C157 Study Questions And Answers Latest 2020 Version

Document Content and Description Below

C157 Study Questions And Answers 1. The surgery department’s monthly case review revealed the need for the development of an innovation to better meet surgical patient outcomes. Which of the foll... owing would the Masters-prepared nurse need to consider having input from as part of the innovation development? • Surgical technician, risk manager and surgeon • Surgeon, scrub nurse and patient • Referring physician, circulating nurse and patient • Surgeon, risk manager and scrub nurse 2. The Masters-prepared nurse needs to assign a staff member to assist in the development of a quality improvement program for a new healthcare service. Which staff member is most appropriate for this project? • a newly hired staff member who has demonstrated competence and has time to complete the task • a motivated staff member who is actively seeking promotion • a competent staff member who has good interpersonal skills • a knowledgeable staff member who works best on defined tasks 3. The Masters-prepared nurse is a member of the discharge planning team that regularly monitors the number of inappropriate referrals, the timeliness of discharge planning, and the number of days of discharge delays. What additional aspect should the MSN recommend being added to the process for evaluating discharge planning interventions? • adequacy of documentation in progress notes • attainment of discharge planning goals • timeliness of referrals to discharge planning • number of discharge planning referrals from nursing 4. Pharmacy services and nursing services are having difficulty developing an action plan for reducing medication errors. Pharmacy services state nursing services are responsible for more issues related to errors, while nursing services state the opposite. What is the best action for the Maters-prepared nurse in resolving this dispute? • provide the members with directives on how to solve the problem • facilitate a discussion between the groups to enable them to problem-solve • assign the task to an uninvolved manager • refer the problem to the facility-wide quality council 5. When implementing a new quality improvement innovation, the committee identifies a need for change in the medication reconciliation process and creates a new documentation form that covers all essential elements of the process. The committee also develops a way to assess monthly compliance when using the new form. These tasks represent which step of the PDSA model? • Planning a change. • Pilot testing a change. • Implementing a tested change. • Sustaining a change. 6. An acute care hospital wants to revise their HIPPA privacy policy. The HIPAA privacy policy allows personal health information to be shared with any person designated by the patient. Clinical staff members are concerned because expanding access to patient information will result in additional work prior to directing visitors to answer questions regarding a patient's care. Hospital administration is considering this change to enhance patient-centered care. How should this change be evaluated to determine if it is successful? • compare quality care metrics of medication reconciliation pre-policy and post-policy change • compare quality care metrics between the acute hospital and the skilled nurse facility • compare patient satisfaction metrics between pre-policy and post-policy change • compare clinical staff satisfaction metrics between pre-policy and post-policy change 7. As part of an innovation, three nurses on different shifts are using a new medication reconciliation form. This task represents which step of the PDSA model? • Planning a change. • Pilot testing a change. • Implementing a tested change. • Sustaining a change. 8. As part of the innovation, all nurses in a hospital begin using a new medication reconciliation form. This task represents which step of the PDSA model? • Planning for a change. • Pilot testing a change. • Implementing a tested change. • Sustaining a change 9. An acute care hospital wants to reduce readmission rates due to problems with medication reconciliation and a lack of understanding of discharge instructions. When developing an innovation, to improve patient education related to discharge medications, who would be the most appropriate person to designate as the leader for this innovation? • Social Worker • Advance Practice Nurse • Physician • Pharmacist 10. In reflecting on the role of a Masters-prepared nurse as a mentor, which of the following statements is not true? • The mentor nurtures and develops the mentee’s capacity for self-reflection and self-direction. • Mentoring relationships are task focused; when the tasks are completed the relationship comes to a close. • A mentor who understands how to provide vision and how to support and challenge the mentee can help the mentee grow and develop. • The mentoring relationship is a learning partnership that focuses on developing the mentee’s abilities and thinking. • Some preceptors are also mentors; being a mentor is not dependent on being a preceptor. 