What is an example of an active failure?

Programming the IV pump incorrectly

What is Standard #1 in quality control?

Setting standards for effective care

What should managers always ask their subordinates before delegating?

If they are capable of completing the task

Which questions should be asked during event discussions?

Where did the system fail?, What could be done to counter the root cause?, Root cause?

What is the definition of delegation?

Giving someone the authority to complete a task on your behalf

Clinical Practice Guidelines are also known as:

Standardized Clinical Guidelines

What is the main feature of primary (relationship-based) nursing?

The primary nurse creates and leads the care plan

What does ‘Informed Culture’ mean?

Supervisors have current safety knowledge

Which of the following is an example of an HRO?

Aircraft carriers, Nuclear power plant, Space flight

What are the 3 core principles of error prevention?

Recognize situations, low-risk behaviors, STOP

What is an adverse event?

Causing unintended harm to a patient

Team nursing allows members to:

Contribute their special expertise or skills

What is an example of information in the DIKW model?

Serial set of vital signs to use in comparison

What are the two main principles of HROs?

Keeping the system stable and learning from errors

What is a quality gap?

Difference in performance between organizations

What is the goal of clinical practice guidelines?

Promote evidence-based practice

What is the function of critical event and root cause analysis?

To ensure preventable outcomes do not recur

What does metastrutures in informatics focus on?

Data, information, knowledge, wisdom

What should managers always ask their subordinates before delegating?

Are they capable of completing the task

What does SBAR stand for?

Situation, Background, Assessment, Recommendation

What are the 3 steps of the quality control process? (Select the correct sequence)

Determine standard, Evaluate, Act

What is the definition of informatics?

Study of information & its manipulation using computer tools

What does Principal-Agent Theory suggest?

All agents are inherently motivated to act in interest of principal

What is a disadvantage of primary nursing?

Requires high autonomy and responsibility from the nurse

What is a disadvantage of total patient care?

Nurse may be unprepared or too inexperienced

What are the three basic steps in time management?

Plan, complete high-priority tasks, reprioritize

Define ‘Just Culture’:

Encourages and rewards reporting safety info

Which of these are elements affecting delegation?

Communication, Time, Social organization, Environmental control

How did the COVID pandemic impact healthcare organizations?

Caused supply shortages and increased telehealth use

All healthcare reporting objectives are used to calculate what program?

Promoting Interoperability Program

Which of these are part of the 10 dimensions of safety?

Staffing, Communication about error, Non-punitive response to error

What is an example of a latent failure?

Poor visibility in the hospital

What is a High Reliability Organization (HRO)?

An organization in high-risk environments managing unexpected events

What is the role of a nurse navigator?

To assist in navigating healthcare by offering info and support

The Joint Commission is responsible for:

