an example of a nurse-sensitive indicator?
a. Cardiac patient mortality
b. Hospital-acquired pressure ulcers
c. Pulmonary embolus after knee surgery
d. Iatrogenic pneumothorax after central line placement - ✔✔b. Hospital-acquired
pressure ulcers
✔✔The purpose of a root cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the patient/patient s family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event. - ✔✔d. identify the systems
issues that led to a sentinel event.
✔✔The risk manager wants to illustrate the causes that have been leading to an
increase in patient misidentification. The most appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart. - ✔✔c. fishbone diagram.
✔✔Which of the following are never events? (Select all that apply.)
a. A minor medication error
b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
,e. Hip fracture acquired in the hospital
f. Pressure ulcer acquired in the home
g. Catheter-associated urinary tract infection
h. Surgical site infection - ✔✔b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
g. Catheter-associated urinary tract infection
h. Surgical site infection
✔✔A successful enterprise risk management (ERM) program will: (Select all that apply)
a. identify risks.
b. improve quality.
c. prevent damage.
d. control occurrences.
e. control legal liability. - ✔✔a. identify risks.
c. prevent damage.
d. control occurrences.
e. control legal liability.
✔✔Tenets embraced by health care professionals and promoted by health care leaders
and organizations such as TJC and the IOM include which of the following? (Select all
that apply.)
a. People and systems are the problems, not processes.
b. Quality measurement and monitoring is everyone's job.
c. Quality cannot be enhanced by non-punitive work cultures.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance. - ✔✔b. Quality measurement and monitoring is everyone's job.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance.
✔✔A framework for understanding health care improvement has been proposed by the
IOM Committee on Quality of Health Care in America. The aims for health care quality
improvement propose that health care systems ensure that care is: (Select all that
apply.)
a. safe.
b. timely.
c. efficient.
d. cost-controlled.
e. patient-centered. - ✔✔a. safe.
, b. timely.
c. efficient.
e. patient-centered.
✔✔The Baldrige National Quality Award (BNQA) establishes a set of performance
standards that define a total quality organization. The standards in areas of excellence
include: (Select all that apply.)
a. leadership.
b. strategic planning.
c. environment of care.
d. human resource focus.
e. medication management. - ✔✔a. leadership.
b. strategic planning.
d. human resource focus.
✔✔Attributes of a total quality organization according to BNQA include: (Select all that
apply.)
a. accreditation by TJC.
b. a commitment to obtaining Magnet designation.
c. strategic planning.
d. focus on patients, other customers, and markets.
e. organizational performance results. - ✔✔c. strategic planning.
d. focus on patients, other customers, and markets.
e. organizational performance results.
✔✔TJC requires accredited organizations to participate in their core measure initiative.
The current core measure sets include: (Select all that apply.)
a. stroke.
b. tobacco treatment.
c. pneumonia measures.
d. iatrogenic pneumothorax.
e. venous thromboembolism.
f. acute myocardial infarction. - ✔✔a. stroke.
b. tobacco treatment.
c. pneumonia measures.
e. venous thromboembolism.
f. acute myocardial infarction.
✔✔Principles of a fair and just culture include: (Select all that apply.)
a. zero-tolerance for reckless behavior.
b. reduction of personal accountability and discipline.
AND ANSWERS SET A+
✔✔Which of the following is an example of a nurse-sensitive indicator?
a. Cardiac patient mortality
b. Hospital-acquired pressure ulcers
c. Pulmonary embolus after knee surgery
d. Iatrogenic pneumothorax after central line placement - ✔✔b. Hospital-acquired
pressure ulcers
✔✔The purpose of a root cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the patient/patient s family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event. - ✔✔d. identify the systems
issues that led to a sentinel event.
✔✔The risk manager wants to illustrate the causes that have been leading to an
increase in patient misidentification. The most appropriate tool to use is a:
a. pareto chart.
b. control chart.
c. fishbone diagram.
d. detailed flowchart. - ✔✔c. fishbone diagram.
✔✔Which of the following are never events? (Select all that apply.)
a. A minor medication error
b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
,e. Hip fracture acquired in the hospital
f. Pressure ulcer acquired in the home
g. Catheter-associated urinary tract infection
h. Surgical site infection - ✔✔b. A foreign object left in the body during surgery
c. Surgery on the wrong body part
d. A mismatched blood transfusion
e. Hip fracture acquired in the hospital
g. Catheter-associated urinary tract infection
h. Surgical site infection
✔✔A successful enterprise risk management (ERM) program will: (Select all that apply)
a. identify risks.
b. improve quality.
c. prevent damage.
d. control occurrences.
e. control legal liability. - ✔✔a. identify risks.
c. prevent damage.
d. control occurrences.
e. control legal liability.
✔✔Tenets embraced by health care professionals and promoted by health care leaders
and organizations such as TJC and the IOM include which of the following? (Select all
that apply.)
a. People and systems are the problems, not processes.
b. Quality measurement and monitoring is everyone's job.
c. Quality cannot be enhanced by non-punitive work cultures.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance. - ✔✔b. Quality measurement and monitoring is everyone's job.
d. Standardization of processes is key to managing work and people.
e. The impetus for quality monitoring is not primarily for accreditation or regulatory
compliance.
✔✔A framework for understanding health care improvement has been proposed by the
IOM Committee on Quality of Health Care in America. The aims for health care quality
improvement propose that health care systems ensure that care is: (Select all that
apply.)
a. safe.
b. timely.
c. efficient.
d. cost-controlled.
e. patient-centered. - ✔✔a. safe.
, b. timely.
c. efficient.
e. patient-centered.
✔✔The Baldrige National Quality Award (BNQA) establishes a set of performance
standards that define a total quality organization. The standards in areas of excellence
include: (Select all that apply.)
a. leadership.
b. strategic planning.
c. environment of care.
d. human resource focus.
e. medication management. - ✔✔a. leadership.
b. strategic planning.
d. human resource focus.
✔✔Attributes of a total quality organization according to BNQA include: (Select all that
apply.)
a. accreditation by TJC.
b. a commitment to obtaining Magnet designation.
c. strategic planning.
d. focus on patients, other customers, and markets.
e. organizational performance results. - ✔✔c. strategic planning.
d. focus on patients, other customers, and markets.
e. organizational performance results.
✔✔TJC requires accredited organizations to participate in their core measure initiative.
The current core measure sets include: (Select all that apply.)
a. stroke.
b. tobacco treatment.
c. pneumonia measures.
d. iatrogenic pneumothorax.
e. venous thromboembolism.
f. acute myocardial infarction. - ✔✔a. stroke.
b. tobacco treatment.
c. pneumonia measures.
e. venous thromboembolism.
f. acute myocardial infarction.
✔✔Principles of a fair and just culture include: (Select all that apply.)
a. zero-tolerance for reckless behavior.
b. reduction of personal accountability and discipline.
