4. The “dashboard” is a screen on the electronic medical record that can be accessed for quality improvement
information.
Correct Answer: 2
Rationale 1: The “dashboards” in this scenario are not associated with automobiles.
Rationale 2: Dashboards are electronic tools that provide ease of access to real-time or retrospective data.
Rationale 3: Dashboard is not an acronym.
Rationale 4: Dashboards are not part of the electronic medical record.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 6-3: Explain how evidence-based practice, electronic medical records, and dashboards can
improve quality.
Question 14
Type: MCMA
In which ways can nurse managers reduce risks for the organization?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Investigating a complaint about nursing care from a client’s spouse
2. Encouraging nurses to cut corners when possible
3. Talking to physicians about ways to improve client care
4. Keeping staff members on task throughout the workday
5. Making sure staff members work minimal overtime
Rationale 1: By investigating a complaint, the nurse manager may discover a true issue in the delivery of care.
The manager may also gain a greater understanding of any underlying tensions that caused the spouse to make the
complaint.
Rationale 2: Cutting corners is a very real temptation in the high-paced environment in which nurses practice.
The manager should not encourage this behavior as it is often risky and dangerous.
Rationale 3: The nurse manager is in a position to discuss improvement of client care across disciplines.
Rationale 4: The nurse manager can help make work more efficient by keeping staff members on task throughout
the workday.
Rationale 5: When staff members are tired from working overtime, they are more likely to make errors.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-4: Point out how nurses are involved in reducing risks.
Question 15
Type: MCSA
Which part of Six Sigma is vastly different from other quality management programs?
1. Six Sigma has a client focus.
2. Data drive the program.
3. Failure is tolerated.
4. Management is proactive.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma,
Lean Six Sigma, and DMAIC address quality.
Question 16
Type: MCMA
Which quality improvement initiatives would help the health care organization meet Institute of Healthcare
Improvement (IHI) goals?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The amount of material opened and wasted for surgical procedures will drop by 25 percent this fiscal year.
2. The number of nurses who hold a bachelor’s degree will increase by 10 percent this year.
3. Wait times in the emergency department will decrease by 15 percent this year.
4. Employee absences will drop by 10 percent this year.
5. Fewer than 5 percent of clients will report inadequate pain control while hospitalized.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6-2: Describe national efforts to improve the quality of health care.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 17
Type: MCSA
The nurse manager orienting newly hired nurses has explained the organization’s blame-free environment. Which
remark by one of the nurses indicates understanding of the policy?
1. “If I make a mistake and report it, I will not be reprimanded or punished.”
2. “When I make a mistake, I should immediately fill out an incident report.”
3. “It is left up to each employee to self-monitor so we do not report others’ mistakes.”
4. “When I make a mistake, I should report it and look for ways to prevent it from recurring.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 6-5: Discuss how to create a blame-free environment.
Question 18
Type: MCMA
Which situation represents an exception to the blame-free environment?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. A nurse routinely changes nursing notes after a client is discharged.
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. A physician order is overlooked on a newly admitted client.
3. An unlicensed assistant drops a client.
4. A nurse does not complete an incident report after a medication error.
5. A nurse miscounts narcotics.
Rationale 1: A just culture provides an environment in which employees can question policies and practices,
express concerns, and admit mistakes without fear of retribution.
Rationale 2: Making sure all nurses agree to report every mistake is being punitive prior to mistakes and is not
blame free.
Rationale 3: A self-reporting board is a form of punishment and placing blame.
Rationale 4: The manager should not be keeping lists in a blame-free environment.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-5: Discuss how to create a blame-free environment.
Question 20
Type: MCSA
The nurse is working on a unit with a blame-free environment and makes an error that puts a client at risk. What
should the nurse do first?
1. Discuss it with the other nurses on duty.
2. Immediately report the incident to the supervisor.
3. Ensure the client’s safety as fully as possible.
4. Say nothing as no one saw the incident.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-5: Discuss how to create a blame-free environment.
Question 21
Type: MCMA
A nurse manager is orienting newly hired staff nurses to the organization’s total quality management program. As
part of orientation, the manager has assigned the nurses to interview the organization’s internal customers. Which
group would the nurses interview?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Newly hired radiology technicians
2. People who are visiting clients admitted within the last 2 days
3. Physicians who have admitting privileges
4. Nurses who have worked at the facility over 5 years
5. Vendors who supply disposable medical equipment to the hospital
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma,
Lean Six Sigma, and DMAIC address quality.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 22
Type: MCMA
The procedures for managing client pain are being investigated as part of the hospital’s total quality management
program. Whom should the manager plan to invite to this meeting?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The hospital CEO
2. A representative from pharmacy
3. A representative from the medical staff
4. A staff nurse who works with clients in pain
5. A representative from social services
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma,
Lean Six Sigma, and DMAIC address quality.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.