11. Which best explains the application of the Institute for Healthcare Improvement (IHI) Triple Aim in the quality improvement process? • Better outcomes, great patient experiences, and reduced costs • Higher revenues, reduced turnover, and lower costs • Better outcomes, reduced costs, and higher revenues • Lower revenues, higher costs, and lower patient satisfaction 12. In interpreting the run chart below, which data interpretation is not true? • More than a year of data is represented in the chart. • The highest rate of infection reported was about 8%. • The data points in red indicate a rise in infection rates from April through December. • The data points in green indicate a decrease in infection rates over two separate time periods. • The green dotted line is located at about a 4.5% infection rate; this is the target or benchmark. • The blue dotted line is located at about a 3% infection rate; this is the target or benchmark. 13. The following diagram below is best described as a: • Run chart • Flow chart • Control chart • Checklist 14. The Masters-prepared nurse is the leader of a committee tasked with implementing an Electronic Medical Records (EMR) system within the organization. Which step is most often overlooked during the planning of an innovation? • Making long term optimization of the EMR a routine part of the organization activity. • Identify metrics to measure success of the EMR implementation. • Training all employees involved in implementing the EMR. • Determining possible barriers to the implementation of use of the EMR. 15. The Masters-prepared nurse is responsible for reviewing trends in patient care. What is the primary purpose of using an information management system for this task? • review individual patient records • allow for centralized demographics • reduce cost of supplies used • evaluate several aspects of data sets 16. The Masters-prepared nurse is charged with ensuring quality patient care is provided on the unit. Which monitor provides the best data set for determining patient outcome information? • healthcare-acquired infection rate • nursing care documentation compliance • antibiotic therapy discontinuation compliance • equipment malfunction rate 17. An interprofessional team comprised of a hospitalist, nurse practitioner, pharmacist, registered nurse, social worker, and discharge manager is caring for a six-year-old being treated for status asthmaticus. Prior to admission, the patient required several recent Emergency Department (ED) visits and hospitalizations due to missed outpatient sub-specialty appointments. The patient was noted to be overweight and counseling was provided at the last outpatient appointment. Which aspect of the patient’s care should be the priority for the nurse practitioner? • refer the patient to a respiratory specialist to assess the parents understanding of the asthma action plan • work collaboratively with each member of the Interprofessional team to address the patient’s health concerns • consult with the Social Worker to address the frequent ER visits and hospitalizations with multiple missed sub specialty appointments • ensure the Interprofessional team focuses on the patient adherence to weight management and nutritional counseling 18. What is the primary purpose of a healthcare information management system? • save time • centralize demographics • evaluate data • reduce cost 19. During the quality improvement process, the Maters-prepared nurse utilizes flowcharts to track the process being reviewed. What is the primary purpose of using a flowchart in quality improvement processes? • analyze causal factors of process dispersion • understand the overall process or system being audited • distinguish variations in a process over time • determine process capability and uniformity 20. The Masters-prepared nurse leader is responsible for the financial needs of the department. Before selecting a vendor for healthcare equipment or supplies, what should the Maters-prepared nurse do first? • Conduct vendor surveys. • Define departmental needs. • Determine which vendors are industry leaders. • Decide which vendor is most cost effective. 21. The Masters-prepared nurse is responsible for any unit-specific training that is required for healthcare staff. Which is the highest priority in the planning of quality improvement training? • Establishing specific training evaluation tools. • Developing short-term training plans. • Scheduling training for managers. • Connecting training to organizational needs. 22. The Masters-prepared nurse leader is accountable for the quality and safety of the unit. In the development of effective, quality initiatives, all aspects must be present except for: • Initiatives need to be developed by stakeholders. • Initiatives are influenced by cost and profit considerations. • Initiatives are an integral part of the overall organizational strategic plan. • Initiatives will only address the needs of a specific population of patients. 23. Which of the following is not an appropriate goal for quality improvement education of the Master level graduate? • Develop an understanding of the fundamentals of quality. • Integrate quality into decision-making processes. • Define the chain of command for approving quality procedures. • Provide tools and information to help MSNs build and utilize quality systems and processes. 24. The Masters-prepared nurse is designing a professional development program for the unit staff. Utilizing the “AIM” process, rank the order, from first to last, of training design steps. • Prepare the training materials, define the training objectives, determine the course structure and sequence, Establish the consensus on needs. • Define the training objectives, determine the course structure and sequence, establish the consensus on needs, prepare the training materials. • Establish the consensus on needs, define the training objectives, determine the course structure and sequence, prepare training materials. • Determine course structure and sequence, prepare the training materials, define the training objectives, and establish the consensus on needs. 