Public Health Nursing Population Centered Health Care in the Community 9th Edition by Marcia Stanhope
Public Health Nursing Population Centered Health Care in the Community 9th Edition by Marcia Stanhope
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Chapter 26: Quality Management
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Provide quality care within an organization |
| b. | Provide cost-efficient care across all age groups |
| c. | Provide necessary care to clients in a cost-effective system |
| d. | Provide efficient systems of primary care |
ANS: A
TQM is a management philosophy that focuses on the statistical processes by which to assess work done with the goal of organization-wide quality effectiveness. TQM examines multiple aspects of an organization, more than only cost-efficient or cost-effective care, and looks at multiple aspects of care delivery.
DIF: Cognitive level: Understanding REF: p. 569
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
| a. | Report on the Agency for Health care Research and Quality’s goals for the year |
| b. | Describe the yearly activities of the agency |
| c. | Ensure national quality of services |
| d. | Document whether health care quality is stable, improving, or declining over time |
ANS: D
The NHQR is intended to serve a number of purposes, including the documentation of whether health care quality is stable, improving, or declining over time; demonstrating the validity (or lack) of concerns about quality; and providing national benchmarks against which specific states, health plans, and providers can compare their performance. The NHRQ reports on health care quality and is written by the Agency for Healthcare Research and Quality.
DIF: Cognitive level: Understanding REF: p. 569
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
| a. | Provision of appropriate and effective care |
| b. | Elimination of access barriers |
| c. | Reduction of unjustified geographic variation in care |
| d. | Application of managed care to all citizens |
ANS: C
With the application of QI strategies, specific areas of performance can affect both process and outcomes of health. These include reducing unjustified geographic variation in care; consistently providing appropriate and effective care; eliminating avoidable mistakes; lowering access barriers; improving responsiveness to clients; and eliminating racial/ethnic, gender, socioeconomic, and other disparities and inequalities in access and treatment.
DIF: Cognitive level: Understanding REF: p. 570
TOP: Nursing process: Evaluation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
| a. | Providing the same services to all citizens |
| b. | Maintaining quality in the public health workforce |
| c. | Eliminating low-quality services |
| d. | Contracting with outside agencies to evaluate effectiveness |
ANS: B
Assurance relates to ensuring that there is quality in the workforce. Public health must maintain quality in its workforce and continually evaluate service effectiveness whether delivered to the individual, the community, or the population. Assurance does not address provision of the same services to all citizens or contracting with outside agencies to evaluate effectiveness. Assurance does not address elimination of low-quality services.
DIF: Cognitive level: Analyzing REF: p. 571
TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Management of Care
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