Chapter 17- Managing Quality and Safety Stanhope- Foundations of
Population Health for Community-Public Health Nursing, 5th Edition
Questions And
... [Show More] Answers Latest Update (A+ Grade)
1. Which of the following best describes one of the main problems in ensuring quality for
health care in the United States?
a. Consumers believe American health care is high-quality and the best in the world. b.
Every hospital and health care agency has its own approach to data collection and
documentation.
c. Finances are the basis of clinical decisions, not quality of care.
d. We all agree on what quality is but not on how best to measure it. - ANS: B
Very little is known about quality of care in this country because a variety of definitions
of quality are used and it is difficult to get comparable data from health care providers
and agencies. All consumers, including private citizens, insurance companies, industry,
and the federal government, are concerned about achieving the highest quality
outcomes at the lowest possible cost. Consumers want more information about quality.
Both consumers and providers have a vested interest in improving the quality of the
health care system.
2. A wealthy factory owner says, "I don't care about the poor. I just want the best care
available for me and my family. Why should I care whether other people get health care
or not?" Which of the following would be the most appropriate response by the nurse?
a. "If your employees are ill, who will do the work in your factory?"
b. "You might catch a contagious disease from one of your employees."
c. "You have a moral obligation to help those less fortunate."
d. "Your personal insurance and tax costs will go up if your employees have to use
community resources when they're ill." - ANS: D
Because the speaker's primary concern is apparently money, an appropriate response
must show that the factory owner will lose money if he doesn't support the health of
others in the community. Everyone - consumers, providers, and those who pay the
health care bills - benefits if people stay healthy. The focus should be on the larger
community and not only on the work needing to be done at the factory.
3. Which of the following information can be gathered by reviewing a community health
report card?
a. Utilization of health care services in the community
b. Demographic information of the community
c. Leading causes of morbidity in a community
d. Frequency of malpractice claims within a community - ANS: C
The term community health report card refers to different types of reports, community
health profiles, needs assessments, scorecards, quality of life indicators, health status
reports, and progress reports. Community health report cards can be a useful tool in
efforts to help identify areas where change is needed, to set priorities for action, and to
track changes in population health over time. The report card may be used to track
leading causes of morbidity and mortality in a community, looking at trends over time to
see if public health interventions have improved health care outcomes. Utilization of
health care services, demographic information, and frequency of malpractice claims in
the commnity is information that is not found on a community health report card.
4. Which of the following led to the development of the National Health Quality
Improvement Act?
a. A very famous movie and television star died as the result of a medical error. b. The
number of malpractice claims had increased.
c. Media such as films highlighted the reality of current medical care.
d. Publicity about a few unfortunate cases caused consumers to become concerned. -
ANS: B
In response to a growing number of malpractice claims in the United States, the
National Health Quality Improvement Act of 1986 was established, which encouraged
consumers to become informed about their practitioner's practice record and created a
national clearinghouse of information on provider malpractice records. The media did
not play a role in the creation of the National Health Quality Improvement Act.
5. Which of the following describes the principal problem with early efforts at ensuring
quality
of care? CONTINUES... [Show Less]