Question 1

When a nurse assesses the necessity of receiving care before providing services,it is called a:

Accepted Answer

A)  Concurrent audit 
B)  Retrospective audit 
C)  Prospective utilization review 
D)  Retrospective utilization review 
A)  Concurrent audit 
B)  Retrospective audit 
C)  Prospective utilization review 
D)  Retrospective utilization review C

Question 2

Which action would a nurse take when using the specific approach to quality improvement?

Accepted Answer

A)  Evaluate an agency's ability to meet criteria or standards. 
B)  Implement the plan/do/check/act cycle. 
C)  Provide care to individual citizens. 
D)  Use criteria set forth by regulatory agencies. 
A)  Evaluate an agency's ability to meet criteria or standards. 
B)  Implement the plan/do/check/act cycle. 
C)  Provide care to individual citizens. 
D)  Use criteria set forth by regulatory agencies. B

Question 3

A public health agency is transitioning from a traditional management model for quality assurance to a total quality management (TQM)approach.What change will occur within the agency?

Accepted Answer

A)  Increased administrative authority 
B)  Increased participation by all staff 
C)  Additional focus on quality assurance 
D)  Specialized accountability for services provided 
A)  Increased administrative authority 
B)  Increased participation by all staff 
C)  Additional focus on quality assurance 
D)  Specialized accountability for services provided B

Question 4

How can public health nurses provide the core function of assurance to the community?

Accepted Answer

A)  By providing the same services to all citizens 
B)  By maintaining quality in the public health workforce 
C)  By eliminating low-quality services 
D)  By contracting with outside agencies to evaluate effectiveness 
A)  By providing the same services to all citizens 
B)  By maintaining quality in the public health workforce 
C)  By eliminating low-quality services 
D)  By contracting with outside agencies to evaluate effectiveness

Question 5

A staff development program to teach nurses and other providers about how to reduce risk by properly documenting interventions provided is an example of which level of prevention?

Accepted Answer

A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Quality care 
A)  Primary prevention 
B)  Secondary prevention 
C)  Tertiary prevention 
D)  Quality care

Question 6

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.What is occurring in this situation?

Accepted Answer

A)  Treatment decisions are made conservatively. 
B)  Disability and mortality are being reduced. 
C)  Disparities in quality of care provided are increasing. 
D)  Unnecessary tests, surgeries, and treatments are being ordered. 
A)  Treatment decisions are made conservatively. 
B)  Disability and mortality are being reduced. 
C)  Disparities in quality of care provided are increasing. 
D)  Unnecessary tests, surgeries, and treatments are being ordered.

Question 7

Which statement about the quality assurance process is accurate?

Accepted Answer

A)  Processes are implemented to maintain quality. 
B)  Community needs are assessed while implementing quality programs. 
C)  Accountability of the provider is the primary concern. 
D)  Standards for care are established and evaluated. 
A)  Processes are implemented to maintain quality. 
B)  Community needs are assessed while implementing quality programs. 
C)  Accountability of the provider is the primary concern. 
D)  Standards for care are established and evaluated.

Question 8

When developing a quality improvement program,what is the most important aspect of the program that should be considered?

Accepted Answer

A)  Vision and values of the agency 
B)  Standards used to provide care 
C)  Results of nursing care 
D)  Evaluation of process changes 
A)  Vision and values of the agency 
B)  Standards used to provide care 
C)  Results of nursing care 
D)  Evaluation of process changes

Question 9

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven.What type of record is being used?

Accepted Answer

A)  Clinical record 
B)  Provider service record 
C)  Financial record 
D)  Central index system 
A)  Clinical record 
B)  Provider service record 
C)  Financial record 
D)  Central index system

Question 10

An example of a voluntary approach to quality control used primarily for institutions is:

Accepted Answer

A)  Accreditation 
B)  Licensure 
C)  Certification 
D)  Credentialing 
A)  Accreditation 
B)  Licensure 
C)  Certification 
D)  Credentialing

Question 11

A student has obtained a Bachelor of Science in Nursing degree.Why must the student be licensed as a registered nurse before beginning practice?

