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Quality and Patient Safety in Nursing explores the fundamental principles and practices that ensure optimal patient outcomes within healthcare settings. The course examines the roles and responsibilities of nurses in promoting safety, reducing errors, and implementing quality improvement initiatives. Students will learn about critical frameworks such as evidence-based practice, root cause analysis, safety culture, and risk management. Through case studies and real-world scenarios, the course emphasizes interprofessional collaboration, effective communication, and the use of data to drive decision-making. By the end, students will be equipped to actively contribute to enhancing quality and safety in diverse nursing environments.
Recommended Textbook
Nursing Leadership and Management 2nd Canadian Edition by Patricia Kelly
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442 Verified Questions
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Q1) Which of these national bodies is responsible for the accreditation of health service organizations in Canada?
A) Canadian Nurse Accreditation Association
B) Accreditation Canada
C) 3 M Accreditation Awards Committee
D) Canadian College of Health Services Executives
Answer: B
Q2) The Canada Health Act,passed in 1984,defines five principles for health care in Canada: universality,comprehensiveness,accessibility,portability,and public administration.Which of the following funding provisions is also specified in this Act?
A) Clients may be charged for non-emergency care.
B) Doctors within the public insurance plan cannot extra bill for their services and no user fees can be charged for insured services.
C) Doctors may "extra bill" if they so choose.
D) Private clinics may charge user fees for some insured services.
Answer: B
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Q1) Through what mechanism do most regions receive funding from their provincial government?
A) a needs-based funding formula
B) a program budgeting and marginal analysis (PBMA)
C) a global budget
D) program budgets
Answer: C
Q2) Which strategy is included in financial reform for health care in Canada?
A) de-insuring certain services
B) introducing co-payments
C) charging some user fees
D) extending the use of fee-for-service to other providers
Answer: A
Q3) What is the term for unselfish concern for the welfare of others?
A) ethics
B) altruism
C) egoism
D) paternalism
Answer: B
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Q1) Which of the following is an example of a government-funded project to examine nursing-sensitive client outcomes?
A) the Evidenced-Based Nursing Study
B) the Ontario Nursing Task Force
C) the Nursing and Health Outcomes Project
D) the Best Nursing Practice Project
Answer: C
Q2) Some concerns about evidence-based practice expressed by nurses and other health professionals include which of the following statements?
A) It requires additional education.
B) It requires additional time and resources.
C) It is difficult to implement.
D) It ignores client preferences and values.
Answer: D
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Q1) Which of the following is a key attribute of a nursing specialty?
A) quality assurance
B) representation of the specialty by at least two organized bodies
C) differentiated practice
D) degree status
Q2) In web addresses,what do the terms .com and .org refer to?
A) databases
B) domains
C) uniform resource locaters
D) websites
Q3) Which of these terms best describes networking and attending conferences on nursing informatics as activities for becoming knowledgeable in that field?
A) certification
B) job qualifications
C) educational activities
D) informal opportunities
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Q1) Which of the following states that the prerequisites for health include peace,food,social relations,and empowerment of women?
A) Alma-Ata Declaration
B) Declaration of Montevideo
C) the Jakarta Declaration
D) the Ottawa Charter
Q2) What is the name of the federal agency in Canada that oversees federal efforts to prevent and control disease and promote health?
A) Public Health Agency of Canada
B) Health Canada
C) Department of Health and Social Services
D) Canadian Institute of Health Research
Q3) What is the term for the level of health of an individual,family,group,population,or community?
A) instrumental activities of daily living
B) functional health status
C) health status
D) health-related quality of life
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Sample Questions
Q1) Which type of organizational communication occurs among people with similar status?
A) downward
B) upward
C) lateral
D) diagonal
Q2) Which of these is the "who" in the process of communication?
A) the sender
B) a manager
C) the receiver
D) the client
Q3) Anger can be dealt with in several ways,but all have potential drawbacks.To which of these reactions may expressing anger lead?
A) resentment
B) defensiveness
C) mistreatment
D) lack of trust
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Q1) Which level of government has jurisdiction over the regulation of nursing practice?
A) municipal
B) provincial or territorial
C) federal
D) House of Commons
Q2) Which of these conditions exists when there is politics in any system?