25. The Masters-prepared nruse wants to implement Leadership Rounds in the hospital, to include the participation of the Chief Executive Officer (CEO). This initiative would provide an informal way for senior leaders to talk with front-line staff about safety issues in the organization and to encourage reporting of errors. All the following are benefits of having the CEO involved in these rounds except: • Increased understanding by the CEO of the organization’s state of affairs. • Improved motivation of subordinates through personal participation of the CEO. • Improved human relations between the CEO and front line staff. • Improved dissemination of information throughout the organization. 26. . In order to be successful in the role of change agent, a Masters-prepared nurse leader’s responsibilities should include all the following except for: • Understand and respect needs of others. • Communicate change initiatives only to senior management. • Learn from previous unsuccessful efforts to transform the organization. • Maintain commitment to the mission and vision of the organization. 27. The Masters-prepared nurse is developing an initiative to improve the quality of care of the unit. Which is the first priority when starting a quality improvement initiative? • Assign team member’s assignments prior to the first meeting. • Develop the strategies that the team will implement. • Identify the objective of the quality initiative. • Make sweeping organizational changes to support quality initiative. 28. The Masters-prepared nurse is analyzing data for a quality improvement initiative. The MSN is aware if data is plotted over time, the resulting data should be plotted on which type of chart? • Run chart • Histogram • Pareto chart • Poisson distribution 29. The roles and responsibilities of a quality improvement team should be defined by which authoritative body? • The board of directors • The human resources department • The team members’ supervisors • The quality improvement committee 30. The Masters-prepared nurse understands which of the following should be included during the planning stage for quality training? • Establishing specific training quotas • Developing short-term training plans • Scheduling training for managers • Connecting training to organizational needs 31. As the leader of the Quality Improvement Committee, the Masters-prepared understands which of the following is one advantage of group decision-making? • Ease of arriving at a decision • Reduced potential for conflict • Increased acceptance of decisions • Increased productivity 32. For organization-wide change to be effective, which is the highest priority for the Masters-prepared nurse? • Coordination between employees and management • Agreement between line and staff functions • Alignment between strategy and goals • Consistency between individual and team performance 33. To be effective, the Masters-prepared nurse leader is aware quality initiatives must be: • Developed by all key stakeholders. • Free from cost and profit considerations. • An integral part of the overall organizational strategic plan. • A&C • All of the above 34. The Masters-prepared nurse is leading a quality improvement team in the development of a new admission process for a healthcare organization. The team has determined what constitutes best practices for admissions and has developed its recommendations. What should the team do next? • The team should propose an organization-wide implementation of the new process. • The team should develop the information sheets about the new admission process. • The team should complete a pilot test of the new admission process. • The team should work with clinical educators to roll out the new process. 35. The Masters-prepared nusre is leading an interdisciplinary team to plan and implement an evidence-based program to decrease patient falls. Data analysis reveals that the number of falls prior to implementation was 15 and the number of falls after implementation of the plan was 10. The overall goal was to have a 20% decrease in the number of falls. How should the MSN interpret this data? • The goal was not met with an improvement of 66% • The goal was met with an improvement of 33% • The goal was met with an improvement of 20% • The goal was not met with an improvement of 15 % 36. In order to be successful in the role of change agent, the MSN is aware that which is the priority when starting a quality improvement initiative? • Assign team goals. • Develop planning strategies. • Identify an aim. • Implement organizational-wide changes to support quality. 37. As the leader of the Quality Improvement Committee, the Masters-prepared nurse knows that which of the following is the least effective safety approach for a patient-centered healthcare organization to take? • Urge employees to do it right the first time. • Establish a quality council that includes patients. • Implement team-building throughout the organization. • Examine processes and establish controls to increase efficiency, reliability, and safety. 