C430 Healthcare Quality Improvement and Risk Management - WGU

A hospital supervisor notices that signatures are missing on several admission consent forms. Which action will reduce risk for the hospital? A.) Add an electronic alert to prompt for signatures B.) Increase the number of admission clerks available C.) Assign responsibility for signatures to the admission nurse D.) Require admissions to contact patients for incomplete forms

A.) Add an electronic alert to prompt for signatures

A nurse gives an inaccurate dose of medication to a patient, and the patient has an adverse reaction. A team reviews the risk management plan and identifies the problem as a miscalculated dosage. Which action could the manager take to mitigate this risk? A.) Assess the nurse's competence for dosage calculations B.) Ensure future use of bar-coded medication administration C.) Complete incident reports for medication calculation errors D.) Have the patient confirm the accuracy of medication dosages

A.) Assess the nurse's competence for dosage calculations

The Occupational Safety and Health Administration requires that facilities make employees aware of dangers in the workplace. Hospital leadership discusses possible dangers during orientation for each position. How should managers monitor compliance with this requirement? A.) Audit employee training records B.) Review job-related accident reports C.) Evaluate staff clinical competencies D.) Document receipt of the employee handbook

A.) Audit employee training records

Residents in a nursing care center report that food is cold when served. The center has developed an improvement plan that involves monitoring the temperature of food when it leaves the kitchen and again when it is served. After implementing the temperature log, the residents reported improvement. Why is this continuous improvement practice successful? A.) Because the food temperature is satisfactory B.) Because the temperatures are now taken twice C.) Because the residents have timely meal delivery D.) Because the delivery is delayed by logging times

A.) Because the food temperature is satisfactory

An applicant with 25 years of healthcare experience submitted a job application for an opening at a local hospital. The supervisor reviewed all of the applications and accessed a publicly available social media site specifically to determine the birth year of the applicants. The application of the 67-year-old was quickly eliminated from consideration. Which federal regulatory requirement was violated? A.) Civil Rights Act B.) Social Security Act C.) Older Americans Act D.) Americans with Disabilities Act

A.) Civil Rights Act

After an event involving a near-miss abduction of an infant from the newborn unit, a hospital risk manager plans to update the risk management and safety plan. What should the manager recommend to mitigate this risk? A.) Conduct regular infant abduction scenario drills B.) Educate local police on infant abduction protocols C.) Provide fliers on infant abduction in waiting rooms D.) Hold community awareness sessions on infant abduction

A.) Conduct regular infant abduction scenario drills

A small family practice has recently terminated a medical assistant due to theft of birth control and drug samples. This facility does not reside in a right-to-work state. Which two options will reduce this organization's risk for a wrongful termination lawsuit in this situation? Choose 2 answers A.) Consideration of alternatives to termination prior to the decision B.) Existence of a human resources employee assistance program C.) Documentation of employee training on handling of drug samples D.) Presence of evidence highlighting the employee's poor attendance

A.) Consideration of alternatives to termination prior to the decision C.) Documentation of employee training on handling of drug samples

Three different hospital patients had to undergo additional procedures to remove a sponge that was mistakenly left in after surgery. Match each action with the approach that should prevent a recurrence.

A.) Count Sponges in the same manner every time: STANDARDIZE THE PROCESS B.) Make use of a checklist during final sponge counts: USE COGNITIVE AIDS C.) Use radio frequency identification-enabled sponges: ADD ENGINEERING CONTROLS D.) Require two staff members to independently confirm accuracy of sponge counts: IMPLEMENT DOUBLE CHECKS

A hospital employee was transporting a patient when the stretcher collapsed. The fall broke the patient's arm. Which action should be taken to address this safety risk? A.) Evaluate the stretchers for mechanical problems B.) Call human resources to discipline the employee C.) Contact the hospital's attorney to assess for liability D.) Review the hospital's contract with the stretcher supplier

