Description
Community and Public Health Nursing 6th Edition Stanhope Lancaster Test Bank
ISBN-13: 978-0323022408
ISBN-10: 0323022405
How can a nursing test bank help me in school?
Think about it like this. You have one text book in your class. So does your teacher. Each text book has one test bank that teachers use to test students with. This is the nursing test bank for the book you have. All authentic chapters and questions and answers are included.
Do I get to download this nursing test bank today?
Since we know that students want their files fast, we listened and made it exactly the way you want. So you can download your entire test bank today without waiting for it.
Is this site anonymous and discreet?
We try our best to give nursing students exactly what they want. So your order is 100 percent anonymous and discreet. We do not keep any logs of any kind on our website and use a 256 bit SSL encryption on our site which you can verify.
What if I order the wrong test bank?
As long as the file is not downloaded, we can give you the correct file. Please send us an email and we will send you the correct file right away.
Can I request a sample before I purchase to make sure its authentic?
If this is the nursing test bank that you want. You can use it right now without having to wait for it. Add this exact test bank to your shopping basket on this website. Thereafter, checkout. Your download link will be provided to you automatically.
What format are the nursing test banks in when I download them?
Most of the formats are going to be in a PDF format. We also have files in Microsoft Word. They can be viewed on your computer or phone.
Amazon has this text book if you would like that as well: textbook, Email us if you have any questions.
Can I write a review and leave a testimonial on this site?
You certainly can. Please email us sending an email to us. Many students send us emails thanking us for helping them.
Below you will find some free nursing test bank questions from this test bank:
Chapter 22: Quality Management
MULTIPLE CHOICE
- From the total quality management (continuous quality improvement) focus on delivering quality health care, quality is defined as:
| a. | Risk reduction |
| b. | Customer satisfaction |
| c. | Increased efficiency |
| d. | Improved functional status |
ANS: B
Correct definition.
DIF: Cognitive Level: Knowledge
REF: Text Reference: p. 516, Text Reference: p. 517 OBJ: 1
- The purpose of total quality management is to:
| a. | Ensure that the client is getting quality care at top value for money spent |
| 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 |
ANS: A
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 517
OBJ: 1
- Which of the following statements about the quality assurance process is accurate?
| a. | Quality is defined, and processes are implemented to maintain quality. |
| b. | Needs are assessed, and programs are developed to meet needs. |
| c. | The process of quality care is defined and evaluated. |
| d. | Standards for care are established and evaluated, and when care does not meet standards, action is taken to bring about change. |
ANS: D
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 520
OBJ: 4
- One of the first nursing tools to measure quality assurance was:
| 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 |
ANS: D
This measure is used extensively in community-oriented nursing practice.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 521
OBJ: 5
- An example of a quasi-voluntary approach to quality control used primarily for institutions is
| a. | Accreditation |
| b. | Licensure |
| c. | Certification |
| d. | Credentialing |
ANS: A
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 521
OBJ: 5
- Which of the following monitors implementation of the prospective reimbursement system for Medicare clients?
| 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) |
ANS: A
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 521
OBJ: 6
- The National Health Quality Improvement Act of 1986 was established to:
| a. | Improve hospital care |
| b. | Encourage consumers to become informed about their practitioners’ practice records |
| c. | Provide quality assessment and improvement requirements to hospitals |
| d. | Prevent medication errors |
ANS: B
It also created a national clearinghouse of information on the malpractice records of providers.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 521
OBJ: 5
- The formal recognition of a person as a professional with technical competence or of an agency that has met minimum standards of a performance is called:
| a. | Certification |
| b. | Accreditation |
| c. | Registration |
| d. | Credentialing |
ANS: D
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 521
OBJ: 6
- The team approach to solving problems and locating opportunities for system improvement involves five steps. The first step is to discover what could be the most important accomplishments of the team and what changes are desirable. The best method of accomplishing step 1 is to:
| a. | Compare job descriptions |
| b. | Analyze mission and goals |
| c. | Brainstorm |
| d. | Develop charts and diagrams |
ANS: C
Correct definition.
DIF: Cognitive Level: Application REF: Text Reference: p. 524
OBJ: 6
- Which of the following provides an effective way to compare the tasks of quality planning, quality control, and quality improvement?
| a. | Juran trilogy |
| b. | Professional Review Organization (PRO) |
| c. | Shewart’s circular plan/do/check/act cycle |
| d. | Deming’s 14-point program |
ANS: A
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 524
OBJ: 6
- The audit process consists of six steps. What is the sixth step?
| a. | Select explicit criteria for quality care. |
| b. | Review records to determine whether criteria are met. |
| c. | Select a topic for study. |
| d. | Peer review all cases that do not meet the criteria. |
ANS: C
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 527
OBJ: 6
- One reason for using a concurrent audit rather than a retrospective audit is that it:
| a. | Is less costly than a retrospective audit |
| b. | Represents the total picture of care that the client receives |
| c. | Provides more accurate data for planning corrective action |
| d. | Identifies problems at the time that care is given |
ANS: D
Correct definition.