A) abundant resources
B) unlimited control of resources
C) competing interests for resources
D) unlimited distribution of resources
Q3) Which of the following attributes must nurses possess to have credibility?
A) caring and intelligence
B) empathy and honesty
C) competence and professional accountability
D) responsibility and empathy
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Q1) According to Bruch and Ghoshal,which two factors do managers need to balance in order to be effective?
A) time and energy
B) focus and energy
C) approachability and decisiveness
D) productivity and quality
Q2) What is the systematic process aimed at achieving organizational goals?
A) management
B) management process
C) POSDCORB
D) taxonomy
Q3) What is the basis for scientific management theory?
A) general principles
B) positional authority
C) labour productivity
D) impersonal relations
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Sample Questions
Q1) In comparing the essential differences for leadership in a team and a group,which of the following best describes how leadership is established in a group setting?
A) Highest ranking member is the leader.
B) Leadership is shared.
C) The leader is voted in by the majority.
D) The leader is appointed.
Q2) Which of these series would you use as your guidelines for developing a great team?
A) clearly stated purpose,assessing the composition,effective communication,active participation
B) diverse composition,designated leader,consistent meeting times,cohesiveness
C) consistent meeting times,designated leader,assessing the composition,active participation
D) cohesiveness,clearly stated purpose,diverse composition,effective communication
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Q1) In relation to budget preparation,which of these terms refers to the units or subsections within a facility?
A) financial unit
B) cost sections
C) compartments
D) cost centres
Q2) What is the title of the body that accredits health facilities in Canada?
A) Accreditation Canada (AC)
B) Health Services Standards Organization (HSSO)
C) Canadian Accreditation Service (CSA)
D) Canadian Council on Health Services Accreditation (CCHSA)
Q3) What is the process that details the cost of every supply item and the frequency of use?
A) accounting
B) zero-based budgeting
C) operating budget
D) capital budget
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Q1) In which model of care delivery is the focus on patient needs rather than on staff needs?
A) primary
B) client-centred
C) differentiated practice
D) modular
Q2) Which of these standard measures quantifies the nursing time available to each client by available nursing staff?
A) FTE
B) NHPPD
C) productive time
D) non-productive time
Q3) Which of these factors should be included as one of the first guidelines when doing self-scheduling?
A) nurse manager's work schedule
B) client scheduling outcomes
C) staff scheduling objectives
D) scheduling period
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Q1) Which of the following factors is critical to consider prior to delegation?
A) simplicity of task
B) predictability
C) level of staff interaction
D) potential for harm
Q2) Which "right of delegation" focuses on the registered nurse describing the delegated task and the expected outcomes?
A) right person
B) right supervision
C) right direction
D) right circumstance
Q3) You have delegated a task to a UCP who appears unwilling to accept a delegated task.What is the likely reason for this?
A) inexperience
B) being unfamiliar with the delegated task
C) not in their job description
D) lack of cooperation
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Q1) Whose work is the basis for the Colorado Differentiated Nursing Practice model?
A) Porter O'Grady
B) K.F.Sellers
C) Benner
D) Dreyfus
Q2) In a SWOT analysis,what does the "O" stand for?
A) opposite
B) organization
C) obstacles
D) opportunities
Q3) According to the Hersey and Blanchard model,which style of leadership is most suitable for novice nurses?
A) laissez-faire style
B) telling style
C) shared leadership style
D) selling style
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Q1) What is the theory that is based on responsiveness and flexibility?
A) Chaos Theory
B) Learning Organization Theory
C) Diffusion of Innovations Theory
D) Change Theory
Q2) Which type of change often causes the most stress or concern?
A) personal change
B) professional
C) unplanned change
D) organizational change
Q3) Which model emphasizes the participation of key personnel and the change agent in designing and planning the intended change project?
A) Force-Field Model
B) Phases of Change Model
C) Six-Step Change Model
D) Diffusion of Innovations Theory of Change Model
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Q1) A framework for becoming empowered using information includes background,steps,information for providing care,and information for understanding and becoming more effective in the work setting.Which of those framework parts would include actively seeking and volunteering for committee assignments?