A.) Evaluate the stretchers for mechanical problems

While completing a routine coding audit, the Health Information Management director notices that a treatment was billed as an outpatient, rather than an inpatient, procedure. The director is concerned that the incident has the potential for malpractice litigation. Which federal violation was identified? A.) False Claims Act B.) HIPAA privacy rule C.) Whistleblowers Protection Act D.) Trade Commission false advertising rules

A.) False Claims Act

A hospital improvement project is focused on reducing the time between a patient discharge order and the patient's actual discharge. What should be the first step of the project? A.) Gather baseline data B.) Define the sub-processes C.) Identify non-value added steps D.) Implement a discharge checklist

A.) Gather baseline data

The hospital employees complain that the quarterly fire drills are disruptive. The leadership has decided to reduce the fire drill frequency to every six months to enhance work productivity. How does this decision affect quality? A.) It increases the level of risk. B.) It decreases injuries from fires. C.) It increases staff accountability. D.) It decreases patient satisfaction.

A.) It increases the level of risk.

After a vaccine was given, the nurse realized that the dosage administered was less than it should be, but did not report the error. There was no physical injury to the patient, but the patient may not have received the protection afforded by the vaccine. How does the nurse's omission affect the organization's quality improvement process? A.) It prevents the identification of system problems. B.) It has minimal effect because no injury occurred. C.) It reduces the liability because no report was filed. D.) It allows errors to be discovered on retrospective audit.

A.) It prevents the identification of system problems.

A staff member notices a co-worker walking away from a computer without logging off, leaving sensitive patient information available to other viewers. Which action by the staff member will reduce security risk? A.) Lock the staff member's computer screen B.) Evaluate the feasibility of the current policy C.) Discuss the incident with other staff members D.) Request that staff members tell someone when leaving their computers

A.) Lock the staff member's computer screen

hospital has been cited by The Joint Commission for several sound-alike medication errors. The unit supervisor is implementing an action plan with the pharmacy to label the medications better. How does this supervisor's response affect quality? A.) Patient outcomes will improve B.) Pharmacy liability will be reduced C.) Time spent on patient care will decrease D.) Reporting of medication errors will increase

A.) Patient outcomes will improve

A patient presents to the emergency room after returning from another country with acute respiratory distress and a productive cough. Which action should be taken to reduce the infection risk in this situation? A.) Place the patient in an isolation area B.) Transfer the patient to a trauma facility C.) Give the patient oxygen in the waiting room D.) Keep the patient in the emergency department

A.) Place the patient in an isolation area

An employee witnesses a fire erupt in the medical facility kitchen. Which action should the employee take first? A.) Pull the fire alarm B.) Call the fire department C.) Locate the fire extinguisher D.) Obtain water to put out the fire

A.) Pull the fire alarm

During a review of a sentinel event, unauthorized access to a patient's electronic medical record (EMR) was found to have occurred. This is a breach of confidentiality in the Health Insurance Portability and Accountability Act (HIPAA). What should the organization monitor to prevent similar problems in the future? A.) Reports of password sharing among staff B.) Documentation of staff training with the EMR C.) Examination of staff understanding of HIPAA law D.) Auditing of the frequency of access to health records

A.) Reports of password sharing among staff

A nurse is called away for an urgent situation in another room while still charting. A few minutes later a nursing assistant comes in to assist the patient to the restroom. The nursing assistant charts on the patient under the previous nurses' login password. Which two actions will prevent this problem in the future? Choose 2 answers. A.) The nurse should lock the workstation prior to leaving for another room B.) The nursing assistant should log into the chart using their own password C.) The nurse should finish work at the station before leaving to help other staff D.) The nursing assistant should log into the chart with the nurse supervisor's password

A.) The nurse should lock the workstation prior to leaving for another room B.) The nursing assistant should log into the chart using their own password

