Question 1

A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM.The surgical team adheres to the 2018 National Patient Safety Goals by implementing which protocols? (Select all that apply. )

Accepted Answer

A)  The surgical team asks the patient to verify his or her name,type of surgery,and limb to be removed. 
B)  Ask each member of the surgical team to provide a copy of licensure and,if applicable,certification to patient and family. 
C)  The surgical team uses the chart number and name/hospital number to ensure they have the correct patient. 
D)  Mark the procedure site with "X" and again ask the patient to verify correct site. 
E)  After arrival in the operating room,perform a "time-out" for final identification of patient and operative site along with agreement of what procedure is scheduled.

Question 2

A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process.A step-by-step reference that shows how to complete the process is referred to by what term?

Accepted Answer

A)  Deployment flowchart 
B)  Top-down flowchart 
C)  Pareto chart 
D)  Control chart

Question 3

A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN)recommended competencies for educating nursing professionals.What competency is included? (Select all that apply. )

Accepted Answer

A)  Advanced health assessment techniques 
B)  Patient-centered care 
C)  Prescriptive pharmacology content 
D)  Quality improvement 
E)  Safety

Question 4

Regardless of the term used to describe high-quality health care,what is the primary focus of quality?

Accepted Answer

A)  Meeting consumer needs and wants 
B)  Providing economical care 
C)  Utilizing technologic advancements 
D)  Equally distributed care

Question 5

Quality is defined by the ____________.

Accepted Answer

The answer of Quality is defined by the ____________....

Question 6

Patients with heart failure have extended lengths of stay and are often readmitted shortly after they have been discharged.To improve quality of care,a type of "road map" that included all elements of care for this disease and that standardized treatment by guiding daily care was implemented.This road map is referred to using what term?

Accepted Answer

A)  Clinical protocol 
B)  Critical pathway 
C)  Algorithm 
D)  Case management

Question 7

During the night,a patient fell in the bathroom and sustained a hip injury.The patient was very upset because of being unable to attend a granddaughter's wedding in 2 days.The team looked at the process and determined that the patient had been medicated with a narcotic,had urinary urgency so had not taken the time to put on shoes,failed to turn on the light because the door to the hall let in some light,and stumbled over a towel that had been placed to collect water leaks caused by construction that was in progress to replace damaged sinks.Which factor was a special cause variation?

Accepted Answer

A)  Failure to take time to put on shoes due to urgency 
B)  Unsteady gait due to narcotic administration 
C)  Poor lighting that led to decreased vision 
D)  Improper construction that caused the leak and towel placement

Exam 22: Quality Improvement and Patient Safety

A patient with complicated diabetes is scheduled for a below the knee amputation at 7 AM.The surgical team adheres to the 2018 National Patient Safety Goals by implementing which protocols? (Select all that apply. )

A nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process.A step-by-step reference that shows how to complete the process is referred to by what term?

A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals.What competency is included? (Select all that apply. )

Regardless of the term used to describe high-quality health care,what is the primary focus of quality?

Quality is defined by the ____________.