WGU C157- Practice Questions and
Answers with Verified Solutions
Quality improvement assumes that? ✔✔Most problems with service delivery resilt from process
difficulties, not individuals.
*QI starts with the assumpti
...
WGU C157- Practice Questions and
Answers with Verified Solutions
Quality improvement assumes that? ✔✔Most problems with service delivery resilt from process
difficulties, not individuals.
*QI starts with the assumption that erros occur as a result of system failures, not individual errors.
The term "quality" as used in quality improvement usually refers to? ✔✔Characteristics of a
product or service that bear on its ability to satisfy stated or implied needs
*Quality rests on the ability to satisfy customer needs
Three major differences between traditional "quality assurance" (activities like keeping track of
total number of different procedures conducted in your practice, rates of adverse outcomes) and
"quality improvement" activities is that quality improvement also focuses on? ✔✔Systems and
processes
*rather than individuals and products
Effective quality improvement does not require? ✔✔An increased emphasis on inspection of
individuals' work
A leadership style that is sad to motivate employees and that optimizes the introduction of change
is? ✔✔Participatory- An approach where leaders interact with other participants as peers, engaging
them in the decision- making process and playing an equal role in the process as others and jointly
carrying out the problem solving activities
What representatives of a CV practice should be included on a quality improvement team to
implement a new practice? ✔✔All staff directly affected by the quality improvement practice to
be implemented
When is it appropriate to collect and use data? ✔✔Before the QI project, to prove problem exists
During the QI project, to answer questions about the cause and help prioritize the implementation
of improvements
After the implementation of the improvement to maintain the gain
A concern that would be best solved by a QI team? ✔✔A financial variance in cost per left heart
cath procedure over the past 6 months
*Substantial variation in cost for a procedure is a problem that directly affects customers and could
have implications for organizational processes. It is an ideal concern for a QI team to handle
The first step in problem solving is to? ✔✔Define the problem issue
After assessing current work flow and processes, a clinical team presumes that a delay can occur
anywhere along the process of their tasks. Data is inadequate at this point to identify a particular
time of day, day of week, type of patient, or step in the process that is largely responsible for the
delays. Further data collection is necessary. What should the team "product" be for the next
meeting? ✔✔A list of questions to be answered and a draft data collection tool
As a building block for determining whether or not quality has been improved, the use of basic
descriptive statistics in applying QI is critical. What is not strictly quantitative description of the
basic features of a study? ✔✔Hospital ratings
Two statistics essential for identifying opportunities for performance improvement? ✔✔Variance
and distributions
Comparisons of your data against the top performers in your region describe the process of?
✔✔External benchmarking
Benchmarking creates objective measures of performance that are based on? ✔✔Past performance
targets within an organization
Performance of a competing external organization
Some external universal performance target established by the industry
What quality tools would be most useful for identifying a problem in a process that could benefit
from a quality improvement strategy? ✔✔Flow Chart
A patient has terminal illness. Against the family's wishes, the patient requests a DNR order. What
ethical principle supports the patient's decision? ✔✔Autonomy
What ethical conflict places the equitable access to health care against actions that produce the
greatest good? ✔✔Justice versus utilitarianism
4 strategies that promote staff empowerment are adopting a shared vision, team building,
relinquishing administrative control and? ✔✔Rewarding performance that adheres to high
standards
The nurse executive is the chair of a new performance improvement team whose purpose is to
address patient flow through the ER. A laboratory team member openly blames ER nurses for a
long turnaround time in obtaining patient test results. To which phase of group development does
the nurse executive attribute the blaming behavior? ✔✔Storming- refers to the conflict-ridden
stage of team development
*forming- the team is brought together
*norming- team members begin to resolve differences
*performing- team members begin to obtain results
The nurse executive develops a balanced scorecard for nursing practice by emphasizing?
✔✔Internal and external benchmarks
A nurse executive 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?
✔✔Gather together the various disciplines and listen to their concerns about the project
The nurse executive receives notice that critical supplies have not arrived before a three day
holiday weekend. Due to a computer system error, "just in time" supplies were not queued for
delivery. The nurse executive's next action is to? ✔✔Contact the materials manager to expedite
the delivery of supplies before the end of the work day
What is the primary purpose of a policy, as opposed to a procedure? ✔✔A policy is broad and
durable, designating actions for matters that frequently recur
A 14-year old female patient who is a Jehovah's Witness is admitted for anemia. The DR
determines that blood transfusions are necessary, but the patient's parents refuse consent. The
patient states she wishes to be treated, the advanced practice nurse action is to? ✔✔Contact local
clergy for assistance in crisis intervention
What statement is an outcome indicato
[Show More]
.png)
.png)
.png)
.png)
.png)
.png)
.png)
