Question 1

A nurse is using the specific approach to QI.Which of the following describes the action that would be taken by the nurse?

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 2

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.Which of the following would be the method used 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 C

Question 3

A nurse is implementing a voluntary approach to quality control within the organization.Which of the following describes what the nurse is implementing?

Accepted Answer

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

Question 4

A staff development program is used to teach nurses and other providers about how to reduce risk by properly documenting interventions provided.Which of the following levels of prevention is being used?

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 5

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 6

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.Which of the following statements describes 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

What is the purpose of implementing total quality management (TQM)?

Accepted Answer

A)  Provide quality care within an organization 
B)  Provide cost-efficient care across all age groups 
C)  Provide necessary care to clients in a cost-effective system 
D)  Provide efficient systems of primary care 
A)  Provide quality care within an organization 
B)  Provide cost-efficient care across all age groups 
C)  Provide necessary care to clients in a cost-effective system 
D)  Provide efficient systems of primary care

Question 8

Which of the following monitors access to care,the cost of care,and protects the Medicare Trust?

Accepted Answer

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

Question 9

A nurse assesses the necessity of receiving care before providing services.Which of the following describes what is being implemented?

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

Question 10

A nurse is using a concurrent audit to review documentation following home health visits.Which of the following statements describes why this type of audit is 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 11

A nurse is implementing plan-do-check-act.Which of the following actions is the nurse going to perform?

Accepted Answer

A)  Documentation of client care 
B)  Obtain certification in a specialty area 
C)  Review data after changing practice 
D)  Provide equal access to care 
A)  Documentation of client care 
B)  Obtain certification in a specialty area 
C)  Review data after changing practice 
D)  Provide equal access to care

Question 12

A student has obtained a Bachelor of Science in Nursing degree.Which of the following describes why the student must 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 13

A nurse implements the Institute of Medicine's definition of quality health care when providing care.Which of the following describes this care?

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 14

A nurse is using a clinical practice guideline.Which of the following describes the situations that the nurse may be facing? (Select all that apply.)

Accepted Answer

A)  Recommending the administration of the influenza vaccination to a client 
B)  Creating agency policies and procedures 
C)  Developing a program targeting obesity prevention 
D)  Researching interventions that would improve care for a tuberculosis client 
E)  Documenting the assessment of a client with congestive heart failure 
A)  Recommending the administration of the influenza vaccination to a client 
B)  Creating agency policies and procedures 
C)  Developing a program targeting obesity prevention 
D)  Researching interventions that would improve care for a tuberculosis client 
E)  Documenting the assessment of a client with congestive heart failure

Question 15

A nurse is profiling the clients who are served by an agency as well as documenting services requested and provided.Which of the following describes the type of record that would be appropriate to use?

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 16

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven.Which of the following types of records 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 17

A public health agency is transitioning from a traditional management model for quality assurance to a TQM approach.Which of the following changes 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

Question 18

A quality assurance manager does an audit and 6 months later returns to see if the problem has been eliminated.Which of the following describes this step?

Accepted Answer

A)  It involves selecting explicit criteria for quality care. 
B)  It includes the review of records. 
C)  It requires a peer review of all cases that do not meet criteria. 
D)  It completes the audit process. 
A)  It involves selecting explicit criteria for quality care. 
B)  It includes the review of records. 
C)  It requires a peer review of all cases that do not meet criteria. 
D)  It completes the audit process.

Question 19

Which of the following statements about records is true? (Select all that apply.)

Accepted Answer

A)  Records provide complete information about the client. 
B)  Records resolve legal issues in malpractice suits. 
C)  Records provide information for education and research. 
D)  Records allow anyone interested in a client's progress to view a chart. 
E)  Records allow for easy documentation of the client's assessment. 
A)  Records provide complete information about the client. 
B)  Records resolve legal issues in malpractice suits. 
C)  Records provide information for education and research. 
D)  Records allow anyone interested in a client's progress to view a chart. 
E)  Records allow for easy documentation of the client's assessment.

Question 20

A public health nurse (PHN)is providing the core function of assurance to the community.Which of the following describes what the nurse is doing?

Accepted Answer

A)  Providing the same services to all citizens 
B)  Maintaining quality in the public health workforce 
C)  Eliminating low-quality services 
D)  Contracting with outside agencies to evaluate effectiveness 
A)  Providing the same services to all citizens 
B)  Maintaining quality in the public health workforce 
C)  Eliminating low-quality services 
D)  Contracting with outside agencies to evaluate effectiveness

Exam 26: Quality Management

A nurse is using the specific approach to QI.Which of the following describes the action that would be taken by the nurse?

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.Which of the following would be the method used to accomplish this task?

A nurse is implementing a voluntary approach to quality control within the organization.Which of the following describes what the nurse is implementing?

A staff development program is used to teach nurses and other providers about how to reduce risk by properly documenting interventions provided.Which of the following levels of prevention is being used?

Which statement about the quality assurance process is accurate?

A nurse is concerned that there is an overuse of services by clients receiving care from a local physician.Which of the following statements describes what is occurring in this situation?

What is the purpose of implementing total quality management (TQM)?

Which of the following monitors access to care,the cost of care,and protects the Medicare Trust?

A nurse assesses the necessity of receiving care before providing services.Which of the following describes what is being implemented?

A nurse is using a concurrent audit to review documentation following home health visits.Which of the following statements describes why this type of audit is most appropriate in this situation?

A nurse is implementing plan-do-check-act.Which of the following actions is the nurse going to perform?

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

A nurse implements the Institute of Medicine's definition of quality health care when providing care.Which of the following describes this care?

A nurse is using a clinical practice guideline.Which of the following describes the situations that the nurse may be facing? (Select all that apply.)

A nurse is profiling the clients who are served by an agency as well as documenting services requested and provided.Which of the following describes the type of record that would be appropriate to use?

A nurse records the number of clients seen daily as well as the mode of transportation and miles driven.Which of the following types of records is being used?

A public health agency is transitioning from a traditional management model for quality assurance to a TQM approach.Which of the following changes will occur within the agency?

A quality assurance manager does an audit and 6 months later returns to see if the problem has been eliminated.Which of the following describes this step?

Which of the following statements about records is true? (Select all that apply.)

A public health nurse (PHN)is providing the core function of assurance to the community.Which of the following describes what the nurse is doing?

Community and Prevention-Oriented, Population-Focused Practice: The Foundation of Specialization in Public Health Nursing

History of Public Health and Public and Community Health Nursing

The Changing U.S.Health and Public Health Care Systems

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

Changing Health Behavior Using Health Education with Individuals, Families, and Groups

Building a Culture of Health through Community Health Promotion

Community as Client: Assessment and Analysis

Population-Centered Nursing in Rural and Urban Environments

Promoting Health Through Healthy Communities and Cities

The Nurse-led Health Center: A Model for Community Nursing Practice

Case Management

Public Health Nursing Practice and the Disaster Management Cycle

Public Health Surveillance and Outbreak Investigation

Program Management

Working with Families in the Community for Healthy Outcomes

Family Health Risks

Child and Adolescent Health

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

Disability Health Care Across the Life Span

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, Palliative Care, 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 Local, State, and National Levels

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