Foundations of Nursing in the Community 4e by Marcia Stanhope
Foundations of Nursing in the Community 4e by Marcia Stanhope
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Chapter 17: Managing Quality and Safety
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| 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. Based on international comparisons, health care in the United States does not have the best statistics related to outcomes.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 289
| 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.
DIF: Cognitive Level: Apply (Application) REF: p. 289
| 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.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 289
| 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.
DIF: Cognitive Level: Remember (Knowledge) REF: p. 290
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