WGU C157 - Study Test 2020 (100% correct)

C157 Study Test 1. The surgery department’s monthly case review revealed the need for the development of a new innovation to better meet surgical patient outcomes. Which of the following would the Advance Practice Nu ...

C157 Study Test 1. The surgery department’s monthly case review revealed the need for the development of a new innovation to better meet surgical patient outcomes. Which of the following would the Advance Practice Nurse need to consider having as part of the innovation committee? 2. An MSN needs to assign a staff member to assist a medical director in the development of a quality program for a newly established service. Which of the following staff members is most appropriate for this project? 3. The MSN leader is regularly monitoring the number of inappropriate referrals, the timeliness of discharge planning, and the number of days of discharge delays. What additional monitor should the MSN leader recommend to the Discharge Planning Team to be added to the process for evaluating the appropriateness of discharge planning interventions? 4. Pharmacy Services and Nursing are having difficulty developing an action plan for medication errors. Pharmacy Services states that Nursing Services cause the majority of the problems related to errors, while Nursing Services states the opposite. The MSN Leader’s role in resolving this problem is to: 5. In beginning a new quality improvement innovation, the designated committee identifies a need for change in the medication reconciliation process, and creates a new documentation form that covers all essential elements of the process. The committee also develops a way to assess monthly compliance with use of the new form. These tasks represent which step of the PDSA model? 6. An acute care hospital wants to change their information sharing policy. They currently share the following information with patients only: diagnoses, care planning, medications, activity, and discharge information. The change to the HIPAA privacy policy will enable personal health information to be shared with any person a patient designates permission to have access. Clinical staff members are concerned because expanding access to patient information will result in additional cross-checking work prior to being able to direct visitors to answer questions about a patient's care. Hospital administration is considering this change as a way to enhance patient-centered care. How should this change be evaluated to determine if it is successful? 7. As part of the new innovation on the medication reconciliation process, three nurses on different shifts are using the new medication reconciliation form. This task represent which step of the PDSA model? 8. As part of the new innovation on the medication reconciliation process, all nurses on the units begin using the new medication reconciliation form. Using the PDSA model, this is an example of: 9. An acute care hospital wants to reduce readmission rates based on medication reconciliation and non-compliance. When charged with developing an innovation regarding educating patients on discharge medications, who would be best to designate the leader for this clinically-based innovation? 10. In reflecting on the role of MSN mentor, which of the following statements is not true? 11. The MSN leader knows that by focusing on the patient, the Quality Improvement (QI) team can achieve the IHI Triple Aim. The Triple Aim is, simply stated, to create: 12. In interpreting the run chart below, all of the following are true except: 13. The following diagram below is best described as a: 14. The Advanced Practice Nurse (APN) is the leader of a committee task with preparing to implement an Electronic Medical Records (EMR) system within the organization. Which of the following steps is often overlooked during planning of an innovation? 15. The MSN leader is responsible for reviewing treads in patient care. The primary purpose of an information management system for this task is to allow the MSN leader to: 16. The MSN leader is charged with ensuring quality patient care is provided on the unit. Which of the following monitors provides the best data set for determining patient outcome information? 17. An interprofessional team comprised of a hospitalist, nurse practitioner, pharmacist, registered nurse, social worker and discharge manager are caring for a six-year-old being treated for status asthmaticus. Prior to admission, the patient required several recent Emergency Room (ER) visits and hospitalizations with missed outpatient sub-specialty appointments. The patient was noted to be overweight and counseling was provided at the last outpatient appointment. Which aspect of the patient’s care should be the priority for the Nurse Practitioner? 18. The MSN is aware that the primary purpose of an information management system is to allow an organization to: 19. During the quality improvement process, the MSN leader utilizes flowcharts to track the process being reviewed. The primarily use of a flowchart in quality improvement is to: 20. The MSN leader is responsible for the financial needs of the department. Before selecting a vendor of a particular healthcare equipment or supply, which of the following should the MSN leader do first? 21. The MSN leader is responsible for any unit specific training that is required for the staff. Which of the following is a priority for the MSN in the planning of quality improvement training? 22. The MSN leader is accountable for the quality and safety of the unit. In the development of effective, quality initiatives, all of the following aspects must be present except for: 23. Which of the following is not an appropriate goal for quality improvement education of the Master level graduate? 24. The MSN leader is designing a professional development program for the unit staff. Utilizing the “AIM” process, rank the order, from first to last, of training design steps. 25. The MSN leader wants to implement Leadership Rounds in the hospital, to include participation of the Chief Executive Officer (CEO). This initiative would provide an informal way for senior leaders to talk with front-line staff about safety issues in the organization and to encourage reporting of errors. All of the following are benefits of having the CEO involved in these rounds except: 26. In order to be successful in the role of change agent, an MSN leader’s responsibilities should include all the following except for: 27. The MSN leader is developing an initiative to improve the quality of care of the unit. Which of the following is the first priority when starting a quality improvement initiative? 28. The MSN leader is analyzing collected data for a quality improvement initiative. The MSN is aware that if data is plotted over time, the resulting chart will be which type of chart? 29. The roles and responsibilities of a quality improvement team should be established by which of the following company authorities? 30. The MSN leader is aware that which of the following should be included during the planning stage for quality training? 31. As the leader of the Quality Improvement committee, the MSN is aware that which of the following is one advantage of group decision-making? 32. For organization-wide change to be effective, the most important condition the MSN leader needs to meet is to have which of the following? 33. To be effective, the MSN leader is aware that quality initiatives must be: 34. The master’s prepared nurse is leading a quality improvement team in the development of a new admission process for a healthcare organization. The team has determined what constitutes best practices for admissions and has developed its recommendations. What should the team do next? 35. The Advance Practice Nurse (APN) led an interdisciplinary team that planned and implemented an evidence based program to decrease patient falls. Data analysis reveals that the number of falls prior to implementation was 15 and the number falls after implementation of the plan was 10. The overall goal was to have a 20% decrease in the number of falls. How should the APN interpret this data? 36. In order to be successful in the role of change agent, the MSN leader is aware that which of the following is the first priority when starting a quality improvement initiative? 37. As the leader of the Quality Improvement Committee, the MSN knows that which of the following is the least effective safety approach for a patient-centered healthcare organization to take? 38. An advanced practice nurse for the nursing unit in a hospital identified the problem of increased sepsis rates related to intravenous lines. Which step represents the "Plan" component of the PDSA cycle for the process improvement team? 39. When analyzing data sets, the MSN is aware that the wide scale collection of patient’s weight into a large data set is primarily used to measure and improve healthcare for which type of group? 40. A medical-surgical unit in an acute care hospital has identified the problem of increased sepsis rates during the last quarter. What is the next step in the PDSA cycle? 41. Which domains of benchmarks must be considered when evaluating evidence for use in a healthcare setting innovation? 42. What must the MSN leader ensure has been considered before implementing an innovation in care provided to patients? 43. The MSN is leading a quality improvement team working to identify the primary drivers of patient satisfaction regarding the nursing care the patient’s receive. One of the identified primary drivers of patient satisfaction identified was effective communication. What is the first thing the quality improvement team should do with this information? 44. During the Quality Improvement (QI) process, data reveals that overall patient satisfaction scores are 72% for the first quarter and 69% the second quarter. The organizational goal is 80%. Which action should the advanced practice nurse take utilizing the PDSA cycle? 45. The Quality Improvement (QI) committee implements a program to improve shared decision making between patients and nursing staff. The MSN is aware that which national benchmark would best evaluate the effectiveness of the program? 46. A nurse executive leader sponsors a multidisciplinary team that is charged with educating patients scheduled for total joint replacement surgery, about topics including what to expect after discharge. What is the nurse executive's response when encountering resistance from team members? 47. The MSN is leading a committee in a large urban hospital appointed to plan improvements in patient care. Which of the following should the MSN chose to be on the inter-professional committee: 48. Which of the following does not describe examples of barriers to patient safety? 49. One of the essential roles of the MSN is to be an effective member of the inter-professional team. As a part of the inter-professional team, what action should the MSN nurse do first? 50. A 42-year-old mentally challenged patient has been admitted to the hospital for treatment of a chronic illness. The patient has been determined legally incapable of making decisions since childhood and depends on her parent for medical assistance. During her hospitalization, the patient’s parent suddenly passes away and there is no one else for support while the patient is in hospital. The MSN leader understands that which of the following would be the best advocate to help this patient?