Accrediting healthcare organizations

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Deliver Systems FINAL

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Questions 104

Answers

1
What is an example of an active failure?
Slippery floor
Programming the IV pump incorrectly
Incomplete charting
Faulty bed alarm
2
What is Standard #1 in quality control?
Staff training
Measuring outcomes
Setting standards for effective care
ANA guidelines
3
What should managers always ask their subordinates before delegating?
If they’ve done it before
If they are capable of completing the task
If they have free time
4
Which questions should be asked during event discussions?
Did the patient complain?
Where did the system fail?
What could be done to counter the root cause?
Root cause?
5
What is the definition of delegation?
Assigning your work to someone else permanently
Giving someone the authority to complete a task on your behalf
Giving someone advice on their task
Supervising someone as they work independently
6
Clinical Practice Guidelines are also known as:
Standardized Clinical Guidelines
Informal Steps
Legal Requirements
Hospital Protocols
7
Who retains responsibility for tasks delegated to NAPs?
The patient
The NAP
The RN
8
Which model focuses on doing things right the first time?
CMS Model
Lean Management
Total Quality Management
Toyota Production System
9
What is the main feature of primary (relationship-based) nursing?
The primary nurse creates and leads the care plan
A team creates the care plan
Focuses on cost-saving
Associates handle all care independently
10
What does ‘Informed Culture’ mean?
Supervisors have current safety knowledge
All staff receive alerts
Everyone gets weekly updates
Managers sign off on all procedures
11
Which of the following is an example of an HRO?
Aircraft carriers
Nuclear power plant
Space flight
Daycare center
12
What are the 3 core principles of error prevention?
Trust your gut, go fast, be confident
Ignore, delay, react
Recognize situations, low-risk behaviors, STOP
Work alone, guess, try again
13
What leadership style promotes helping individuals self-manage emotions?
Transformational leadership
Strengths-based leadership
Transactional leadership
Authoritarian leadership
14
What is an adverse event?
Causing unintended harm to a patient
Making a patient happy
Causing intended harm to a patient
Making unintended comments to a patient
15
Team nursing allows members to:
Avoid direct patient care
Focus only on administrative duties
Rotate out of patient care
Contribute their special expertise or skills
16
What is an example of information in the DIKW model?
A care plan
A single blood pressure reading
Serial set of vital signs to use in comparison
17
What are the two main principles of HROs?
Following leadership blindly
Keeping the system stable and learning from errors
Efficiency and speed
Never make mistakes and document everything
18
What does MAP stand for in healthcare delivery?
Medical Assistance Plan
Medical Access Program
Multidisciplinary Action Plan
Managed Application Process
19
True or False: Poor time management can lead to overdelegating.
True
False
20
What is a quality gap?
Delay in patient care
Difference in performance between organizations
A cost overrun in quality initiatives
A documentation error
21
Which leadership style encourages group input but keeps decision-making responsibility?
Transformational
Democratic
Authoritarian
Laissez-faire
22
What is the goal of clinical practice guidelines?
Increase patient fees
Promote evidence-based practice
Encourage creative approaches
Reduce nurse workload
23
What is the function of critical event and root cause analysis?
To ensure preventable outcomes do not recur
To punish staff
To ensure unpreventable outcomes do not recur
To create a new policy
24
What does metastrutures in informatics focus on?
Data, information, knowledge, wisdom
Legal documentation
Medical billing software
Patient care outcomes
25
What should managers always ask their subordinates before delegating?
Are they capable of completing the task
Do they have time today
Have they done it before
Are they interested in the task
26
What does SBAR stand for?
Situation, Background, Assessment, Recommendation
Safety, Basics, Action, Report
Situation, Behavior, Action, Record
Staff, Behavior, Awareness, Risk
27
What does sigma measure in the Six Sigma approach?
Process performance
Staff satisfaction
Cost savings
Patient meals
28
How common are adverse events in hospital discharges?
1 in 7
1 in 15
1 in 3
1 in 20
29
What are the 3 steps of the quality control process? (Select the correct sequence)
Observe, Plan, React
Determine standard, Evaluate, Act
Act, Evaluate, Determine standard
React, Plan, Observe
30
What is the definition of informatics?
Computer training for nurses
Analysis of patient satisfaction
Study of diseases through statistics
Study of information & its manipulation using computer tools
31
What does Principal-Agent Theory suggest?
All employees are loyal by default
All agents are inherently motivated to act in interest of principal
Only leaders hold responsibility and agents always act independently
32
What is a disadvantage of primary nursing?
