Concept 46: Health Care Quality My Nursing Test Banks

Concept 46: Health Care Quality

Test Bank

MULTIPLE CHOICE

1. The patients perception of his or her care is not as important as the outcome of the care.

a.

True

b.

False

ANS: B

The patients perception of his or her care is just as important as the outcome of the care. If the patient perceives the care as meeting the aspects of quality, then patient satisfaction increases.

REF: 465-466 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

2. Two nurses are discussing health care quality. They agree on the statement that health care quality requires

a.

magnet status hospitals.

b.

fewer adverse events.

c.

collaboration of multiple health care agencies.

d.

increased patient education.

ANS: C

Multiple health care agencies are able to collaborate and provide better outcomes for health care personnel and patients. Magnet status hospitals may be good, but the status does not always mean a quality outcome. Fewer adverse events and increased patient education are good, but they may be the result of other variables and not just quality of care rendered.

REF: 469 OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment

3. A student nurse is talking with his instructor. The student asks how quality of care is evaluated. The best response by the instructor is Quality of care is evaluated

a.

by the patient getting well.

b.

on the basis of process and outcomes.

c.

by the physicians assessment.

d.

by the patients satisfaction.

ANS: B

Quality of care is evaluated by process and outcomes. If the outcomes are achieved, then the care has achieved what is was designed to do. The patient getting well may be an action of the body doing what it is supposed to do and not quality of care; the same can be said of the physicians assessment. The patients satisfaction is subjective according to his or her perceptions and not the quality of care.

REF: 466 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

4. The focus for The Joint Commission (TJC) is _____ and _____ in the delivery of health care.

a.

cost containment; safety

b.

safety; quality

c.

quality; assessment

d.

assessment; evaluation

ANS: B

The focus of TJC is quality and safety for patient care. TJC does not address cost containment, assessment of care, or evaluation of care.

REF: 467

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control

5. A student nurse and clinical instructor are discussing quality in health care. The instructor knows the student understands when the student says, Quality is

a.

apparent in all health care.

b.

an outcome of health care.

c.

seen and unseen in health care.

d.

achieved by collaboration in health care.

ANS: C

Quality in health care is tangible and intangible. Quality in health care is not apparent in all health care, as many areas of health care are lacking. Quality of care does not always affect the outcome of care; the patient may recover no matter what care is given. Quality is not always achieved by collaboration.

REF: 463

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

MULTIPLE RESPONSE

1. The focus of quality health care should be on which of the following items? (Select all that apply.)

a.

Excellent services

b.

Comprehensive communication

c.

Private hospital rooms

d.

Health team collaboration

e.

Culturally competent care

ANS: A, B, D, E

Excellent services, communication, collaboration, and culturally competent care brings quality to the health care delivered to the patient. Private hospital rooms may be a preference by some patients, but they do not add to the quality of care.

REF: 463 OBJ: NCLEX Client Needs Category: Psychosocial Integrity

2. What are the major attributes of health care quality? (Select all that apply.)

a.

Conforms to standards

b.

Sound decision making

c.

High acuity patients

d.

Low health care costs

e.

Identifies adverse events

ANS: A, B, E

Major attributes of health care quality include conformation to standards set by regulatory agencies, sound decision making regarding care, and identifying potential adverse events. High acuity of patients does not contribute to quality health care, because the care demand is increased, and low health care costs mean fewer services may be available.

REF: 464-465

OBJ: NCLEX Client Needs Category: Safe and Effective Care Environment: Management of Care

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