A hospital officer reports the presence of multiple incidences of skin breakdown among the Medicare/Medicaid eligible patients who were admitted to the hospital. Admission assessment supports that the skin breakdown was not present at the time of admission. What is the initial role of the Centers for Medicare and Medicaid in providing oversight for this issue? A.) To deny reimbursement to the facility B.) To notify the state hospital association C.) To ensure the hospital opens a wound care clinic D.) To alert The Joint Commission to review the facility

A.) To deny reimbursement to the facility

A patient in the emergency department is sent to radiology for a computed tomography (CT) scan of their abdomen that uses a dye injection. During the CT scan, the patient develops shortness of breath and hives. Which strategy can reduce the risk associated with this procedure? A.) Ask the manager to increase staffing prior to the CT B.) Ask the patient to identify their allergies prior to the CT C.) Have the staff complete a safety report following the CT D.) Have the patient sign informed consent following the CT

B.) Ask the patient to identify their allergies prior to the CT

Fifty percent of physician orders in a nursing care center are not getting signed within 48 hours of a resident's admission as per the policy. A continuous improvement (CI) practice was implemented. All but three residents out of 81 had their admission orders signed within 48 hours at the last quarterly review. Why is the continuous improvement (CI) practice successful? A.) Because the facility is continuing to monitor the process B.) Because the facility has fewer residents missing signed orders C.) Because the facility has a specific time frame for signing orders D.) Because the facility is reviewing the system on a quarterly basis

B.) Because the facility has fewer residents missing signed orders

A cafeteria worker has a migraine headache and needs medication, but the hospital pharmacy is closed. A nurse provides the worker the access code to obtain narcotics from a drug dispensing unit on the floor. Another worker observes the event and reports the situation the next morning. What should the hospital do first to reduce the immediate safety risks in this situation? A.) Discipline the nurse. B.) Change the access code. C.) Perform a pharmacy inventory. D.) Ask both workers to report to human resources.

B.) Change the access code.

A high-risk resident walked away from a memory care unit. The resident was found an hour later on the side of a highway. Despite the risk management plan that requires high-risk residents to wear electronic locator bracelets, this resident did not have one on. How can the effectiveness of the risk management plan be improved? A.) Evaluate sensor system for effective operations B.) Check for electronic bracelet placement at shift change C.) Visit resident bedrooms hourly to determine their location D.) Assist residents in developing an understanding of local geography

B.) Check for electronic bracelet placement at shift change

An office manager finds a doctor to be grossly overcharging patients and insurance companies for medical procedures. Once found out, the doctor has vowed to change his methods. How can the officer manager reduce this risk in the future? A.) Advise patients to review the billing statements for accuracy B.) Compare allowable amounts with the doctors existing fee structure C.) Post the doctor's typical fees in the office for patients to see before services are rendered D.) Question the doctor on whether procedures that were performed in the past are medically necessary

B.) Compare allowable amounts with the doctors existing fee structure

Nursing services received three complaints in the past two months from family members of patients. All the complaints involved missing valuables from the patient's rooms. Which action should reduce the risk of recurrence of this type of event? A.) Evaluate chart documentation B.) Conduct a root cause analysis C.) Complete an occurrence report D.) Review medical record protocol

B.) Conduct a root cause analysis

A skilled nursing care center has recently been investigated by the Occupational Safety and Health Administration due to its high rate of workplace injuries, specifically the ones caused by lifting and transporting patients. OSHA discovered the workers were not performing these tasks appropriately. Which risk management strategy should management implement to minimize these incidences in the future? A.) Require all staff to be tested on ergonomics B.) Educate all staff on the need for specific lifting devices C.) Require all staff to have weight bearing training D.) Educate all staff on the need for two people when lifting