It lacks cost efficiency
Poor communication
Patients don’t follow the care plan
Requires high autonomy and responsibility from the nurse
33
What is a disadvantage of total patient care?
Overlooking patient needs
Difficult team coordination
Nurse may be unprepared or too inexperienced
Poor cost-effectiveness
34
What are the three basic steps in time management?
Prioritize, pause, progress
Plan, complete high-priority tasks, reprioritize
Wake early, multitask, write a list
Delegate, organize, review
35
What are hospitals required to report due to the Healthcare Reform?
Public health data
Health information exchange
HIPAA compliance violations
Patient complaints
36
Define ‘Just Culture’:
A legal safety mandate
Encourages and rewards reporting safety info
Encourages error concealment
A model for disciplining staff
37
What is an omission?
Forgetting orders
Double-checking orders
Doing the wrong thing
Not doing the right thing
38
What should be delegated: the objective or the procedure?
Neither
The procedure
The objective
Both
39
Who retains responsibility for the delegated task to a NAP?
The patient
The NAP
The manager
40
Which of these are elements affecting delegation?
Communication
Time
Social organization
Environmental control
41
How did the COVID pandemic impact healthcare organizations?
Created fewer leadership positions
Caused supply shortages and increased telehealth use
Reduced patient admissions
Ended technology use
42
All healthcare reporting objectives are used to calculate what program?
Healthcare Reimbursement Index
Promoting Interoperability Program
Joint Quality Program
Medicare Payback Program
43
Which of these are part of the 10 dimensions of safety?
Staffing
Communication about error
Non-punitive response to error
44
What is an example of a latent failure?
Poor visibility in the hospital
Giving the wrong dose to a patient
Not charting
Programming the IV pump incorrectly
45
How does modular nursing differ from team nursing?
No difference
It is less effective
It uses electronic records
It uses a smaller team
46
Active errors originate from:
Healthcare settings with hidden flaws
Administrative complaints
Patient behavior
The point of care
47
Who reinforces annual safety culture surveys?
OSHA
LeapFrog
ANA
Joint Commission
48
What is a High Reliability Organization (HRO)?
An organization in high-risk environments managing unexpected events
A healthcare startup
A research lab
An organization with low-risk operations
49
What is an advantage of functional nursing?
More autonomy for nurses
Focuses on individual clients
Improves job satisfaction
Tasks are completed quickly
50
What is the role of a nurse navigator?
To provide direct financial assistance
To give medication to patients
To coordinate facility maintenance
To assist in navigating healthcare by offering info and support
51
The Joint Commission is responsible for:
Assigning salaries
Licensing nurses
Funding research
Accrediting healthcare organizations
52
What does the “just culture” model focus on?
Addressing system issues leading to errors
Hospital reputation
High-tech solutions
Punishment for errors
53
What is the main idea of Greenleaf’s Servant Leadership Theory?
Put others first including employees and customers
Maximize output and avoid conflict
54
Why might someone underdelegate?
They are short on time
They enjoy the work and want to do it themselves
They trust others more than themselves
They feel overqualified
55
Which audits are frequently used in quality control?
Budget, Schedule, Design
Structure, Process, Outcome
Past, Present, Future
Nurse, Doctor, Admin
56
Which of the following is NOT a cause of underdelegating?
Lack of experience delegating
Delegating the objective, not the procedure
Fear subordinates will resent the work
Enjoyment of the work
57
Which of these describes a traditional manager characteristic?
Maintains status quo
Prioritizes team collaboration
Delegates all responsibility
Focus on innovation
58
What defines a contingency leadership style?
Leader uses a set approach regardless of situation
Leader adapts style based on situation
Micromanages all tasks
Focuses only on rules
59
Quality Assurance vs. Quality Improvement: QA targets ___, while QI targets ___.
Past outcomes; current processes
Existing quality; ongoing improvement
Hospital policies; patient safety
Patient feedback; staffing
60
What helps avoid most errors?
Practicing low-risk behaviors
Practicing high-risk behaviors
61
What is the fifth and final step of the management process?
Organizing
Directing
Quality Control
Planning
62
LeapFrog Group Initiatives include:
Computerized provider order entry
Use of outdated protocols
ICU physician staffing
Random drug testing
63
Who develops standards for the nursing profession?
CMS
LeapFrog Group
The Joint Commission
ANA
64
What is the difference between human and social capital?
Human = emotional intelligence, Social = economics
Human = job title, Social = trust
Human = teamwork, Social = money
Human = individual ability, Social = group achievement
65
The IOM report “To Err is Human” focuses on:
Increasing hospital profits
Reducing medical errors and improving safety
Leadership theory
66
