Leadership Exam 3 Questions and Answers with Explanations 2022 Update
A new graduate is asked to serve on the hospital's quality improvement (QI)
... [Show More] committee. The nurse understands that the first step in quality improvement is to:
a.Collect data to determine whether standards are being met.
b.Implement a plan to correct the problem.
c.Identify the standard.
d.Determine whether the findings warrant correction.
Identify the standard
Before further action (data collection, decision making related to correction, and implementation of a plan) can occur, it is necessary to identify the standards against which data collection and decision making will occur. Institutions may or may not adopt standards that are already established by organizations such as the ANA.
The chief executive officer asks the nurse manager of the telemetry unit to justify the disproportionately high number of registered nurses on the telemetry unit. The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio? It:
a.Promotes teamwork among healthcare providers. b.Increases adverse events.
c.Improves outcomes.
d.Contributes to duplication of services.
Improves outcomes
Studies related to staffing and patient outcomes suggest that patient outcomes are improved with a low nurse-to-patient ratio and especially with a low registered nurse-to-patient ratio.
A nurse manager wants to decrease the number of medication errors that occur in her department. The manager arranges a meeting with the staff to discuss the issue. The manager conveys a total quality management philosophy by:
Recommending that a multidisciplinary team should assess the root cause of errors in medication
The nurse educator of the pediatric unit determines that vital signs are frequently not being documented when children return from surgery. According to quality improvement (QI), to correct the problem, the educator, in consultation with the patient care manager, would initially do which of the following?
a.Talk to the staff individually to determine why this is occurring.
b.Call a meeting of all staff to discuss this issue.
c.Have a group of staff nurses review the established standards of care for postoperative patients.
d.Document which staff members are not recording vital signs, and write them up. [Show Less]