Solved by Expert Tutors
Solved by Expert Tutors
Question

Chapter 18: Effective Quality and Productivity ManagementMultiple Choice Questions

 

:

 

1.      Which of the following statements is correct?

a.                        Quality suffers when greater efficiency is required.

b.                       Improved efficiency means doing more with fewer resources.

c.                        Improved efficiency requires associates to work harder.

d.                       Quality and productivity can be improved simultaneously.

 

2.      Why is the improvement of productivity particularly challenging in patient care delivery?

e.                       Caregivers are poorly trained.

f.                         Low morale is rampant among caregivers.

g.                        Patient care is labor intensive.

h.                       Patient care costs are mostly fixed costs.

 

3.      How can productivity be enhanced?

i.                          Produce desirable quality at the least cost.

j.                         Have lower staff to patient ratios.

k.                        Lower the skill mix.

l.                          Maximize quality and the resource inputs.

 

4.      A nursing facility achieves reliability in delivering quality when

m.                     the facility takes a holistic approach to the delivery of services.

n.                       quality remains uncompromised when no one is watching.

o.                       desirable outcomes are produced.

p.                       improvements in quality continue over time.

 

5.      Which of the following is an indicator of improved quality?

q.                       An increase in positive outcomes

r.                         An increase in the staff skill mix

s.                        Delivery of care that is holistic

t.                         A reduction in the cost of delivering care

 

6.      If the incidence of pressure ulcers acquired in the facility increases, it indicates an issue with

u.                       uniformity of care.

v.                        holistic care.

w.                      quality outcomes.

x.                        regularity of care.

 

7.      The use of evidence-based practices can improve quality because

y.                        they apply to specific clinical situations

z.                        they benefit all patients regardless of race or pay type

aa.                    they are the best practices

bb.                   standardized work processes decrease variability in care delivery

 

8.      Which of the following organizations does not develop clinical practice guidelines?

cc.                     American Medical Directors Association.

dd.                   Institute of Medicine.

ee.                   Agency for Healthcare Research and Quality.

ff.                      American Geriatric Society.

 

9.      What is essential for the implementation of evidence-based protocols?

gg.                    Expert consultation.

hh.                   Ongoing research.

ii.                        Patient and family empowerment.

jj.                       Staff training.

 

10.  Technical quality is mainly associated with

kk.                    repairs, upkeep, and sanitation.

ll.                        increased productivity while maintaining the level of quality.

mm.               clinical care.

nn.                   observations and experiences of consumers.

 

11.  In the framework of quality, structures represent

oo.                   resource inputs.

pp.                   delivery of services.

qq.                   customer satisfaction.

rr.                      clinical quality.

 

12.  In the framework of quality, staffing levels are an example of

ss.                     regulations.

tt.                      structures.

uu.                   processes.

vv.                    technical quality.

 

13.  In the framework of quality, use of clinical protocols is an example of

ww.                regulations.

xx.                    structures.

yy.                    processes.

zz.                     technical quality.

 

14.  Having in place all the necessary structural elements of quality only ensures that

aaa.                 the facility will use the correct processes.

bbb.               not all outcomes will be produced.

ccc.                  the facility will deliver quality of life, but not quality of care.

ddd.               the facility has the capabilities to deliver adequate care.

 

15.  Clinical outcomes are evaluated against ____ to determine whether preestablished treatment and intervention goals have been met for each patient.

eee.               clinical practice guidelines

fff.                    a facility's common practices

ggg.                 a facility's individualized services

hhh.               the plan of care

 

16.  What role do certification standards play in quality improvement?

iii.                       They improve quality by requiring the use of evidence-based practices.

jjj.                     They establish minimum standards of quality.

kkk.                 They produce uniform outcomes across the states.

lll.                       They do not play a role in quality improvement.

 

17.  Under the Affordable Care Act, the Quality Assurance Performance Improvement program will place increased emphasis on

mmm.         certain quality outcomes

nnn.               clinical practice guidelines

ooo.               research on quality improvement

ppp.               use of the PDSA cycle

 

18.  Measurement of quality requires

qqq.               data.

rrr.                    protocols.

sss.                  outcomes.

ttt.                    leadership.

 

19.  Which of the following defines whether quality goals are being met?

uuu.               Structural measures

vvv.                 Process measures

www.           Outcome measures

xxx.                 Attributes of quality

 

20.  How can a facility measure customer satisfaction?

yyy.                 By taking a show of hands at the family council meeting.

zzz.                  By having a researcher talk to family members who visit the facility.

aaaa.             By evaluating the results of the annual certification survey.

bbbb.           By using an appropriately designed survey instrument.

 

21.  Using a survey instrument, a nursing home scored an 8 on customer satisfaction in 2008. The same facility scored a 10 in 2009. Improvement in customer satisfaction can be inferred only if

cccc.               the survey instrument gives reliable results.

dddd.           in previous years, the score was less than 8.

eeee.           the survey instrument is designed by a researcher.

ffff.                 the second result is more than 10.

 

22.  A nursing home is trying to assess customer satisfaction with the services the facility delivers, but the survey instrument it is using contains mainly items pertaining to the facility's location, geographic access, and ability to pay. The survey instrument in this case does not have

gggg.             credibility.

hhhh.           validity.

iiii.                     reliability.

jjjj.                   integrity.

