Quality and Safety in Nursing Exam
Answer Key
Course Introduction
This course explores the fundamental principles of quality and safety in nursing practice, emphasizing the delivery of patient-centered care in diverse healthcare settings. Students will examine key frameworks and national initiatives that guide quality improvement and risk reduction in clinical environments. Topics include error prevention, evidence-based practice, effective communication, interprofessional collaboration, and regulatory standards. Through case studies and practical applications, learners will develop skills essential for identifying potential hazards, implementing safety measures, and fostering a culture of continuous improvement to enhance patient outcomes.
Recommended Textbook
Quality and Safety for Transformational Nursing Core Competencies 1st Edition by Kim Amer
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12 Chapters
191 Verified Questions
191 Flashcards
Source URL: https://quizplus.com/study-set/3561 Page 2
Chapter 1: Risk and Threats to Safe Quality Care in Hospital Settings
Available
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Source URL: https://quizplus.com/quiz/70711
Sample Questions
Q1) The nurse manager is identifying methods to improve the quality of care for a patient care area. Which actions would help the nurse manager achieve this outcome?
Standard Text: Select all that apply.
A) Awareness of safety issues
B) Study the processes of care
C) Focus on patient-centered care
D) Create a learning environment
E) Improve communication between patient and provider Correct
Answer: A,B,C,E
Q2) During a health history a patient discusses ongoing issues with maintaining a healthy weight. What is the significance of body weight in relation to health?
A) Determines the amount of healthcare resources to be used for care
B) Consistent predictor of long-term health and longevity
C) Identifies the cost for care the patient will need
D) Predicts the curability of a disease process Correct
Answer: B
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Chapter 2: Quality and Safety Models
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70712
Sample Questions
Q1) The nurse desires to improve caring and relationship skills when providing patient care. On what will this nurse focus? Standard Text: Select all that apply.
A) Patient advocacy
B) Decision making
C) Cultural respect
D) Morality
E) Ethics Correct
Answer: A,C,D,E
Q2) A healthcare organization is striving to improve the quality of patient care; however, the medical director is opposed to making changes. What action could a nurse manager take to help improve quality on one patient care area?
A) Implement multidisciplinary meetings.
B) Encourage nursing staff to follow policies.
C) Remind care givers to thoroughly document.
D) Identify physician issues that are problematic. Correct
Answer: A
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Chapter 3: Transition to Practice: an Essential Element of
Quality and Safety
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70713
Sample Questions
Q1) A nursing leader is having difficulty convincing hospital administrators to implement a transition to practice program for nurses. Which information about evidence-based practice would add to the leader's difficulty?
A) Evidence-based practice integrates clinical expertise with patient values.
B) Evaluation studies are available to use as evidence for the program.
C) Expert opinions are available to use as evidence for the program.
D) There are few randomized studies available to support the program. Correct
Answer: D
Q2) A new graduate nurse is seen crying when leaving work at the end of a scheduled shift. When asked about the emotional response, the reply is "this is not what I expected nursing to be." What is this nurse most likely experiencing?
A) Reaction to being a novice nurse
B) Low self-esteem
C) Culture shock
D) Reality shock Correct
Answer: D
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Chapter 4: Power, Empowerment, and Change in Nursing and Health Care
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15 Verified Questions
15 Flashcards
Source URL: https://quizplus.com/quiz/70714
Sample Questions
Q1) The nurse has decided to apply to graduate school. In what way will additional formal education support the nurse's future power?
A) Work in a position of formal power
B) Improve the health of oppressed people
C) Learn the budgeting process
D) Learn to complete a risk assessment Correct
Q2) The nurse is attending a seminar that addresses power in nursing. In what way will this information be beneficial to the practicing nurse? Standard Text: Select all that apply.
A) Improve the quality of patient care
B) Reinforce subordinate behavior
C) Enhance safe patient care
D) Support patient advocacy
E) Promote healing Correct
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Chapter 5: Quality and Safety Education Strategies
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70715
Sample Questions
Q1) During interdisciplinary rounds a patient states confusion regarding the purpose of prescribed medications. Which action would support quality patient care?
A) The nurse stating that the purpose of all medications will be reviewed before discharge
B) The physician stating that medications are prescribed to help with the patient's problems
C) The pharmacist stating the actions and purpose of the medication and what to expect
D) The physical therapist stating the medication has to be taken after therapy for effectiveness Correct
Q2) The nurse manager observes a staff nurse initiating actions to resolve a conflict between a physician and another nurse. Which category of teamwork and collaboration criterion did the staff nurse exemplify?
A) Skill
B) Attitude
C) Creativity
D) Knowledge Correct
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Chapter 6: Evaluating a Program: Metrics and Stakeholders
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70716
Sample Questions
Q1) The nurse manager is concerned that the staff is not exposed to many skills that have been instructed by the staff development department. Which can be done to ensure the staff is able to perform the skill should the situation arise in patient care?
A) Schedule monthly review sessions.
B) Assign two staff nurses to complete each technical skill.
