C157 Study Questions

1. The surgery department’s monthly case review revealed the need for the development of an innovation to better meet surgical patient outcomes. Which of the following would the Mastersprepared nurse need to consider ha ...

1. The surgery department’s monthly case review revealed the need for the development of an innovation to better meet surgical patient outcomes. Which of the following would the Mastersprepared nurse need to consider having input from as part of the innovation development?  Surgical technician, risk manager and surgeon  Surgeon, scrub nurse and patient  Referring physician, circulating nurse and patient  Surgeon, risk manager and scrub nurse 2. The Masters-prepared nurse needs to assign a staff member to assist in the development of a quality improvement program for a new healthcare service. Which staff member is most appropriate for this project?  a newly hired staff member who has demonstrated competence and has time to complete the task  a motivated staff member who is actively seeking promotion  a competent staff member who has good interpersonal skills  a knowledgeable staff member who works best on defined tasks 3. The Masters-prepared nurse is a member of the discharge planning team that regularly monitors the number of inappropriate referrals, the timeliness of discharge planning, and the number of days of discharge delays. What additional aspect should the MSN recommend being added to the process for evaluating discharge planning interventions?  adequacy of documentation in progress notes  attainment of discharge planning goals  timeliness of referrals to discharge planning  number of discharge planning referrals from nursing 4. Pharmacy services and nursing services are having difficulty developing an action plan for reducing medication errors. Pharmacy services state nursing services are responsible for more issues related to errors, while nursing services state the opposite. What is the best action for the Maters-prepared nurse in resolving this dispute?  provide the members with directives on how to solve the problem  facilitate a discussion between the groups to enable them to problem-solve  assign the task to an uninvolved manager  refer the problem to the facility-wide quality council 5. When implementing a new quality improvement innovation, the 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 when using the new form. These tasks represent which step of the PDSA model?  Planning a change.  Pilot testing a change.  Implementing a tested change.  Sustaining a change. 6. An acute care hospital wants to revise their HIPPA privacy policy. The HIPAA privacy policy allows personal health information to be shared with any person designated by the patient. Clinical staff members are concerned because expanding access to patient information will result in additional work prior to directing visitors to answer questions regarding a patient's care. Hospital administration is considering this change to enhance patient-centered care. How should this change be evaluated to determine if it is successful?  compare quality care metrics of medication reconciliation pre-policy and post-policy change  compare quality care metrics between the acute hospital and the skilled nurse facility  compare patient satisfaction metrics between pre-policy and post-policy change  compare clinical staff satisfaction metrics between pre-policy and post-policy change 7. As part of an innovation, three nurses on different shifts are using a new medication reconciliation form. This task represents which step of the PDSA model?  Planning a change.  Pilot testing a change.  Implementing a tested change.  Sustaining a change. 8. As part of the innovation, all nurses in a hospital begin using a new medication reconciliation form. This task represents which step of the PDSA model?  Planning for a change.  Pilot testing a change.  Implementing a tested change.  Sustaining a change 9. An acute care hospital wants to reduce readmission rates due to problems with medication reconciliation and a lack of understanding of discharge instructions. When developing an innovation, to improve patient education related to discharge medications, who would be the most appropriate person to designate as the leader for this innovation?  Social Worker  Advance Practice Nurse  Physician  Pharmacist 10. In reflecting on the role of a Masters-prepared nurse as a mentor, which of the following statements is not true?  The mentor nurtures and develops the mentee’s capacity for self-reflection and selfdirection.  Mentoring relationships are task focused; when the tasks are completed the relationship comes to a close.  A mentor who understands how to provide vision and how to support and challenge the mentee can help the mentee grow and develop.  The mentoring relationship is a learning partnership that focuses on developing the mentee’s abilities and thinking.  Some preceptors are also mentors; being a mentor is not dependent on being a preceptor. 11. Which best explains the application of the Institute for Healthcare Improvement (IHI) Triple Aim in the quality improvement process?  Better outcomes, great patient experiences, and reduced costs  Higher revenues, reduced turnover, and lower costs  Better outcomes, reduced costs, and higher revenues  Lower revenues, higher costs, and lower patient satisfaction