B.) Educate all staff on the need for specific lifting devices

A patient who generally prefers homeopathic remedies over traditional medicine came into a physician's office for treatment. While the intake process involved asking the patient about medications the patient was taking, it did not inquire about homeopathic remedies or other supplements. The physician prescribed a medication that caused a negative reaction due to the oversight. Which risk management strategy should be implemented to avoid this situation in the future? A.) Educating staff on which medications are safe B.) Educating staff on asking about alternate therapies C.) Educating staff on looking at patient past social history D.) Educating staff on examining patient prescription history

B.) Educating staff on asking about alternate therapies

A risk management supervisor audited procedures and noticed that the patient signature policy for releasing personal medical records was not being followed. Which strategy will help mitigate this risk? A.) Require that two employees witness patient signatures B.) Enforce disciplinary action upon noncompliant employees C.) Meet with employees to develop new record release policies D.) Survey employees to determine why signatures were missing

B.) Enforce disciplinary action upon noncompliant employees

A highly productive medical coder has a spouse who sustained a serious work-related injury. The coder asks the supervisor for eight weeks of unpaid time off to care for the spouse, but the supervisor decides to terminate the employee. Which federal regulation has been violated in this scenario? A.) National Labor Relations Act B.) Famiily and Medical Leave Act C.) Americans with Disabilities Act D.) Emergency Medical Treatment and Active Labor Act

B.) Famiily and Medical Leave Act

An improvement team at a nursing care center has been charged with reducing resident falls within the facility. Which task should the team complete first? A.) Revise protocols and procedures for keeping residents safe B.) Identify the cause of variances from evidence-based interventions C.) Obtain benchmark data from other nursing care centers in the area D.) Analyze grievances and liability claims for residents who have been injured

B.) Identify the cause of variances from evidence-based interventions

A hospital recently reviewed its data report for patient satisfaction and found that pain management is falling below the hospital's 80% performance expectations. How can the hospital reach this performance expectation? A.) Increase the use of narcotics for patient pain control B.) Increase staff awareness on patient pain control techniques C.) Encourage patients to contact the primary care provider about pain D.) Encourage patients to understand pain is part of the healing process

B.) Increase staff awareness on patient pain control techniques

A nurse has been working with the same patient for the last three days. Since the nurse knew the patient, only a name was requested as an identifier when medications were being administered. How does this decision affect quality? A.) Efficiency may improve since rounds can be completed in less time. B.) Medication errors may increase since control procedures were reduced. C.) Patient satisfaction may decrease since they are asked fewer questions. D.) Security of information may be enhanced since computer access is limited.

B.) Medication errors may increase since control procedures were reduced.

A cardiac unit has experienced multiple patients being readmitted within two weeks of discharge with recurrent congestive heart failure. A multidisciplinary team recommends improving the patient teaching materials. How will the effectiveness of the initiative be evaluated? A.) Patient satisfaction improves B.) Patient readmission rates decline C.) Patients require fewer medications D.) Patients receive discharge instructions

B.) Patient readmission rates decline

A hospital's quality team finds a high incidence of patients with heart failure being readmitted due to a lack of discharge medication instructions. A multidisciplinary team reviews the risk management plan and the discharge process and implements a staff education plan. What will indicate if that initiative is effective? A.) Chart reviews show an increase in patient education. B.) Patients can explain how medications should be taken. C.) Patient satisfaction with physician communication has increased. D.) Nurses are educated on delivery of patient medication instructions

B.) Patients can explain how medications should be taken

The incidence of falls in hospital patients during the night hours has increased, and a risk management plan was implemented that involved improved patient monitoring and staff training. How would the effectiveness of the plan be evaluated? A.) Number of staff members that attend the training B.) Percent of patients that fall during night hours C.) Percent of patients monitored during night hours D.) Number of staff members that conduct required patient monitoring

B.) Percent of patients that fall during night hours

A radiology technician confided in the director about being uncomfortable in an operating room with an orthopedic surgeon. The technician had witnessed the surgeon lifting the gown of an anesthetized patient and making inappropriate comments. According to the technician, this had happened more than once with this surgeon, but none of the operating room staff were willing to report the behavior. Which malpractice violation has occurred? A.) HIPAA privacy standards B.) Physician's state licensing standards C.) OSHA's violence in the workplace standards D.) Joint Commission environment of care standards