DIF: Cognitive Level: Knowledge
REF: Text Reference: p. 527, Text Reference: p. 528 OBJ: 6
- An analysis of the necessity of the services received a client after the care has been given is called:
| a. | Prospective review |
| b. | Concurrent review |
| c. | Retrospective review |
| d. | An audit |
ANS: C
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 528
OBJ: 6
- Doing an assessment of the necessity of care before giving service is referred to as a:
| a. | Concurrent audit |
| b. | Retrospective audit |
| c. | Prospective utilization review |
| d. | Retrospective utilization review |
ANS: C
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 528
OBJ: 6
- 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 the:
| a. | Development of explicit criteria |
| b. | Appeal mechanism |
| c. | Concurrent utilization review |
| d. | Medicare reversal process |
ANS: C
This is a review of the necessity of services while care is being given.
DIF: Cognitive Level: Application REF: Text Reference: p. 528
OBJ: 6
- Which of the following is a risk management committee likely to review?
| a. | Necessity of care before service while care is being given |
| b. | Incorrect vaccination dosage |
| c. | Necessity of services while care is being given |
| d. | Nonpayment of care |
ANS: B
This committee reviews all risks to which an agency is exposed.
DIF: Cognitive Level: Synthesis REF: Text Reference: p. 528
OBJ: 6
- A major objective of a professional review organization (PRO) is to reduce:
| a. | The liability of the agency reviewing patterns of risk |
| b. | Inappropriate admissions and unnecessary procedures |
| c. | The use of alternative care options such as home care |
| d. | The practice of professionals without appropriate credentials |
ANS: B
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 529
OBJ: 6
- Evaluating the setting and instruments used to provide care is which of the following methods for evaluating quality care?
| a. | Outcome |
| b. | Process |
| c. | Structure |
| d. | Peer review |
ANS: C
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 529
OBJ: 6
- The tracer method is most useful in evaluating health care:
| a. | Of individual clients |
| b. | Delivered an individual provider |
| c. | In problems with well-defined characteristics and treatment |
| d. | Using health status indicators |
ANS: C
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 529
OBJ: 6
- The sentinel method of quality evaluation is based on:
| a. | Epidemiological principles |
| b. | Client satisfaction surveys |
| c. | Donabedian’s model |
| d. | Mandated review criteria |
ANS: A
This is an outcome measure for examining specific instances of client care.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 530
OBJ: 6
- Which of the following methods would be used during the process component for evaluating quality care?
| a. | Self-study |
| b. | Peer review |
| c. | Tracer |
| d. | Questionnaire |
ANS: D
The process component evaluates activities as they relate to standards and expectations of health providers in the management of client care. Satisfaction can be assessed in-person or telephone interviews and mailed questionnaires.
DIF: Cognitive Level: Synthesis REF: Text Reference: p. 530
OBJ: 6
- Currently the most important component of an evaluation program for health care is:
| a. | Outcome |
| b. | Process |
| c. | Structure |
| d. | Peer review |
ANS: A
It is the key to evaluating providers and agencies accrediting bodies, insurance companies, and Medicare and Medicaid.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 531
OBJ: 6
- The final step of the quality assurance model is:
| a. | Assessing need |
| b. | Implementing programs |
| c. | Evaluating process and outcome |
| d. | Taking action to correct problems |
ANS: D
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 533
OBJ: 8
- A staff development program to teach nurses and other providers how to reduce risk properly documenting intervention provided is an example of which of the following levels of prevention as applied to quality management?
| a. | Primary prevention |
| b. | Secondary prevention |
| c. | Tertiary prevention |
| d. | Quality care |
ANS: A
Primary prevention refers to those interventions aimed at preventing the occurrence of disease, injury, or disability. In this case, prevention is aimed at reducing risk.
DIF: Cognitive Level: Application REF: Text Reference: p. 534
OBJ: 6
- The number of clients seen daily, the immunizations given, the home visits made daily, and transportation and mileage are examples of information found in which of the following?
| a. | Clinical record |
| b. | Provider service record |
| c. | Financial record |
| d. | Central index system |
ANS: B
Correct definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 535
OBJ: 9
SHORT ANSWER
- Name an approach to protect the public ensuring a level of competence among health care professionals.
ANS:
Credentialing, licensure, accreditation, certification, charter, recognition, and academic degree
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 521
OBJ: 6 NOT: Rationale: Correct definition.