A) background
B) information for understanding
C) steps
D) information for providing care
Q2) What is an organizational outcome of recognizing the value of nurses' experience and knowledge?
A) motivation
B) self-help
C) empowerment
D) control
Q3) Which of the following best describes one form of a personal orientation to power?
A) increasing practical knowledge
B) achieving a higher salary
C) achieving gain for the common good
D) empowerment
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Q1) What is the focus of quality assurance?
A) meeting the needs of the consumer
B) assessing work processes to identify opportunities for improved performance
C) improving performance when standards are not met
D) building quality performance into work processes
Q2) Which of these acronyms also refers to total quality management?
A) QA
B) QI
C) PI
D) CIQ
Q3) Which of these groups is an example of internal customers?
A) clients
B) nurses
C) private physicians
D) insurance payers
Q4) Which step in the FOCUS process asks the question,"What is the problem?"
A) F
B) O
C) C
D) U
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Q1) What is the term for the group decision-making strategy that involves distributing questionnaires to members asking for their opinions,then summarizing and disseminating the summaries to the group members?
A) consensus
B) group think
C) Delphi technique
D) nominal technique
Q2) What is the correct order of the steps in the problem-solving process?
A) select an action;implement the selected action;generate alternatives;gather and analyze data;identify the problem;and evaluate the action
B) gather and analyze data;identify the problem;select an action;implement the selected action;generate alternatives;and evaluate the action
C) identify the problem;gather and analyze data;generate alternatives;select an action;implement the selected action;and evaluate the action
D) identify the problem;generate alternatives;gather and analyze data;select an action;implement the selected action;and evaluate the action
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Q1) What is the term for the touching of another individual without that person's consent?
A) assault
B) defamation
C) false imprisonment
D) battery
Q2) In what form should a contract be in order to be a legal contract?
A) oral agreement only
B) oral agreement by only two individuals
C) oral or written agreement
D) written agreement only
Q3) In health care,which of these methods may be considered false imprisonment?
A) use of bed rails
B) a written restraint order
C) chemical restraints
D) complete bed rest
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Q1) What are clients said to experience when feel they have lost their hopes and dreams following bad news,such as a terminal diagnosis?
A) anticipatory grief
B) sadness
C) spiritual distress
D) disappointment
Q2) You are caring for a terminally ill client.What are you proactively obtaining when you determine the clients wishes regarding care after death and who will speak for them when they are no longer able?
A) next of kin contact
B) a spiritual-cultural assessment
C) consent for treatment
D) nursing care plan
Q3) Why is there no one definition of spirituality?
A) It is a multicultural concept.
B) It means different things to different people.
C) It is hard to identify.
D) Religions do not agree on a definition.
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Q1) What is the name of a document that contains the wishes of the client to be carried out when they are no longer competent?
A) power of attorney
B) an advance directive
C) a will
D) a DNR order
Q2) In Canada,what is the broad legal document in which are embedded ethical approaches to health care?
A) The Constitution Act
B) British North America Act
C) Canadian Charter of Rights and Freedoms
D) Patient's Bill of Rights
Q3) Which principle is being reflected when an individual utilizes self-governance and control over decision-making concerningherself?
A) respect for human dignity
B) beneficence
C) paternalism
D) autonomy
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Q1) Which of the following are two characteristics of a profession?
A) autonomy and lengthy education
B) autonomy and service orientation
C) public respect and service orientation
D) union membership and specialized education
Q2) What type of collective action can nurses use to address everyday problems in their workplace?
A) workplace bargaining
B) shared workplace leadership
C) workplace advocacy
D) workplace democratic
Q3) Which of the following statements best describes why nurses seek to unionize?
A) They feel powerless in their workplace.
B) They want to improve client care.
C) They want to alter a nursing procedure.
D) They want input into decisions.
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Q1) What is the second phase in the Donner-Wheeler Model?
A) educational credentials
B) self-assessment
C) identifying your references
D) writing your résumé
Q2) Which of these people is a person whom you admire and who takes a personal interest in your career?
A) supervisor
B) mentor
C) career counsellor
D) manager
Q3) What is a résumé?
A) a paper that shares your life story
B) a concise summary of your background
C) an outline of your past jobs
D) a narrative summary of responsibilities and skills
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