Nur 425 exam COMPREHENSIVE QUESTIONS AND
VERIFIED ANSWERS (2025) ALREADY GRADED A+
medicare - (ANSWER)the most expensive healthcare. Recipients are reimbursed
by predetermined amount such as a fix cost per case. hospitals are paid by the
quality of service that is provided
medicaid - (ANSWER)a joint federal and state program that helps with costs for
people with limited income and resources
Diagnosis related groups - (ANSWER)they are a prospective payment system for
hospitals and other healthcare providers
cultural diversity within nursing - (ANSWER)Currently there are over 2.1 million
nurses in the US....
-<4.9% are black
-3.7% Asians
-2.0% Hispanic
-0.5% NA/Alaskan
-5.4% men
benchmarking - (ANSWER)a comparison of what your hospital is doing against
another hospital or specific standards or care
-strategy used by organizations to compare performance outcomes
-we need it to improve care
,-one manager may want to compare their time it takes for a patient to be
admitted and seen by a physician to the time for the same process at another
hospital.
quality management - (ANSWER)really about reducing errors and preventing
legal issues
-preventative approach designed to address problems before they become a crisis
-program to prevent problems in the hospital
-without quality and risk management programs healthcare organizations would
never know how many errors occur, how to prevent errors and reduce litigation
(law suits).
risk management - (ANSWER)program designed to reduce the organizations risks
and lawsuits
-Must involve everyone in the organization; identifies the risk
-Establishes programs to prevent and reduce risk
-Educates, monitors, evaluates
quality programs - (ANSWER)focus on the improvement of organizational process
to prevent potential problems
-total quality management
-continuous quality improvement
-benchmarking
-six sigma
,quality improvement - (ANSWER)older method to find erros and is viewed by
nurses
-The QI nurse seeks to find the nurse responsible for making the errors, and this
usually resulted in a disciplinary action.
-There is a peer on a QI team who makes a specific audit tool to find mistakes
made by the staff → the report is given to the manager
-Nurses do not like the QI system for that reason.
where did total quality management come from? - (ANSWER)Edward Dwinning
-came up with looking at japan;s car industry which then has flowed out
everywhere and health care adopted it
total quality management - (ANSWER)-everyone in the organization must be part
of this process and has a role in it for positive results
-goal is for the organization to be efficient as possible and provide quality care in
safe and timely manner
-units focus on what their needs are using the method rood cause analysis
*customer/client focused, uses numbers to measure success (quantitative) such
as Press Gainey Scores and seeks ways to improve process within the
organization.
total quality management example - (ANSWER)In mother baby, babies falling off
of beds due to mom/dad falling asleep or needing to encourage breastfeeding.
Critical care problems: respiratory infections
, total quality management characteristics - (ANSWER)-customer focus
-total organizational support
-tools for measurement
-identification of key processes for change
total quality insurance - (ANSWER)a team of nurses come into audit the charts for
example using weights
-they will make a report and then call the nurse manager to call out other nurses
who are making the mistakes to stop them
continuous quality improvement - (ANSWER)process implemented to improve
the organizations quality and performance
-Review of systems to improve patient care, it never ends, the CQI team members
evaluate, act and try to improve process or how things get done.
-4 members in the process
members in continuous quality improvement - (ANSWER)-Resource group: senior
management
-Coordinator: provides day-day management of the CQI process
-team Member: evaluate and improve the processes
-Team Leader: organizes the meetings and guides process, and evaluation
VERIFIED ANSWERS (2025) ALREADY GRADED A+
medicare - (ANSWER)the most expensive healthcare. Recipients are reimbursed
by predetermined amount such as a fix cost per case. hospitals are paid by the
quality of service that is provided
medicaid - (ANSWER)a joint federal and state program that helps with costs for
people with limited income and resources
Diagnosis related groups - (ANSWER)they are a prospective payment system for
hospitals and other healthcare providers
cultural diversity within nursing - (ANSWER)Currently there are over 2.1 million
nurses in the US....
-<4.9% are black
-3.7% Asians
-2.0% Hispanic
-0.5% NA/Alaskan
-5.4% men
benchmarking - (ANSWER)a comparison of what your hospital is doing against
another hospital or specific standards or care
-strategy used by organizations to compare performance outcomes
-we need it to improve care
,-one manager may want to compare their time it takes for a patient to be
admitted and seen by a physician to the time for the same process at another
hospital.
quality management - (ANSWER)really about reducing errors and preventing
legal issues
-preventative approach designed to address problems before they become a crisis
-program to prevent problems in the hospital
-without quality and risk management programs healthcare organizations would
never know how many errors occur, how to prevent errors and reduce litigation
(law suits).
risk management - (ANSWER)program designed to reduce the organizations risks
and lawsuits
-Must involve everyone in the organization; identifies the risk
-Establishes programs to prevent and reduce risk
-Educates, monitors, evaluates
quality programs - (ANSWER)focus on the improvement of organizational process
to prevent potential problems
-total quality management
-continuous quality improvement
-benchmarking
-six sigma
,quality improvement - (ANSWER)older method to find erros and is viewed by
nurses
-The QI nurse seeks to find the nurse responsible for making the errors, and this
usually resulted in a disciplinary action.
-There is a peer on a QI team who makes a specific audit tool to find mistakes
made by the staff → the report is given to the manager
-Nurses do not like the QI system for that reason.
where did total quality management come from? - (ANSWER)Edward Dwinning
-came up with looking at japan;s car industry which then has flowed out
everywhere and health care adopted it
total quality management - (ANSWER)-everyone in the organization must be part
of this process and has a role in it for positive results
-goal is for the organization to be efficient as possible and provide quality care in
safe and timely manner
-units focus on what their needs are using the method rood cause analysis
*customer/client focused, uses numbers to measure success (quantitative) such
as Press Gainey Scores and seeks ways to improve process within the
organization.
total quality management example - (ANSWER)In mother baby, babies falling off
of beds due to mom/dad falling asleep or needing to encourage breastfeeding.
Critical care problems: respiratory infections
, total quality management characteristics - (ANSWER)-customer focus
-total organizational support
-tools for measurement
-identification of key processes for change
total quality insurance - (ANSWER)a team of nurses come into audit the charts for
example using weights
-they will make a report and then call the nurse manager to call out other nurses
who are making the mistakes to stop them
continuous quality improvement - (ANSWER)process implemented to improve
the organizations quality and performance
-Review of systems to improve patient care, it never ends, the CQI team members
evaluate, act and try to improve process or how things get done.
-4 members in the process
members in continuous quality improvement - (ANSWER)-Resource group: senior
management
-Coordinator: provides day-day management of the CQI process
-team Member: evaluate and improve the processes
-Team Leader: organizes the meetings and guides process, and evaluation
