Tiêu đề Quality Healthcare.pdf ✅

NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 12. Total quality management aims to reduce waste and cost of poor quality. Nurse NB gives a wrong medication to the client, another nurse employed by the same hospital as a risk manager will be expected to receive which of the following communication? A. Incident report C. Nursing Kardex B. Oral report D. Complaint report 13. Strategic Planning and Operational Planning go hand and hand in giving an institution direction and quality. The nurse managers in a particular hospital convened to do strategic planning. Which of the following statements is TRUE about strategic planning? A. Needs to be revisited periodically B. Requires an assessment of the environment for opportunities C. Should not be done during financial crises D. Requires focus on the philosophies of the organization. 14. As a QI tool, the Gantt chart is useful for planning and scheduling projects. Which of the following statements is INCORRECT about the GANTT chart? A. Provides a graphical illustration of resources B. Plans the order in which you’ll complete tasks. C. Tracks specific tasks in a project D. Helps assess how long a project should take 15. Nursing Audit consists of documentation of the quality of nursing care in relation to the standards established by the nursing department. Nurse manager Henry is conducting nursing audits. The following are true about nursing audits, EXCEPT: A. Prioritizes nursing care by promoting optimum nursing care. B. Identify deficiencies in the organization and administration of nursing care. C. Retrospective audits are done on the patient’s records after discharge. D. Concurrent audits are done at pre-admission of the patient. 16. Evidence Based Practice involves clinical decision making based on best available scientific evidence, combined with clinical nursing expertise and considering patient preferences and available resources. Evidence based practices are properly applied in the following statements, EXCEPT: A. It involves the reviewing practices. B. Sources of Evidence based practice include scientific evidence, trial and error and personal experience. C. Evidence Based practice requires Finding evidence. Appraising the evidence and changing practice where appropriate. D. Randomized control trials are a good sources of Evidence based practice. 17. Root Cause Analysis is conducted to understand how and why an event occurred and to prevent its reoccurrence. Nurse Stephanie committed an error and she is going to make a root cause analysis. The following are true about root cause analysis, EXCEPT: A. Prevent sentinel events from happening B. It should be submitted within 48 hours and explained to the head nurse. C. It wants to determine the ultimate cause of an incident D. None of the above 18. The nurse is evaluating the effectiveness of changes made to improve the quality of care. Which procedure is the nurse conducting? A. Quality Assurance B. Total Quality Improvement C. Quality Management Plan D. Continuous Quality Improvement 19. The hospital management is concerned about feedback regarding long waiting times for treatment in the emergency department and forms a committee to resolve the issue. Which should be the FIRST task by the leader of the committee to solve the problem? A. Form a continuous quality improvement team to define the desired outcomes B. Reevaluate the emergency room waiting times C. Collect the baseline data to determine if a problem exists D. Ask the director of operations for solutions 20. The nurse recognized making a medication error and immediately reported it to the unit supervisor. Which response from the supervisor should the nurse EXPECT in an environment that promotes quality? A. “Why are you reporting that to me without completing an incident report?” B. “You need to report directly to the Chief Nursing Officer.” C. “You have reported this to me, so you need not to file an incident report.” D. “We have a blame-free environment so you can report errors without fearing punishment.” 21. The cause and effect model was developed by Kaoru Ishikawa. It is also known as fishbone diagram. Charge Nurse Les is now trying to find out what are the causes that can be placed in his Fishbone diagram, EXCEPT: A. Environment C. Person B. Process D. Product 22. Quality Circles are a participatory management technique that uses statistical analyses of activities to maintain quality products. Nurse Jan is a part of the quality circle. Nurse Jan is conducting a lecture regarding quality circle to his subordinates. The following are true about quality circles, EXCEPT: A. Quality circles aims to address issues and concern of the institution. B. Quality circles are primarily focused on meeting people who have the same profession. C. Quality circles are focused on quality improvement. D. Quality circles are aimed on improving standards on the profession.
NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 23. Circle of Safety involves a cycle between Feedback, Reporting, Analysis, Solution Development, Implementation, Audit and Monitoring. Nurse Manager Jan should ensure that nurses promote a culture of safety and promotion of quality. Which of the following statements does NOT prevent nurses from having liability or cultivates a culture of harm or invites errors? A. Practicing within the scope of nursing practice as defined by the Philippine Nursing Law. B. Interpret and clarify with another nurse the doctor’s orders that seem to be erroneous. C. Always get an informed consent from the patient and patients’ family. D. Nurse Manager should know the strength and weaknesses of his staff nurses. 24. Performance Appraisal is utilized for evaluate an individual’s performance compared to the competencies that he or she is expected to perform. Nurse Manager RL is now making a probationary nurse performance appraisal. Which of the following is an INCORRECT statement about performance appraisal? A. Performance Appraisal is needed in quality management. B. It is used solely in evaluating probationary nurses. C. Performance Appraisal is synonymous with evaluating D. There are several forms of performance appraisal, and the suitability depends on the case 25. Quality patient care is accurately evaluated through adequate documentation. One of the commonly utilized techniques of quality improvement is Flow Charts. Which of the following nurses is NOT accurately utilizing Flow Charts? A. Eric, “Flowchart has task and decisions depending on the manifestations seen or situations that happened.” B. Hermie, “Flowchart starts with a circle and end with a diamond.” C. Sylvia, “Flowchart describes a step-by-step procedure.” D. Marco, “Flowchart gives you options on what to given if faced by a certain event.” 26. Which statement should the nurse use to describe the purpose of the root cause analysis? A. Brainstorming preferred outcomes B. Identifying risks causing financial loss C. Providing a report to the leader of the committee D. Identifying the root cause of the problem through problem solving 27. Which statement should the nurse understand as reflecting the aim of affordable care in the country? A. Improving health by addressing behavioral, social, and environmental determinants B. Reducing the cost of quality health care for individuals, families, employers, and government C. Improving the quality of care by making care more patient centered, reliable, accessible, and safe D. Reducing wait times that may result in harmful delays for those who provide or receive care 28. The nurse is preparing a presentation of the major goals of the National Database of Nursing Quality Indicators (NDNQI). Which goal should the nurse INCLUDE? A. To assist nurses in reducing medication errors B. To determine the root causes of sentinel events C. To identify patient safety goals every year D. To use data to help nurses and other leaders to improve the quality of care 29. The nurse is part of a Continuous Quality Improvement (CQI) team measuring the number of times a patient's blood pressure is incorrect due to a defect. Which defect should the nurse and team define in such a situation? A. Blood pressure is taken on the nondominant arm. B. Blood pressure is taken with the wrong size cuff. C. Blood pressure is taken when the patient is seated. D. Blood pressure is taken with the patient's legs uncrossed. 30. Which statement should the nurse describe as the primary goal when conducting a root cause analysis? A. Gaining group consensus B. Mandating solutions to problems C. Producing ideas by holding a group discussion D. Preventing problem recurrence “Successful people are not gifted; they just work hard, then succeed on purpose.” -G.K. Nielson-