A patient is brought to an emergency department with symptoms of acute ST-segment elevation MI (STEMI). The
nearest hospital that can perform
... [Show More] percutaneous coronary intervention (PCI) is 3 hours away. What is the initial
treatment for this patient?
Give the patient an oral beta blocker
Transfer to the PCI-capable institution
Administer heparin
Initiate fibrinolytic treatment CORRECT ANSWER Initiate fibrinolytic treatment
Patients who meet the criteria for statin therapy to help prevent atherosclerotic cardiovascular disease are those
with a history of (Select all that apply.)
previous myocardial infarction.
a low-density lipoprotein (LDL) level >190 mg/dL.
diabetes and an LDL between 40 and 70 mg/dL.
a 10 year risk score of 8% with an LDL of 80 mg/dL.
a 10 year risk score of 5% and an LDL of 165 mg/dL. CORRECT ANSWER previous myocardial infarction.nnv 2011 MOQ
1- In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to
staffing, methods, measures, materials, and equipment utilizing
A.
a run chart.
B.
a histogram.
C.
a pie chart.
D.
an Ishikawa diagram. CORRECT ANSWER EXPLANATIONS:
A. Run charts are used to track data over time.
B. Histograms and bar charts are used to show distribution.
C. Pie charts are used to compare parts of a whole.
D. An Ishikawa (cause and effect) diagram helps to analyze potential causes.
2- Which of the following are the primary reasons for developing drug formularies?
A.
manage pharmacy costs, promote patient safety
B.
reduce medication errors, educate physicians
C.
encourage the appropriate use of medications, educate physicians
D.
decrease food and drug interactions, promote patient safety CORRECT ANSWER EXPLANATIONS:
A. A drug formulary is an approved list of medications, clinical indications, and doses that helps manage pharmacy
costs and patient safety.
B. Reduced medication errors may result from having a drug formulary, but is not the primary reason for having one.
It is also not intended to educate physicians.
C. A formulary may encourage the appropriate use of medications, but it is not intended to educate physicians.
D. A formulary is intended to promote patient safety, but the primary purpose is not intended to decrease food and
drug interactions.
3- Management using quality improvement principles should emphasize the importance of
A.
staff orientation.
B.
customers' expectations.
C.
quarterly statistical reports.
D.
team selection. CORRECT ANSWER EXPLANATIONS:
A. Staff orientation is only one component of quality improvement principles.
B. The basis of quality improvement is knowing what the customer needs and wants.
C. Quarterly statistical reports are only one component of quality improvement principles.
D. Team selection is only one component of quality improvement principles.
4- Quality improvement teams are beneficial because they
A.
improve managerial control.
B.
promote competition and pride among members.
C.
maximize expertise and perspectives.
D.
authorize solutions to problems. CORRECT ANSWER EXPLANATIONS:
A. Quality improvement teams do not affect managerial control.
B. Promoting competition is not a function of quality improvement teams.
C. A diverse team, including members with different experience and backgrounds, provides a broader knowledge
base and outcomes.
D. Authorizing solutions to problems is a function of management.
5- Which of the following is an essential component in a performance improvement report?
A.
governing body approval
B.
data analysis and display
C.
individual performance review
D.
team composition and attendance CORRECT ANSWER EXPLANATIONS:
A. The governing body is accountable for the performance improvement program, but their approval is not a
component of a performance improvement report.
B. The report has no value without having the data displayed and analyzed.
C. An individual performance review is not an essential part of a performance improvement report.
D. Team composition and attendance are not usually included in a performance improvement report.
6- Which of the following is the primary goal of risk management?
A.
Identify and manage risks to promote patient safety.
B.
Maintain an effective incident reporting system.
C.
Perform failure mode and effects analyses.
D.
Eliminate financial loss associated with legal actions. CORRECT ANSWER EXPLANATIONS:
A. Improving patient safety is the primary goal of risk management.
B. Incident reporting is a tool that may be used in risk management, but is not the primary goal.
C. A failure mode and effects analysis is a proactive method used to help identify problems.
D. Risk management programs help protect an organization from financial loss, but it is not the primary goal.
7-
7- The relationship between patient satisfaction and hours per patient day on a medical unit was found to be (r =
0.60, p < 0.05). What is the correlation between these two values?
A.
0.05
B.
0.36
C.
0.55
D.
0.60 CORRECT ANSWER EXPLANATIONS:
A. See explanation D.
B. See explanation D.
C. See explanation D.
D. The correlation coefficient (r) is an index that ranges from -1.0 to 1.0 and reflects the extent of a linear relationship
between two data sets. The correlation coefficient is 0.60.
8- Hospital A has recently merged with Hospital B. After 6 months, it is noted that Hospital A has successfully
transitioned their staff to new organizational values, while Hospital B still struggles. Hospital A's success can best be
attributed to
A.
requiring adoption of new values by all staff.
B.
support of both hospitals' mission statements.
C.
acceptance of the new mission and vision statements.
D.
integrating technology and databases. CORRECT ANSWER EXPLANATIONS:
A. There is not enough information provided to show that the values were adopted by all staff.
B. Support of two mission statements could be confusing to staff and would not lead to an integrated organization.
C. Acceptance of the new mission and vision statements demonstrates integration of the two facilities.
D. Values are not dependent on the integration of technology and databases.
9- For a quality improvement team to deal effectively with conflict, it is important to appoint which of the following
to its membership?
A.
risk manager
B.
human resources representative
C.
facilitator
D.
senior leader CORRECT ANSWER EXPLANATIONS:
A. A risk manager's role would not necessarily deal with conflict within a quality improvement team.
B. A human resources representative handles staffing issues, but not necessarily conflict, within a team.
C. A facilitator is an unbiased party that may help groups deal with conflict.
D. A senior leader's role would not necessarily deal with conflict within a quality improvement team [Show Less]