Question 23
Type: MCMA
The leader of a continuous quality improvement (CQI) team has asked that an information packet be distributed to
members of the resource group. The secretary would prepare packets for which people?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The CQI coordinator
2. The hospital CEO
3. The vice president in charge of finance
4. Members of the CQI team
5. The team leader
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.
Question 24
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
Which data would be of most interest to an organization using Lean Six Sigma as a means of quality
improvement?
1. Eighty-five percent of call lights are answered within 4 minutes.
2. Results of pain medication administration are documented 95 percent of the time.
3. Nursing overtime hours increased by 25 percent in the last quarter.
4. In the last 6 months, overall client satisfaction scores have increased by 15 percent.
3. The CQI coordinator has used the process in practice for over 2 years.
4. The process being measured produces a desirable outcome.
5. There are very few unexpected bad effects from the process.
Rationale 3: When innovation is sacrificed because of the work involved in CQI or because variance is
discouraged, stagnation occurs. This is the biggest danger of using standardization.
Rationale 4: Boredom is not the biggest danger of using measured standards.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 6-2: Describe national efforts to improve the quality of health care.
Question 27
Type: MCMA
A nurse manager is looking for evidence-based information regarding wound care. Which criteria should be used
to evaluate the usefulness of an intervention?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Is there evidence that the intervention has been used in hospitals of similar size to the one where the manager
practices?
2. Can the manager find two or more research studies that support the use of the intervention?
3. Is the intervention one that the manager has seen used in the past?
4. Are the authors of the research articles well-known experts in the field?
5. Is the research study that recommends the intervention rigorous in design and execution?
Rationale 5: The research on which evidence-based practice is based must be rigorous in design and must have
been executed according to its design.
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 28
Type: MCSA
Which statement regarding the use of electronic medical records (EMR) is accurate as associated with quality
improvement?
1. EMR has strong linkage to improving quality.
2. Much more research must be done before the impact of EMR on quality can be determined.
3. EMR does not affect the quality of care provided.
4. Although no research into the impact on quality exists, EMR must continue as it is federally mandated.
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 29
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: MCMA
A hospital increased its RN-to-client ratio 1 year ago. What effects is the hospital likely to see as a result of that
choice?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The cost of providing care has decreased.
2. There has been a decrease in client deaths.
3. The average length-of-stay for clients has increased.
4. The overall quality of care has increased.
5. The nosocomial infection rate has dropped.
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. There is disagreement over the cause of the incident.
2. There are insufficient resources to make needed changes to prevent similar incidents.
3. The system or process causing the incident is identified and corrected.
4. Improvements to the system are widespread.
5. Sufficient evidence is acquired so that management is comfortable in making needed changes.
2. Ask the daughter to explain what happened.
3. Tell the daughter that the last shift was understaffed and apologize for any problems that might have occurred.
4. Ask the daughter what can be done to improve the situation.