38. A Masters-prepared nurse in a hospital setting identified the problem of increased sepsis rates related to intravenous lines. Which action represents the "Plan" component of the PDSA cycle for the process improvement team? (Choose two) • Compare sepsis rates to rates of previous quarters • Review the literature for evidence-based guidelines for sepsis care • Review antibiotic therapies of patients throughout the hospital • Culture intravenous insertion site on the unit patients 39. When analyzing data sets, the Masters-prepared nurse is aware that the wide-scale collection of patient’s weights entered into a large data set is primarily used to measure and improve healthcare for which type of group? • Family health • Extended family health • Population health • Individual health 40. A medical-surgical unit in an acute care hospital has identified the problem of increased sepsis rates during the last quarter. What is the next step in the PDSA cycle? • Evaluate changes in patient’s condition • Evaluate the effectiveness of the plan • Implement the sepsis interventions that are easily accessible on the nursing unit • Review the data and develop an evidence-based plan 41. Which domains of benchmarks must be considered when evaluating evidence for use in a healthcare setting innovation? • Quality, differing types of studies, narrow results • Biases, quantity, usefulness of results • Quality, quantity, and consistency • Selection, type of studies, broad results 42. Which consideration is the highest priority before implementing an innovation in patient care? • Staff qualifications • Family preferences • Administrative expectations • Patient safety 43. The Masters-prepared nurse is leading a quality improvement team working to identify the primary drivers of patient satisfaction regarding their nursing care. One of the identified primary drivers of patient satisfaction identified was effective communication. What is the first thing the quality improvement team should do with this information? • Remind staff of the importance of effective communication • Establish a means for measuring effective communication • Implement an organizational-wide program for effective communication • Develop strategies for teaching staff effective communication 44. During the Quality Improvement (QI) process, data reveals that overall patient satisfaction scores are 72% for the first quarter and 69% in the second quarter. The organizational goal is 80%. Which action should the Masters-prepared nruse take at this stage of the PDSA cycle? • Implement a pilot program on a unit to address the decrease in scores • Plan an evidence based intervention to address the declining scores • Continue to monitor the scores during the next quarter • Implement an organizational-wide program to address the score. 45. The Quality Improvement (QI) committee implements a program to improve shared decision making between patients and nursing staff. Which national benchmark would best evaluate the effectiveness of the program? • Quality & Safely Education in Nursing (QSEN) • Hospital Consumer Assessment of Healthcare Providers & Services (HCAHPS) • Essentials of Master's Education in Nursing • Plan, Do, Study, Act Model (PSDA) 46. A Masters-prepared nurse coordinates a multidisciplinary team that is charged with educating patients who are scheduled for total joint replacement surgery regarding what to expect after discharge. The program encounters resistance from team members. How should the MSN respond? • Direct the mid-level managers to reemphasize the vision to their direct reports • Encourage the first-level managers to reinforce the vision to the team members • Gather together the various disciplines and listen to their concerns about the project • Reeducate the team members about how their role affects the outcome of the team 47. The Masters-prepared nurse is leading a committee in a large urban hospital appointed to plan improvements for patient care. Who should the MSN choose to be on the interprofessional committee? • chief nursing officer (CNO) and the chief medical officer (CMO). • the institution's strategic planning committee members. • representatives from medical, nursing, and ancillary staff personnel. • senior management and the budget adviser. 48. Which does not describe examples of barriers to patient safety? • Persistent fear and hierarchical authority • Complexity and deficient measures • Reporting systems and safety culture • Diffuse accountability and lack of leadership 49. One of the essential roles of the Masters-prepared nurse is to be an effective member of the inter-professional team. As a part of the interprofessional team, what action should the MSN perform first? • obtain employment that requires graduate preparation. • develop awareness of personal skills and abilities. • establish a mentor relationship with a MSN. • Participate in formal continued education. 50. A 42-year-old mentally challenged patient has been admitted to the hospital for treatment of a chronic illness. The patient has been determined legally incapable of making decisions since childhood and depends on her parent for medical assistance. During her hospitalization, the patient’s parent suddenly passes away and there is no one else for support while the patient is in hospital. The Masters-prepared nurse understands that which of the following would be the best advocate to help this patient? • the nursing team • the administrative staff • the clergy • the medical team [Show More]

Last updated: 1 year ago

Preview 1 out of 13 pages