Description
Community and Public Health Nursing 6th Edition Stanhope Lancaster Test Bank
ISBN-13: 978-0323022408
ISBN-10: 0323022405
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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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by 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 by an individual provider |
| c. | In problems with well-defined characteristics and treatment |
| d. | Using health status indicators |
ANS: C
Correct by 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 by 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 by 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 by 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 by 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 by definition.
DIF: Cognitive Level: Knowledge REF: Text Reference: p. 535
OBJ: 9
SHORT ANSWER
- Name an approach to protect the public by 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 by definition.
