Module flashcards - Leadership Exam 3

A nurse manager is implementing the National Patient Safety Goals (NPSG) for the acute care unit. What will the manager have the staff implement to meet these goals? (Select all that apply.) 1. Check identification bracelet and ask the patient name and date of birth prior to medication administration. 2. Have patient identify surgical site prior to going to the perioperative suite. 3. Ensure that urinary catheters are properly secured to promote unobstructed urine drainage. 4. Ask the patient about their financial status to determine ability to pay for hospitalization. 5. When handing off report to other staff, use SBAR format.

1. Check identification bracelet and ask the patient name and date of birth prior to medication administration. 2. Have patient identify surgical site prior to going to the perioperative suite. 3. Ensure that urinary catheters are properly secured to promote unobstructed urine drainage. 5. When handing off report to other staff, use SBAR format.

A health care team is implementing the Toyota Production System (TPS) because the facility is having financial difficulty and may have to consider minimizing its workforce. Prior to implementing TPS, what should the team consider? (Select all that apply.) 1. How it will change the organization's culture, values, and roles 2. The ease with which the transition will take place 3. The level of staff preparation and involvement that will be required 4. How it will allow for problem solving 5. The commitment of time and resources from the facility's leadership

1. How it will change the organization's culture, values, and roles 3. The level of staff preparation and involvement that will be required 5. The commitment of time and resources from the facility's leadership

A nurse leader at a long-term care facility wants to determine if vital signs are being checked according to policy. What can the leader do to measure this process of care?

a process audit

A nurse manager is attempting to ensure adequate resources are available in order to meet changing patient needs. What would be the best type of audit for the manager to perform?

a structure audit

There are hallmarks that are associated with effective quality control programs. Select those hallmarks form the following list:

administration support, organizational support, process is ongoing

A health care team has been challenged to determine what other facilities are doing to decrease the number of hospital-acquired infections so that an action plan can be created to decrease the rate in their facility. What will the health care team do to achieve this challenge?

benchmarking

A nurse leader is trying to bring about change on the unit. Which intervention is associated with the nurse leader role?

inspiring staff to maintain high standards regarding patient care

A nurse manager discusses with the health care team the importance of performing core measures for the designated areas of implementation. What should the manager be sure to inform the team may be the consequence of noncompliance?

a 2% reduction in the Medicare annual payment

A nurse manager is implementing a quality control tool that is systematic and will allow the official examination of a record for patients with postoperative infections. What type of tool is the nurse manager using to collect and evaluate this data?

an audit

Nurse leaders need to understand that in order to be effective, the quality control process must be ____________.

ongoing

Quality control tools used by the nurse leader include which of the following?

process audits and structure audits

A nurse leader works at a facility that has total quality management (TQM) as the backbone of its organizational goals and objectives for quality control. Which activity reflects how the leader can practice TQM on their unit?

promote teamwork rather than individual accomplishments

An older adult patient recently had a hip replacement with an indwelling catheter inserted. The patient developed symptoms of a urinary tract infection (UTI) postoperatively, and the nurse placing the catheter was reeducated by the nurse leader regarding avoidance of UTIs when inserting catheters. Which quality approach did the nurse leader use?

quality assurance techniques

Total quality management is referred to as continuous quality improvement and is used to meet the Healthy People Living 202 goals. (t/f)

true

health care shifted focus from patient care to issues of cost and quality (t/f)

true

Nurse leaders make use of quality control tools to identify various types of errors as outlined by the IOM report. What are some of the most common types of errors reported in today's health care system? (select all that apply) 1. spelling errors 2 equipment errors 3. communication errors 4. diagnostic errors 5. medication errors

2 equipment errors 3. communication errors 4. diagnostic errors 5. medication errors

Quality control is the process of being reactive in order to minimize continued risks or hazards. (t/f)

false

After a patient had a negative outcome related to a medical error, the nurse follows the policy for sentinel events. What organization does the nurse recognize monitors the adherence to this type of policy for accreditation?

The joint commission

A nurse manager would like to determine how well the team is doing in terms of meeting the hospital's goal of increased patient satisfaction. What action should the manager take after determining best practices?

capture when the team is and is not using best practices and the outcomes

A nurse leader is performing a process audit. Which would be a consideration on a process audit? (Select all that apply.) 1. Comparing a patient's medication order to the medications the patient has been taking 2. Ensuring that machines are recalibrated according to department policy 3. Checking the completeness of a patient's medical record 4. Ensuring that a patient has access to television in their room 5. Assessing the availability of fire extinguishers in patient care areas

1. Comparing a patient's medication order to the medications the patient has been taking 2. Ensuring that machines are recalibrated according to department policy 3. Checking the completeness of a patient's medical record

What are the focus areas of the To Err is Human recommendations? (select all that apply) 1. set performance standards for safety 2. enhance leadership 3. identify errors and provide solutions for prevention 4. implement safety systems 5. enhance knowledge

All: 1. set performance standards for safety 2. enhance leadership 3. identify errors and provide solutions for prevention 4. implement safety systems 5. enhance knowledge

A new graduate asks the nurse manager what organization develops the standards of the nursing profession so that the quality of practice can be measured. What is the best response by the manager?

The American Nurses Association (ANA)

A nurse is tasked with performing an audit on patients in the long-term care facility who are developing pressure ulcers. After identifying the information relevant to the criteria, what is the nurse's next action?

determine ways to collect data

Which of the following is considered a nursing leadership role with regard to quality control?

embraces, supports, and champions the quality improvement process

The six aims for improving quality health care as directed by the Institute of Medicine include safe, effective, patient-centered, timely, efficient, and __________.

equitable

what is the final step of the quality improvement process that the nurse leader must complete in order to improve patient care?

evaluation

Which statement about total quality management is correct?

it considers the individual as the focal element on which production and service depend

A patient is planning to have a surgical procedure but is concerned about poor patient care quality at the local hospital, and performed a quality check and comparison of several hospitals. What conglomeration of non-healthcare Fortune 500 companies defined quality measurements to allow consumers to compare hospitals?

leapfrog

A nurse leader wants to ensure that the team is always practicing proper hygiene after caring for a patient. A complaint was filed against a nurse for not washing the hands before examining a wound on a child's knee. What is the nurse leader's control criteria?

whether the team is practicing proper hygiene

The nurse manager of an acute care unit determines the increase in the incidence of medication errors over the last six months and identifies this as a focus area for improvement. What is the next action by the nurse manager?

Organize a total quality management (TQM) meeting

An older adult patient fell out of bed 2 days after a hip replacement and had to return to surgery. What process should be done in order to prevent future negative outcomes such as this?

critical event analysis

Nurse leaders should understand the criteria or standards that are needed to establish effective quality control process. (t/f)

true