What leadership style is strict, makes all decisions, and expects obedience?
Laissez-faire
Transformational
Authoritarian
Democratic
67
Benchmarking means:
Guessing outcomes
Using outdated protocols
Copying competitors
Measuring against best-performing organizations
68
What does AE stand for in healthcare?
Acute Emergency
Adverse Event
Alert Event
Accidental Entry
69
What is the STAR technique?
Stop, Think, Act, Review
Start, Take Action, Repeat
70
What are Kouzes & Posner's 5 Practices of Exemplary Leadership?
Plan, act, evaluate, control, adjust
Model the way, inspire a vision, challenge, enable, encourage
Instruct, analyze, dominate, criticize, follow
Organize, plan, execute, review, report
71
Latent errors originate from:
The point of care
Administrative complaints
Healthcare settings with hidden flaws
Patient behavior
72
Which of the following is NOT one of the 10 dimensions of safety?
Open communication
Teamwork
Supervisors promoting safety
Hospital cafeteria quality
73
Which of the following is a nurse-sensitive outcome?
Physician satisfaction survey
Nurse turnover rate
Hospital’s annual revenue
Patient falls with injury
74
Who makes mistakes in healthcare?
Only new staff
Everyone
75
What is an example of a clinical decision support system?
The Braden scale
Electronic thermometer
Blood pressure cuff
Nurse's note
76
What is the main focus of case management nursing?
Cost reduction
Whole populations
Electronic health records
Individual clients
77
What kind of attitude should nurses develop?
Assertiveness
Collaboration
Obedience
Independence
78
What is the #1 requirement for exceptional care?
Don’t waste resources
Be efficient
Don’t hurt me
Be nice
79
What is a near miss?
An error caught by chance or a barrier
An event with no harm
80
What does Just Culture recognize?
When staff should be rewarded
The need for harsher penalties
The difference between types of behavior
The importance of budget control
81
What affects our behavior?
Culture
Others behaviors
82
Which organization is in charge of safety culture?
AHRQ
WHO
FDA
CDC
83
What is the oldest mode of organizing patient care?
Team Nursing
Case Management
Total patient care
Functional Nursing
84
True or False: NAPs have licenses at risk if they exceed their scope of practice.
True
False
85
A disadvantage of team nursing is:
Lack of nurse autonomy
It is not cost-effective
Poor implementation rather than the philosophy itself
It lacks team coordination
86
What are two common mistakes in planning?
Thinking long-term & overprioritizing low-value tasks
Underestimating the importance of a daily plan & not allowing adequate time
87
True or False: Higher sigma values indicate better performance.
False
True
88
According to the National Quality Forum, patient safety is:
Freedom from injury or illness from care
Preventing lawsuits
Minimizing documentation
Avoiding staff errors
89
What is one reason for procrastination?
The task isn’t meaningful
Tasks aren’t broken into manageable steps
Lack of sleep
The person is lazy
90
What does transformational leadership emphasize?
Common values and long-term vision
Financial goals and independent performance
91
What does ARCC stand for?
Assess, Record, Check, Change
Ask, React, Change, Call
Alert, Review, Communicate, Confirm
Ask a question, Request a change, voice a Concern, invoke Chain of command
92
What is the most common cause of resistance to delegation?
Failure to see the subordinate’s point of view
Miscommunication
Too many tasks
Lack of time
93
What is a key disadvantage of functional nursing?
Low nurse retention
High costs
Fragmented care and overlooking patient needs
Excessive autonomy
94
What is the best safety phrase?
This is risky.
Not my patient.
I have a concern.
I got this.
95
What task can an RN delegate to a UAP?
Creating nursing diagnoses
Initial patient assessment
Administering IV medications
Vital signs monitoring
96
What validated surveys measure safety culture?
Safety Attitudes Survey
LeapFrog Safety Check
CMS Safety Review
AHRQ patient safety culture survey
97
Nursing-sensitive outcomes aim to:
Replace nursing assessments
Increase insurance reimbursements
Create accountability for nurses
Track hospital finances
98
What is a common reason for overdelegating?
Enjoyment of the work
Desire to complete the job alone
Fear of subordinates
Insecurity in ability
99
In disease management programs, the focus includes all EXCEPT:
Late-stage treatment only
Early detection
Intervention
Prevention
100
Which of these are part of the 5 Rights of Delegation?
Right Supervision
Right Person
Right Task
Right Evaluation
101
What does DIKW stand for?
Data, Information, Knowledge, Wisdom
Data, Insight, Knowledge, Wonder
Diagnosis, Input, Knowledge, Wisdom
Decision, Information, Knowledge, Wonder
102
A sentinel event involves:
An unexpected major harm
A small error
An unexpected death
Scheduling mistakes
103
A non-punitive environment encourages:
More training sessions
Stricter punishments
Reporting errors and near misses
Less communication
104
What causes most near misses and significant events?
Lack of motivation
Personal failure
System or process problems
Poor handwriting

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