C) Assign staff to review the procedure manual each shift.
D) Design an annual competency evaluation with the staff development department. Correct
Q2) The staff development trainer is planning to evaluate the effectiveness of a training program provided to staff nurses. What will the trainer need prior to conducting this evaluation? Standard Text: Select all that apply.
A) Identify goals
B) Establish outcomes
C) List of participants
D) Determine metrics
E) Dates of instruction Correct
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Chapter 7: Interprofessional Team Building
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70717
Sample Questions
Q1) The nurse is informing a physician of a change in a patient's status. Which statement exemplifies assertive communication?
A) "I thought you might want to stop and see the patient to see for yourself what's going on."
B) "The patient's respiratory rate is now 26 and heart rate is 104 with ectopy."
C) "The patient has diabetes and no one has diagnosed it yet."
D) "When you have some time can you look at the patient's laboratory values?" Correct
Q2) Weekly "heads up" conferences are being planned for a patient care area. What will the nurse manager explain as the overall goal for these conferences?
A) Identify problems
B) Generate solutions
C) Discuss communication issues
D) Discover breaks in the system Correct
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Chapter 8: Transforming Care at the Bedside Tcab
Source URL: https://quizplus.com/quiz/70718
Sample Questions
Q1) The nurse manager wants to learn how the nursing staff is responding to the process Transforming Care at the Bedside. Which approach can the manager use to learn more about the process from the staff?
A) Listen to morning report.
B) Attend morning huddles.
C) Conduct a focus group.
D) Observe the staff provide care. Correct
Q2) The nursing instructor is reviewing the process of Transforming Care at the Bedside with a group of students preparing for graduation. Which statement exemplifies a belief about the process?
A) Nurses have little power or control over patient care.
B) There is more than one "right" way to do something.
C) Quality care occurs when physicians' orders are followed.
D) This is the latest fad in providing care to patients. Correct
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Chapter 9: Informatics and Nursing: Using Technology to Improve Quality
16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70719
Sample Questions
Q1) The staff development instructor is training a group of nurses on the use of the new electronic health record. Which action by the instructor would encourage the nurses to master the system?
A) Schedule staff for remedial training on the weekends.
B) Provide positive reinforcement during the training.
C) Explain the importance of learning the system quickly.
D) Notify managers of the staff who are having difficulty. Correct
Q2) An administrator is researching a variety of electronic medical record systems for possible use in the healthcare organization. Which information does the administrator need about the systems prior to making a final decision? Standard Text: Select all that apply.
A) Healthcare provider assisted with system design
B) System congruency with the users
C) Ease of use
D) Accessible
E) Cost Correct
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Chapter 10: Patient-Centered Care
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70720
Sample Questions
Q1) The nurse is coordinating the care of a patient whose spouse will be in the hospital when the patient is discharged home. What will the nurse do to ensure a smooth transition to community for the patient?
A) Suggest the patient stay hospitalized until the spouse is able to return to home.
B) Recommend the patient be placed in an extended care facility for further recuperation.
C) Identify who can help the patient at home until the spouse is discharged from the hospital.
D) Call the patient's daughter and explain that the patient will need care at home. Correct
Q2) A patient recovering from spinal surgery is being discharged home. What needs to be done to ensure this patient's safety after discharge from the hospital?
A) Make follow-up appointments.
B) Assess the home environment.
C) Review prescribed medications.
D) Review wound care. Correct
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Chapter 11: Quality Health Care, Policy and Law
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70721
Sample Questions
Q1) The family of a resident in a skilled nursing facility is requesting to transfer the patient because of unsafe nursing care. What unsafe nursing practices did the family observe?
Standard Text: Select all that apply.
A) Nurses sitting in the nurses' station and patient call lights on
B) Breakfast trays being passed by staff wearing clean gloves
C) Inability to find a nurse to help with a patient problem
D) Dirty floors and overflowing trash bins and containers
E) Dressing supplies on the window seals Correct
Q2) One state, through the state board of nursing, is considering joining the Nursing Licensure Compact (NLC). What impact will this decision have on the practice of nursing in that state?
A) Improvement in the number of nurses passing the state board exam
B) Smaller numbers of nurses requesting licensure in the state
C) More uniformity in laws within the nursing profession
D) Higher cost for a nursing license Correct
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Chapter 12: Future-Focused Quality Nursing
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16 Verified Questions
16 Flashcards
Source URL: https://quizplus.com/quiz/70722
Sample Questions
Q1) The vice president of nursing is recognized as being a "nurse of the year." Which leadership characteristics is this nurse most likely demonstrating? Standard Text: Select all that apply.
A) Character
B) Compassion
C) Congruency
D) Consistency
E) Confidence Correct
Q2) A staff nurse is planning to apply for a nurse manager position. Which behaviors would the nurse prepare to demonstrate during the interview process? Standard Text: Select all that apply.
A) Clear communication
B) Good listening skills
C) Self-confidence
D) Self-motivation
E) Persistence Correct
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