Accepted Answer

A)  To formally recognize the student as a competent professional 
B)  To define the scope of professional practice 
C)  To control the quality of professional practice 
D)  To establish standards for educational programs 
A)  To formally recognize the student as a competent professional 
B)  To define the scope of professional practice 
C)  To control the quality of professional practice 
D)  To establish standards for educational programs

Question 12

What is the purpose of the National Health Quality Report (NHQR)?

Accepted Answer

A)  To report on the Agency for Healthcare Research and Quality's goals for the year 
B)  To describe the yearly activities of the agency 
C)  To ensure national quality of services 
D)  To document if health care quality is stable, improving, or declining over time 
A)  To report on the Agency for Healthcare Research and Quality's goals for the year 
B)  To describe the yearly activities of the agency 
C)  To ensure national quality of services 
D)  To document if health care quality is stable, improving, or declining over time

Question 13

A quality assurance manager does an audit and six months later returns to see if the problem has been eliminated.This step:

Accepted Answer

A)  Involves selecting explicit criteria for quality care 
B)  Includes the review of records 
C)  Requires a peer review of all cases that do not meet criteria 
D)  Completes the audit process 
A)  Involves selecting explicit criteria for quality care 
B)  Includes the review of records 
C)  Requires a peer review of all cases that do not meet criteria 
D)  Completes the audit process

Question 14

A nurse is working with a team to learn more about what its most important accomplishments have been and to identify what changes are desired.What is the best method to use to accomplish this task?

Accepted Answer

A)  Compare job descriptions. 
B)  Analyze mission and goals. 
C)  Brainstorm. 
D)  Develop charts and diagrams. 
A)  Compare job descriptions. 
B)  Analyze mission and goals. 
C)  Brainstorm. 
D)  Develop charts and diagrams.

Question 15

Which resource would a public health nurse measuring quality assurance in the 1960s most likely have used?

Accepted Answer

A)  American Nurses Association Standards of Practice 
B)  Joint Commission of Accreditation of Hospitals Nursing Audit Criteria 
C)  Community Health Nursing Practice Standards 
D)  Phaneuf nursing audit method 
A)  American Nurses Association Standards of Practice 
B)  Joint Commission of Accreditation of Hospitals Nursing Audit Criteria 
C)  Community Health Nursing Practice Standards 
D)  Phaneuf nursing audit method

Question 16

Which organization monitors implementation of the prospective reimbursement system for Medicare clients?

Accepted Answer

A)  Professional Review Organizations (PROs) 
B)  Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 
C)  National Health Quality Improvement Act 
D)  Diagnostic Related Groups (DRGs) 
A)  Professional Review Organizations (PROs) 
B)  Joint Commission on Accreditation of Healthcare Organizations (JCAHO) 
C)  National Health Quality Improvement Act 
D)  Diagnostic Related Groups (DRGs)

Question 17

A nurse implements the Institute of Medicine's definition of quality health care when providing care that is:

Accepted Answer

A)  Licensed-all health care workers must have a license 
B)  Safe-avoiding injuries to patients from the care intended to help them 
C)  Timely-no waiting or delay for health care 
D)  Innovative-new innovations must be used when they become available 
A)  Licensed-all health care workers must have a license 
B)  Safe-avoiding injuries to patients from the care intended to help them 
C)  Timely-no waiting or delay for health care 
D)  Innovative-new innovations must be used when they become available

Question 18

Which type of record is most appropriate to use when profiling the clients who are served by an agency as well as documenting services requested and provided?

Accepted Answer

A)  Clinical record 
B)  Provider service record 
C)  Financial record 
D)  Central index system 
A)  Clinical record 
B)  Provider service record 
C)  Financial record 
D)  Central index system

Question 19

A nurse is using a concurrent audit to review documentation following home health visits.Why is this type of audit most appropriate in this situation?