B.) Physician's state licensing standards

A medical staff peer review committee reviews a physician due to a situation at the medical facility. The committee recommends colleague-to-colleague intervention. Which problem occurred? A.) Car parked in handicapped spots B.) Poor physician bedside manner C.) Pre-admission complications delaying procedures D.) Limited in-room access to prescribed dietary options

B.) Poor physician bedside manner

A doctor's office recently received results from a National Committee for Quality Assurance survey, which indicated that 75% of patients at this office are dissatisfied with long wait times in the waiting room. What should the doctor's office do to increase patient satisfaction? A.) Schedule patients with serious illnesses in the morning B.) Reduce the number of patients scheduled per time slot C.) Extend the daily office hours until later into the evenings D.) Decrease the amount of time spent treating each patient

B.) Reduce the number of patients scheduled per time slot

A 17-year-old child and a neighbor were involved in a major car accident. The child sustained serious injuries, while the neighbor was unharmed. The child was transported to the nearest emergency department (ED) via ambulance. Upon arrival, the child was unconscious and appeared to be seriously injured, requiring the ED physician to immediately begin life-saving procedures on the patient. How is consent for treatment obtained in this situation? A.) The patient's neighbor provides consent B.) The patient implies consent in this situation C.) The parents provide consent when they arrive D.) The patient provides consent following the procedure

B.) The patient implies consent in this situation

A primary care clinic has completed implementation of an electronic medical record system and the manager wants to be sure the system meets regulations found in the Health Insurance Portability and Accountability Act and the Information Technology for Economic and Clinical Health Act. Which step should the manager take to monitor compliance with the guidelines? A.) Benchmark system performance B.) Hire a health informatics specialist C.) Conduct periodic security risk assessments D.) Log information releases signed by patients

C.) Conduct periodic security risk assessments

A long-term care facility acquired a hospice care agency, which provides in-home medical support including pain relief for dying patients. Care of terminally ill patients presents new risk management concerns for the facility. What should be added to the facility's risk management plan to manage this new risk? A.) Permit the use of restraints if a patient unexpectedly exhibits violent behavior B.) Allow caregivers to communicate privileged information when abuse is suspected C.) Create a procedure for storing controlled substances to prevent diversion by family members D.) Provide guidance for staff in defining when family members can be present during treatment

C.) Create a procedure for storing controlled substances to prevent diversion by family members

A nurse neglected to administer an evening dosage of a prescribed medication. As a result, the patient's blood pressure dropped significantly, resulting in a transfer into the intensive care unit (ICU). A risk management plan was implemented that included nurses being retrained in medication administration. What would indicate this plan is effective? A.) Decrease in number of medications prescribed B.) Decrease in number of patient records with medication documentation C.) Decrease in number of medication errors D.) Decrease in number of patients needing medication monitoring

C.) Decrease in number of medication errors

A newborn male underwent a circumcision intended for another infant. A root cause analysis team determined that proper patient identification protocols were not followed by the physician and transporter. Which patient safety action should be included in the risk management plan to prevent a recurrence? A.) Involve physicians in future incident investigations B.) Change the medical protocol for infant circumcision C.) Include the parent in the patient identification process D.) Create a post-procedure checklist for transporters to follow

C.) Include the parent in the patient identification process

A medical staff peer review committee reviews a physician due to a situation at the medical facility. The review resulted in reduced privileges and a report of the physician to the state medical board. Which situation would have resulted in this action? A.) Increased rate of patient admissions B.) Increased rate of patient dissatisfaction C.) Increased number of unexpected patient deaths D.) Increased number of unexpected insurance denials

