NU 730
Systems Based Practice
Final Exams Review (Qns & Ans)
2025
1. Which of the following is the primary goal of systems-based
practice in nursing?
A. Enhancing patient satisfaction
B. Reducing healthcare costs
C. Improving patient safety and quality of care
D. Increasing nurse autonomy
ANS: C
Rationale: The primary goal of systems-based practice is to
improve patient safety and quality of care by understanding and
integrating various components of the healthcare system.
©2025
,2. Which of the following best describes a high-reliability
organization (HRO)?
A. An organization that operates with minimal oversight
B. An organization that consistently minimizes adverse events
despite operating in hazardous environments
C. An organization that prioritizes financial performance over
patient care
D. An organization with a hierarchical decision-making
structure
ANS: B
Rationale: High-reliability organizations consistently
minimize adverse events by implementing robust systems and
processes, even in high-risk environments.
3. What is the primary purpose of root cause analysis (RCA) in
healthcare?
A. To assign blame for medical errors
B. To identify system failures and implement corrective actions
C. To evaluate staff performance
D. To reduce healthcare costs
ANS: B
©2025
, Rationale: Root cause analysis is used to identify underlying
system failures that contribute to errors and to implement
corrective actions to prevent recurrence.
Fill-in-the-Blank Questions
4. The use of evidence-based practice (EBP) in nursing involves
integrating ________, ________, and ________ to provide high-
quality care.
ANS: clinical expertise, patient preferences, best available
evidence
Rationale: Evidence-based practice integrates clinical
expertise, patient preferences, and the best available evidence to
ensure high-quality care.
5. The ________ is a national initiative aimed at improving
healthcare quality by reducing variations in care and promoting
best practices.
ANS: Quality and Safety Education for Nurses (QSEN)
Rationale: The QSEN initiative aims to improve healthcare
quality by reducing variations in care and promoting best
practices.
True/False Questions
©2025
, 6. True or False: Systems-based practice requires healthcare
professionals to understand the healthcare system and work
effectively within it to deliver optimal patient care.
ANS: True
Rationale: Systems-based practice involves understanding
and effectively working within the healthcare system to deliver
optimal patient care.
7. True or False: Patient-centered care is a key component of
systems-based practice.
ANS: True
Rationale: Patient-centered care is a key component of
systems-based practice, as it focuses on providing care that is
respectful of and responsive to individual patient preferences,
needs, and values.
Multiple Response Questions
8. Which of the following are essential elements of a patient
safety culture in healthcare? (Select all that apply)
A. Transparent reporting of errors
B. Punitive responses to mistakes
C. Continuous improvement
©2025
Systems Based Practice
Final Exams Review (Qns & Ans)
2025
1. Which of the following is the primary goal of systems-based
practice in nursing?
A. Enhancing patient satisfaction
B. Reducing healthcare costs
C. Improving patient safety and quality of care
D. Increasing nurse autonomy
ANS: C
Rationale: The primary goal of systems-based practice is to
improve patient safety and quality of care by understanding and
integrating various components of the healthcare system.
©2025
,2. Which of the following best describes a high-reliability
organization (HRO)?
A. An organization that operates with minimal oversight
B. An organization that consistently minimizes adverse events
despite operating in hazardous environments
C. An organization that prioritizes financial performance over
patient care
D. An organization with a hierarchical decision-making
structure
ANS: B
Rationale: High-reliability organizations consistently
minimize adverse events by implementing robust systems and
processes, even in high-risk environments.
3. What is the primary purpose of root cause analysis (RCA) in
healthcare?
A. To assign blame for medical errors
B. To identify system failures and implement corrective actions
C. To evaluate staff performance
D. To reduce healthcare costs
ANS: B
©2025
, Rationale: Root cause analysis is used to identify underlying
system failures that contribute to errors and to implement
corrective actions to prevent recurrence.
Fill-in-the-Blank Questions
4. The use of evidence-based practice (EBP) in nursing involves
integrating ________, ________, and ________ to provide high-
quality care.
ANS: clinical expertise, patient preferences, best available
evidence
Rationale: Evidence-based practice integrates clinical
expertise, patient preferences, and the best available evidence to
ensure high-quality care.
5. The ________ is a national initiative aimed at improving
healthcare quality by reducing variations in care and promoting
best practices.
ANS: Quality and Safety Education for Nurses (QSEN)
Rationale: The QSEN initiative aims to improve healthcare
quality by reducing variations in care and promoting best
practices.
True/False Questions
©2025
, 6. True or False: Systems-based practice requires healthcare
professionals to understand the healthcare system and work
effectively within it to deliver optimal patient care.
ANS: True
Rationale: Systems-based practice involves understanding
and effectively working within the healthcare system to deliver
optimal patient care.
7. True or False: Patient-centered care is a key component of
systems-based practice.
ANS: True
Rationale: Patient-centered care is a key component of
systems-based practice, as it focuses on providing care that is
respectful of and responsive to individual patient preferences,
needs, and values.
Multiple Response Questions
8. Which of the following are essential elements of a patient
safety culture in healthcare? (Select all that apply)
A. Transparent reporting of errors
B. Punitive responses to mistakes
C. Continuous improvement
©2025