Accepted Answer

A)  It is less costly than a retrospective audit. 
B)  It represents the total picture of care that the client receives. 
C)  It provides more accurate data for planning corrective action. 
D)  It identifies problems at the time that care is given. 
A)  It is less costly than a retrospective audit. 
B)  It represents the total picture of care that the client receives. 
C)  It provides more accurate data for planning corrective action. 
D)  It identifies problems at the time that care is given.

Question 20

An elderly female client was receiving home care after hospitalization for a cerebrovascular accident.After several weeks of physical and speech therapy,the client showed few signs of progress.The utilization review committee considered the client's condition to be stable and declined reimbursement for further home care.This client may reverse the decision through a process called:

Accepted Answer

A)  Development of explicit criteria 
B)  Appeal mechanism 
C)  Concurrent utilization review 
D)  Medicare reversal process 
A)  Development of explicit criteria 
B)  Appeal mechanism 
C)  Concurrent utilization review 
D)  Medicare reversal process

Exam 26: Quality Management

When a nurse assesses the necessity of receiving care before providing services,it is called a:

Which action would a nurse take when using the specific approach to quality improvement?

A public health agency is transitioning from a traditional management model for quality assurance to a total quality management (TQM)approach.What change will occur within the agency?

How can public health nurses provide the core function of assurance to the community?

A staff development program to teach nurses and other providers about how to reduce risk by properly documenting interventions provided is an example of which level of prevention?

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.What is occurring in this situation?

Which statement about the quality assurance process is accurate?

When developing a quality improvement program,what is the most important aspect of the program that should be considered?

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven.What type of record is being used?

An example of a voluntary approach to quality control used primarily for institutions is:

A student has obtained a Bachelor of Science in Nursing degree.Why must the student be licensed as a registered nurse before beginning practice?

What is the purpose of the National Health Quality Report (NHQR)?

A quality assurance manager does an audit and six months later returns to see if the problem has been eliminated.This step:

A nurse is working with a team to learn more about what its most important accomplishments have been and to identify what changes are desired.What is the best method to use to accomplish this task?

Which resource would a public health nurse measuring quality assurance in the 1960s most likely have used?

Which organization monitors implementation of the prospective reimbursement system for Medicare clients?

A nurse implements the Institute of Medicine's definition of quality health care when providing care that is:

Which type of record is most appropriate to use when profiling the clients who are served by an agency as well as documenting services requested and provided?

A nurse is using a concurrent audit to review documentation following home health visits.Why is this type of audit most appropriate in this situation?

Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Community Health Nursing

Public Health and Primary Care Systems and Health Care Transformation

Perspectives in Global Health Care

Economics of Health Care Delivery

Application of Ethics in the Community

Cultural Diversity in the Community

Public Health Policy

Population-Based Public Health Nursing Practice: the Intervention Wheel

Environmental Health

Genomics in Public Health Nursing

Epidemiology

Infectious Disease Prevention and Control

Communicable and Infectious Disease Risks

Evidence-Based Practice

Using Health Education and Groups to Promote Health

Promoting Healthy Communities Using Multilevel Participatory Strategies

Community As Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nursing Center: A Model for Nursing Practice in the Community

Case Management

Public Health Nursing and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Family Development and Family Nursing Assessment

Family Health Risks

Child and Adolescent Health

Major Health Issues and Chronic Disease Management of Adults Across the Life Span

Special Needs Populations

Vulnerability and Vulnerable Populations: an Overview

Poverty and Homelessness

Migrant Health Issues

Teen Pregnancy

Mental Health Issues

Alcohol, Tobacco, and Other Drug Problems

Violence and Human Abuse

The Advanced Practice Nurse in the Community

The Nurse Leader in the Community

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

Forensic Nursing in the Community

The Nurse in the Faith Community

Public Health Nursing at the Local, State, and National Levels

Filters