 

23.  After quality has been measured, evaluation requires the ____ of results.

kkkk.             implementation

llll.                     validation

mmmm.   interpretation

nnnn.           verification

 

24.  Which of the following is regarded as external customers?

oooo.           Governing board

pppp.           Stakeholders

qqqq.           Non-long-term-care providers

rrrr.                 Potential customers in the target market

 

25.  Which of the following is regarded as internal customers?

ssss.                        The facility's personnel who receive information, services, and support from fellow employees

tttt.                 The facility's residents and family members

uuuu.           Residents, family members, and visitors

vvvv.             Providers within the long-term care industry

 

26.  In a continuous quality improvement program, process improvement is best undertaken by

wwww.     quality consultants

xxxx.             department managers

yyyy.             associates responsible for the process

zzzz.               interdisciplinary work teams

 

27.  In the four-stage PDSA cycle, uncovering quality problems is associated with

aaaaa.          Do

bbbbb.       Act

ccccc.            Plan

ddddd.       Study

 

28.  In the four-stage PDSA cycle, actual data gathering is associated with

eeeee.       Do

fffff.               Act

ggggg.          Plan

hhhhh.       Study

 

29.  The following is associated with the "study" stage in the PDSA cycle:

iiiii.                    Implementing a change on a small-scale trial basis.

jjjjj.                 Selecting an appropriate benchmark.

kkkkk.          Learning the PDSA system.

lllll.                    Evaluation of the changes that have been made.

 

30.  A well-developed CQI program results in ____ learning.

mmmmm.                     continuous

nnnnn.       intermittent

ooooo.       as needed

ppppp.       mandatory

 

31.  Value is added when

qqqqq.       management does not cut costs.

rrrrr.               a reduction in quality is less than the extent of cost-cutting.

sssss.            both quality and costs increase proportionally.

ttttt.               quality is improved to a greater extent than costs are increased.

 

32.  According to Deming, what should inspections be used for?

uuuuu.       They should be used as the principal tool for quality control.

vvvvv.          They should be used for identifying employees who need further training.

wwwww. They should be used as an information gathering tool.

xxxxx.          They should be used for identifying processes that need improvement.

 

33.  According to Deming, CQI should be used to find ____ problems.

yyyyy.          Worker-related

zzzzz.            process

aaaaaa.      management-related

bbbbbb.   structural

Step-by-step answer

ipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pellent

iscing elit. Nam lacinia pulvinar tortor

or nec facilisis. Pellentesque dapibus efficitur l

lestie consequat, ultrices ac magna. Fusce dui lectus, co

pulvinar tortor nec facilisis. Pellentesq

s ante, dapibus a molestie conse

molestie consequat, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac,

, ultrices ac magna. Fusce dui lectus, congue

m risus ante, dapibus a mole

consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pelle

m risus ante, dapibus a molesti

Fusce dui lectus, congue vel laoreet

ia pulvinar tortor nec faci

at, ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum v

e vel laoreet ac, dictum vit

dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit a

, ultrices ac magna. Fusce dui lectus

molestie consequat, ul

iscing elit. Nam lacinia pulvinar

nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante,

sus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui

entesque dapibus efficitur laor

a. Fusce dui lectus, congue vel l

m risus ante, dapibus a molestie consequat, ultric

trices ac magna. Fusce dui lectus, congue vel laoreet ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet,

nec facilisis. Pellentesque dapibus

ec aliquet. Lorem ipsum dolor

ng elit. Nam lacinia pulvinar t

risus ante, dapibus a molestie consequat, ultrices ac magn

onec aliquet. Lorem ipsum dolor sit a

acinia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus

ultrices ac magna. Fusce dui lectus, congue vel laoreet ac, dictu

ctum vitae odio. Donec aliquet. L

acinia pulvi

itur laor

llentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus, conlestie consequat, ultrices ac magna. Fusce dui lectus, congue vel lao, ultrices ac ma

ur laoreet. Nam risus ante, dapibus a molestie consequat, ultrices ac magna. Fusce dui lectus,lestie consequat, ultrices aonecf, dictum vi

ac, dictum vitae odio. Donec aliquet. Lorem ipsum dolor sit amet, consectetur adipiscing elit. Nam lacinia pulvinar tortor nec facilisis. Pongue vel laoreet ac, dictum vitae odio. Donec aliquet. Lu

inia pulvinar tortor nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibum ipsum dolor sit amet, consectetur adipiscing elit. Nam lacm risus ante, dapibus a

llentesque dapibus efficitur laoreet. Nam ror nec facilisis. Pellentesque dapibus efficitur laoreet. Nam risus ante, dapibus a molestia. Fusce dui lectus, congue vel lao

Subscribe to view the full answer

Why Join Course Hero?

Course Hero has all the homework and study help you need to succeed! We’ve got course-specific notes, study guides, and practice tests along with expert tutors.

  • -

    Study Documents

    Find the best study resources around, tagged to your specific courses. Share your own to gain free Course Hero access.

    Browse Documents
  • -

    Question & Answers

    Get one-on-one homework help from our expert tutors—available online 24/7. Ask your own questions or browse existing Q&A threads. Satisfaction guaranteed!

    Ask a Question
Let our 24/7 Nursing tutors help you get unstuck! Ask your first question.
A+ icon
Ask Expert Tutors You can ask You can ask You can ask (will expire )
Answers in as fast as 15 minutes