C.) Increased number of unexpected patient deaths

A hospital's human resource manager noticed a high incidence of hospital workers' compensation claims from back injuries obtained while transferring patients. Which risk management initiative will reduce this risk? A.) Documenting patient lifting incidents B.) Tracking the frequency of patient transfers C.) Installing patient lift equipment in care areas D.) Requiring staff be treated by hospital physicians

C.) Installing patient lift equipment in care areas

The Occupational Safety and Health Standards requires all medical employees be provided with personal protective equipment (PPE). Hospital leadership has purchased a sufficient quantity of equipment to meet this standard. How should the safety officer monitor ongoing compliance with this standard? A.) Review PPE vendor contracts annually B.) Evaluate staff understanding of PPE use C.) Observe work areas to confirm PPE is available D.) Administer a staff satisfaction survey about PPE

C.) Observe work areas to confirm PPE is available

An infection control surveillance of hospital patient rooms reveals a high level of bacteria on some surfaces. It is discovered that newly hired housekeeping staff had cleaned the rooms. To control the risk of infections, new employees already receive training in proper disinfection methods. What should be added to the infection risk control plan to improve effectiveness? A.) Compare practices among newly hired housekeeping staff B.) Employ a private cleaning service agency to disinfect rooms C.) Provide regular performance feedback to housekeeping staff D.) Use infectious disease specialists to clean patient care areas

C.) Provide regular performance feedback to housekeeping staff

A nursing center resident is started on a blood thinning drug prior to being discharged from a hospital. The patient's medication list at the nursing center is not reconciled, so the medication is inadvertently discontinued when the resident returns. The patient later suffers a stroke due to the missing blood thinner. Which patient safety action should be incorporated into the risk management plan to prevent recurrence of this type of event? A.) Require the medical director to interview all returning residents B.) Ask returning residents if any medical treatments were changed C.) Review physician orders for returning residents to identify medication changes D.) Contact the family of returning residents to get updated medication information

C.) Review physician orders for returning residents to identify medication changes

A facility manager informs employees of the potential risks of hazardous health environments in the workplace and the use of personal protective equipment (PPE), as regulated by the Occupational Safety and Health Administration (OSHA). How should the manager monitor if these standards are met? A.) Frequently checking how often PPE is ordered B.) Communicating with each employee how PPE is stored C.) Routinely logging observations of how employees use PPE D.) Documenting how often employees receive training on PPE

C.) Routinely logging observations of how employees use PPE

A nursing care center resident reported thefts of valuables from a drawer in the resident's room. The nurse completed an incident form per the risk management plan. What should the manager recommend to mitigate the risk of a recurrence? A.) Keep the valuables at the nurse station B.) Hire a sitter for a resident with valuables C.) Send valuables home with a family member D.) Interview the resident to inventory missing valuables

C.) Send valuables home with a family member

An occupational health nurse administered the wrong vaccine. The error went unnoticed until the packaging was discarded. The clinic's risk management plan requires medications to be confirmed prior to administration. Was this risk management plan effective? A.) The risk management plan was effective because the pharmacy is administering the vaccinations. B.) The risk management plan was effective because the physicians confirm the vaccines before use. C.) The risk management plan was ineffective because the nurse failed to match the order with the vaccine chosen. D.) The risk management plan was ineffective because the packaging needs to be retained until the vaccine has been administered.

C.) The risk management plan was ineffective because the nurse failed to match the order with the vaccine chosen

A celebrity patient is scheduled for a procedure. The triage nurse discusses the patient with staff not involved in the procedure. The patient receives text messages from the press concerning the medical event. Which action should decrease the risk of this type of ethical violation? A.) Review the patient safety goals with staff monthly B.) Increase the patient and family education programs C.) Train staff on the Health Insurance Portability and Accountability Act D.) Improve the hospital's public marketing and promotional campaigns

