13) The risk manager of a healthcare organization is concerned about the amount of violence
against healthcare workers that is occurring nationwide and would like to offer education
sessions to staff. Which groups of staff are most at risk for experiencing violence and therefore
should receive this education earlier rather than later in the schedule? Select all that apply.
1. Long-term care staff
2. Neurological Intensive Care staff
3. Cardiac telemetry unit staff
4. Emergency Department staff
5. Mental health unit staff
14) The quality improvement director is scheduling education sessions for new employees about
Joint Commission Accreditation visits. The director should explain that which group is most
likely to be interviewed during the accreditation visit?
1. Hospital administration
2. Nurse managers
3. Department managers
4. Direct care providers
15) The administration of a healthcare organization (HCO) is concerned about the increasing
costs of Joint Commission accreditation. One administrator suggests, “Let’s just withdraw from
the process.” What should the administrative staff consider prior to acting on this suggestion?
Select all that apply.
1. The HCO could no longer offer obstetric or pediatric services.
2. The HCO could no longer serve as a training center for medical students.
3. The HCO could no longer offer clinical experiences for nursing students.
4. The HCO could no longer offer emergency services.
5. The HCO could no longer receive any federal funds.
16) Place the key steps of the continuous quality improvement (CQI) process in their most
logical order.
Choice 1. Collect data.
Choice 2. Implement the plan.
Choice 3. Develop a plan.
Choice 4. Analyze and summarize data.
Choice 5. Implement corrective actions.
17) The risk manager is providing education on identifying sentinel events for the nursing staff.
Which scenarios would be good examples for the risk manager to use? Select all that apply.
1. A patient is received dead on arrival from an automobile accident.
2. An inpatient attempts to jump from the hospital’s rooftop garden.
3. A patient dies after being assigned a do not resuscitate (DNR) status.
4. A woman suffers cardiac arrest during the delivery of a viable infant.
5. A patient who suffered head trauma was admitted to the regular medical unit and dies.
18) After four nurses retire, the small hospital has insufficient nurses to staff the hospital 24
hours a day, seven days per week. A nursing assistant begins to assume many nursing activities
to help with the staffing problem. Who is breaking the law in this case?
1. Both the nursing assistant and the hospital.
2. The hospital, but not the nursing assistant.
3. The nursing assistant, but not the hospital.
4. Neither the nursing assistant nor the hospital.
19) Which initiative focuses on unit safety?
1. HCUP
2. TERCAP
3. CUSP
4. NDNQI
20) The healthcare corporation is considering using benchmarking as a way to improve quality.
What concept is essential to this process?
1. The corporation should choose unique, corporation-specific areas to include in benchmarking.
2. Benchmarking is designed to work best on management-level initiatives.
3. In order for benchmarking to be effective, the corporation must be willing to share
information.
4. This process will build an internal database on which future decisions will be based.
21) In comparing current Joint Commission accreditation and accreditation done in the past,
what are some approaches that have been reduced? Select all that apply.
1. Scheduled survey visits
2. Use of a more focused approach
3. Including nursing staff
4. Develop a plan for the survey
22) The newly licensed nurse asks a more experienced nurse if it is advisable to carry personal
malpractice insurance. Which reply, made by the experienced nurse, is the most accurate?
1. “It is not necessary since the hospital carries a blanket policy.”
2. “It is necessary only for advanced practice nurses like nurse midwives and certified registered
nurse anesthetists.”
3. “Every nurse should carry personal independent malpractice insurance.”
23) The hospital’s risk management department has identified patient falls as the event most
likely to result in financial risk to the organization. Which activities should this group initiate?
Select all that apply.
1. Providing education on completing incident reports on patient falls.
2. Holding staff education sessions on fall risk assessment.
3. Initiating a self-reporting system on near-fall events.
4. Developing a procedure by which falls incidents are investigated within four hours of
occurrence.
5. Posting patient names and fall risk category on a wall in the nursing station.
24) Which statement about the effect of healthcare quality report cards is accurate?
1. They have been shown to have a direct influence on consumer healthcare decisions.
2. These report cards are generally not accessible to consumers.
3. Releasing information via these report cards does not guarantee changes in quality.
4. Most consumer healthcare choices are now based on facts from these report cards rather than
opinion.
25) Measurement of access to care integrates ________, ________, and ________.
Answer: