Chapter 6 Effective Leadership and Management in Nursing 8th Edition

Chapter 6  Effective Leadership and Management in Nursing 8th Edition

Complete Chapter Questions And Answers
 

Sample Questions

Question 1
Type: MCSA
Which situation is an example of the overall goal of quality management in today’s health care activities?
1. The nurse manager realizes a policy was ineffective in reducing incidents.
2. The administrator walks around making a list of potential problems.
3. The human resources department fires nonproductive employees.
4. The nurse wipes up a spilled drink before clients are allowed to enter a room.
Correct Answer: 4
Rationale 1: The focus of quality management is on ways to prevent problems and improve quality of care. Identification of failed standards is reactive, not proactive.
Rationale 2: The focus of quality management is on ways to prevent problems and improve quality of care. Assessment of problems within the organization was the focus of quality management in the past.
Rationale 3: The focus of quality management is on ways to prevent problems and improve quality of care. Identifying inefficient employees is reactive, not proactive.
Rationale 4: The focus of quality management is on ways to prevent problems and improve quality of care. This nurse may have prevented a fall.
Global Rationale:

Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma, Lean Six Sigma, and DMAIC address quality.

Question 2
Type: MCSA
As part of the process of promoting quality improvement, the nursing manager is comparing data between two hospitals on average length of stay for a total hip replacement. This comparison is an example of which process or step?
1. Benchmarking
2. Outcome standard
3. Indicator
4. Process standard
Correct Answer: 1
Rationale 1: Benchmarking is the comparison of data with other reliable sources internally and externally with the goal of quality improvement.
Rationale 2: Standards are written statements that define a level of performance. An outcome standard involves the end results of care given.
Rationale 3: An indicator is a tool to measure the performance of structure, process, and outcome standards.
Rationale 4: Standards are written statements that define a level of performance. Process standards are those connected with the actual delivery of care.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma, Lean Six Sigma, and DMAIC address quality.

Question 3
Type: MCSA
The hospital organization has developed a philosophy based on the client, organizational involvement, quantitative measurement of outcomes, and processes for improvement. In which quality management process are these characteristics typically seen?
1. Continuous quality improvement (CQI)
2. Total quality management (TQM)
3. Plan, Do, Check, Act (PDCA cycle)
4. Six Sigma
Correct Answer: 2
Rationale 1: CQI is the actual process, not the philosophy, used to improve quality and performance.
Rationale 2: TQM is a management philosophy emphasizing a commitment to excellence throughout the organization. It is founded on four core concepts: client, organizational involvement, quantitative measurement of outcomes, and processes for improvement.
Rationale 3: The PDCA cycle is a scientific method used to build knowledge, make decisions, and improve quality outcomes within an organization. It is a process, not a philosophy.
Rationale 4: Six Sigma is a quality management program that uses measures, goals, and management involvement to monitor performance and ensure progress. It is a process, not a philosophy.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma, Lean Six Sigma, and DMAIC address quality.

Question 4
Type: MCSA
The nursing task force is developing measurable goals for each client on the orthopedic unit. The statement “Each client will have a written assessment and plan of care document within eight hours of admission” is an example of which component of quality management?
1. Indicator
2. Structure standard
3. Benchmark
4. Process standard
Correct Answer: 4
Rationale 1: An indicator is a tool used to measure the performance of a structure, process, or outcome standard.
Rationale 2: A structure standard is related to the physical environment and the organization as opposed to the delivery of nursing care.
Rationale 3: Benchmarking is the process of comparing data with other reliable sources internally and externally in order to improve quality of care.
Rationale 4: A process standard is a written statement that defines actual delivery of nursing care to a specific population.
Global Rationale:

Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 6-1: Describe how total quality management, continuous quality management, Six Sigma, Lean Six Sigma, and DMAIC address quality.