Chapter 17 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

Chapter 17 Leadership And Management Nurses Core Competencies 3rd Edition By Finkelman

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse is interested in educating patients to become active participants in their own healthcare. Which information should the nurse review to develop a program for the hospital?

1. “Speak Up: Help Prevent Errors in Your Care.”
2. Crossing the Quality Chasm.
3. To Err Is Human: Building a Safer Health System.
4. Envisioning the National Healthcare Quality

Correct Answer: 1

Rationale 1: The Joint Commission initiated a program that the American Nurses Association supports. “Speak Up: Help Prevent Errors in Your Care” urges patients to ask questions, pay attention to the care that is being received, become knowledgeable about their diagnosis, ask a trusted person to be their advocate, know their medications, and use organizations that are accredited.

Rationale 2: Crossing the Quality Chasm is a report focused on the quality of care.

Rationale 3: To Err is Human: Building a Safer Health System is a report that focuses on quality of care.

Rationale 4: Envisioning the National Healthcare Quality is a report focused on quality of care.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Quality and safety; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 01. Examine the content and implications of the Institute of Medicine and its healthcare quality and nursing reports.

Page: pp. 391-394, 405

 

Question 2

Type: MCSA

The quality improvement nurse is working to increase the efficiency of resource utilization in the medical center. This nurse is focusing on which element of healthcare quality?

1. Process
2. Structure
3. Outcome
4. Function

Correct Answer: 2

Rationale 1: The three accepted elements of quality are process, structure, and outcome. Process is the manner in which services are provided.

Rationale 2: The three accepted elements of quality are process, structure, and outcome. Structure is the environment in which services are provided. Resource utilization has to do with creating the environment.

Rationale 3: The three accepted elements of quality are process, structure, and outcome. Outcome is the result of services.

Rationale 4: Function is not one of the accepted elements of quality.

Global Rationale: NA

Cognitive Level: Applying

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety

NLN Competencies: Quality and safety; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Assessment

Learning Outcome: LO 02. Examine the current status of healthcare quality.

Page: pp. 408-409

 

Question 3

Type: MCSA

What has been the historical importance of the Institute of Medicine (IOM) reports since 1999?

1. They stimulated the development of strategies that will improve quality of care.
2. They are responsible for accrediting hospitals and other types of healthcare organizations.
3. They establish minimum standards and benchmarks for healthcare organizations.
4. They support research designed to improve the outcomes and quality of healthcare.

Correct Answer: 1

Rationale 1: The IOM reports stimulated the development of strategies that will improve quality of care.

Rationale 2: Accrediting of healthcare organizations and establishing minimum standards are the responsibilities of The Joint Commission.

Rationale 3: Accrediting of healthcare organizations and establishing minimum standards are the responsibilities of The Joint Commission.

Rationale 4: Supporting research designed to improve healthcare outcomes and quality is the focus of the Agency for Healthcare Research and Quality.

Global Rationale: NA

Cognitive Level: Understanding

Client Need: Safe Effective Care Environment

Client Need Sub:

QSEN Competencies: Patient-centered care; Teamwork and collaboration; quality improvement, safety

AACN Essential Competencies: II. Basic organizational and systems leadership for quality care and patient safety;

NLN Competencies: Quality and safety; relationship centered care; teamwork

Nursing/Integrated Concepts: Nursing Process: Evaluation

Learning Outcome: LO 03. Examine the content and implications of the Institute of Medicine and its healthcare quality and nursing reports.

Page: pp. 391-399