C.) Train staff on the Health Insurance Portability and Accountability Act

A hospital reports a recent increase in work related back injuries among employees. Which practice will reduce injury? A.) Eliminating patient transport when staff is limited B.) Requiring patients to walk to testing areas when appropriate C.) Training on the safe handling and lifting of patients on transport D.) Increasing vacation time allotted to employees to reduce stress

C.) Training on the safe handling and lifting of patients on transport

An administrator notices the clinic's inventory does not meet patient demand. The clinic wants to add an inventory management system to track patient visits versus supplies used on any given day. Which methodology should be used to ensure successful implementation of the system with minimal disruption? A.) Design of the experiments B.) Vendor relationship management C.) Failure mode and effects analysis D.) Business process re-engineering

D.) Business process re-engineering

An administrator wants to improve patient relations in a clinic and starts by implementing a new survey to track patient satisfaction in key areas. Which methodology should the administrator use to integrate the survey into current patient flow? A.) Advanced ISO 9001 B.) Root cause analysis C.) Hazard assessment D.) Business process re-engineering

D.) Business process re-engineering

The risk management plan of a nursing care center includes repositioning residents every two hours to prevent skin breakdown. At the end of the quarter, the director reports an increase in pressure ulcers for bedridden residents. Which action will improve the effectiveness of this risk management plan? A.) Hold a nurses' meeting to review admission screening B.) Hire a consultant to review the repositioning guidelines C.) Ask residents to report noncompliance of turning requirement D.) Conduct a staff focus group to determine barriers to compliance

D.) Conduct a staff focus group to determine barriers to compliance

A hospital recently acquired a home health agency, which is a new service for the hospital. Because employees will now go into patient homes to provide care, this acquisition presents new risk management concerns. What should be added to the hospital's risk management plan to manage this new risk? A.) Obtain employment history when hiring new staff B.) Train staff on safe patient lifting techniques C.) Evaluate staff knowledge in the use of medical devices D.) Conduct field visits to assess staff performance periodically

D.) Conduct field visits to assess staff performance periodically

A hospital has an increasing number of patients injured during transfer. A multidisciplinary team investigated the incidents and noticed that workers are not using the mechanical lift assistance devices. Which recommendation should decrease further risk? A.) Order new lifts to replace the older ones B.) Update the patient injury reporting procedure C.) Update the policy to remove the lift requirement D.) Discipline workers who transfer without using the lift

D.) Discipline workers who transfer without using the lift

Per the workers compensation policy, a quarterly employee injury report was submitted to a hospital's safety committee. The committee noted low compliance with the requirement that managers complete an investigation within 24 hours of an employee injury. The hospital risk manager has requested action plans from those departments with low compliance Which action will bring the facility back into compliance with this requirement? A.) Revise the hospital's policy to remove the investigation requirement B.) Send an e-mail to managers asking them to complete the investigations C.) Request the injured employee complete the investigation within 24 hours D.) Have departments in violation submit their action plans to senior management

D.) Have departments in violation submit their action plans to senior management

A home health agency has audited occurrences of falls over the last 12 months. The organization was cited by The Joint Commission for having insufficient fall prevention measures. What should the home health agency do to resolve this issue? A.) Provide at-risk patients with 24-hour care B.) Educate patients on actions to take after a fall C.) Report patient falls for the next two months and take action if falls continue to increase D.) Institute a policy to identify patients most likely to fall and procedures to assist in ambulating

D.) Institute a policy to identify patients most likely to fall and procedures to assist in ambulating

It has been reported that a hospital CEO and intensive care unit nurse have been involved in an intimate relationship. The nurse applies for an executive position within the hospital and is promoted by the CEO over a more qualified senior internal candidate. The qualified candidate reports this incident to Human Resources and the Equal Employment Opportunity Commission. Which action should be taken to prevent this incident from recurring in the future? A.) Remove the CEO from the hiring process B.) Dismiss suggestions of inappropriate behavior C.) Ask board members to sign off on the promotion D.) Involve Human Resources in workplace relationships and hiring

D.) Involve Human Resources in workplace relationships and hiring

A data report reveals a facility is not maintaining the biohazard sharps containers according to standards. The medical staff continues to add additional needles after the containers are full. Which regulatory agency requires immediate action? A.) The Joint Commission B.) Food and Drug Administration C.) Environmental Protection Agency D.) Occupational Safety and Health Administration

D.) Occupational Safety and Health Administration

A hospital employee responsible for processing medical claims was recently found obtaining credit cards using Social Security numbers stolen from claim forms. How can the hospital reduce the liability risk associated with this situation? A.) Calculate the potential financial burden for the hospital B.) Determine the number of credit cards that were opened C.) Submit a press release to the media explaining the situation D.) Provide credit monitoring for those impacted by identity theft

D.) Provide credit monitoring for those impacted by identity theft

A review of hospital incident reports indicates a high rate of patients developing heel ulcerations. A risk management plan is implemented that includes nurse education on pressure ulcer assessment and prevention protocols. After six months, the incidence of hospital-acquired heel pressure ulcers is found to be slightly higher. Which action should improve the effectiveness of the plan? A.) Daily multidisciplinary end-of-shift huddles B.) Patient bedding changed on a regular basis C.) Completion of incident reports for new pressure ulcers D.) Regular audits of nurse compliance with expected practices

D.) Regular audits of nurse compliance with expected practices

While performing morning vital signs, a nurse observes that the patient room is very cold and the television is loud. There is also a dinner tray from last night on the table, and the patient's socks are on the floor. Before leaving, the nurse observes a full urinary catheter bag as well as IV tubing in the trash can. Which problem needs to be corrected to reduce the risk of infection for this patient? A.) The socks on the floor B.) The left over dinner tray C.) The IV tubing in the trash D.) The full urinary catheter bag

D.) The full urinary catheter bag

A hospital officer reports that there were multiple incidences in which toxic chemicals were incorrectly labeled that led to severe injuries of two lab employees. The regulatory department that oversees this area of workplace accidents is the Occupational Safety and Health Administration (OSHA). What is the role of OSHA in providing oversight for this issue? A.) To discipline the staff involved in the event B.) To remove the hospital's accreditation status C.) To implement a quality improvement strategy D.) To promote safety by investigating the incidents

D.) To promote safety by investigating the incidents

A hospital patient in an unstable condition was transported to the radiology suite for tests. While in transit, the patient suffered a fatal cardiopulmonary arrest. According to the hospital's risk management plan, a nurse should accompany unstable patients to testing areas, but the nurse was too busy to comply. Why was the risk management plan ineffective? A.) Stretchers are unsafe without emergency equipment. B.) Non-licensed staffs have insufficient patient safety training. C.) Physicians are unable to accompany patients during transport. D.) Transport staff members are permitted to move patients without clinical support.

D.) Transport staff members are permitted to move patients without clinical support.

A nurse enters a patient's room and finds the patient unresponsive with no pulse. Cardiopulmonary resuscitation (CPR) is not started because the nurse thinks the patient has a do-not-resuscitate order, which is incorrect. The organization's risk management plan includes following the code status of each patient. Which practice can be implemented to improve the effectiveness of this risk management plan? A.) Call patient's next-of-kin prior to starting CPR B.) Retrain nursing staff on how to perform CPR C.) Ask physicians to discuss code status with patients D.) Use color wrist bands to identify patient code status

D.) Use color wrist bands to identify patient code status

A 12-year-old child and the child's mother reported to the outpatient surgery center for the child to have a routine hernia repair. The mother forgot her driver's license and left her child in the exam room. A nurse needs to obtain pre-operative paperwork including informed consent. How should consent be obtained in this situation? A.) Obtain the consent from the patient B.) Wait to obtain consent until after the procedure C.) Use a signed consent from a previous procedure D.) Wait for the mother to return to complete the consent

D.) Wait for the mother to return to complete the consent