Nursing Delegation And Management of Patient Care 2nd Edition By Motacki RN MSN – Test Bank

Complete Test Bank With Answers

Sample Questions Posted Below

Chapter 05: Healthcare Regulatory and Certifying Agencies

Motacki: Nursing Delegation and Management of Patient Care, 2nd Edition

MULTIPLE CHOICE

1.The Joint Commission (TJC) is a voluntary accrediting agency that is nationally recognized for its performance standards. A hospital accredited by the agency will most likely experience which outcome?

ANS: A

Adherence to the performance standards set by TJC should lead to better patient outcomes. Options B and C may result from accreditation but there are no data to support this. Option D is incorrect because accreditation should have the opposite effect.

DIF: Cognitive Level: Application REF: page 58

2.In which situation should the SBAR (Situation-Background-Assessment-Recommendation) tool most appropriately be used?

ANS: C

SBAR is supported by TJC as a tool to improve communication between care givers. The other options are goals of TJC but is not related to the use of SBAR.

DIF: Cognitive Level: Application REF: page 91

3.Federal and state departments of health regulatory agencies have been established to ensure optimal standards and delivery of care. Which action is the jurisdiction of these agencies?

ANS: B

These agencies investigate and make judgments on complaints brought by consumers of the services and the public. The other actions would be investigated internally.

DIF: Cognitive Level: Application REF: page 57

4.The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

ANS: A

Hospitals may be cited and fined by the state regulatory agency because of nonadherence to isolation protocol. The other infractions would be managed internally.

DIF: Cognitive Level: Analysis REF: page 57

5.The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

ANS: D

The door to the medication room must be locked at all times to prevent unapproved people from accessing medications, syringes, needles, etc. Options A and B are not regulated by state regulatory agencies. Option C is incorrect because other employees may need access for various reasons.

DIF: Cognitive Level: Analysis REF: page 60

6.The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

ANS: B

Physical abuse of a patient would be investigated by a state regulatory agency. The other infractions do not require state investigation.

DIF: Cognitive Level: Analysis REF: page 62

7.The National League of Nursing Accrediting Committee (NLNAC) is an example of an accrediting body for nursing programs. Besides the nursing school, for what other agencies are they responsible to ensure compliance to their standards?

ANS: A

Hospitals must be in compliance with the standards of the regulating bodies for nursing school programs and will receive a visit when the schools that use those facilities are being accredited. The others are sites that are not visited during the accreditation of nursing schools.

DIF: Cognitive Level: Application REF: pages 57-58

8.During a convention at a large hotel, several attendees become very ill with respiratory symptoms for which they are diagnosed with Legionnaires’ disease. Which regulatory agency is responsible for investigation of an outbreak of Legionnaires’ disease?

ANS: C

The CDC is the government body responsible for preventing and controlling diseases. The other regulatory agencies do not investigate the outbreak of diseases.

DIF: Cognitive Level: Application REF: page 61

9.The people of the United States depend on many agencies working under the leadership of the U.S. Department of Health and Human Services (HHS) for assistance, research, and protection. Which service would be expected under the HHS leadership?

ANS: C

One of the departments within HHS is the Food and Drug Administration, which is responsible for ensuring the safety of our food and drugs. The other services are not provided by HHS.

DIF: Cognitive Level: Application REF: page 62

10.The Centers for Disease Control and Prevention (CDC) is a department headed by the Secretary of the U.S. Department of Health and Human Services (HHS). Which of the following situations would be expected to be investigated by this department?

ANS: C

An outbreak of Salmonella is most likely from a contaminated food source and the source needs to be identified to prevent more injuries and deaths. The other situations are not within the auspices of the CDC.

DIF: Cognitive Level: Analysis REF: page 62

11.The National Institutes of Health (NIH) is a department headed by the Secretary of the U.S. Department of Health and Human Services (HHS). Which action would be expected from this department?

ANS: A

The NIH is a health research department of the HHS. The other actions are not those that the NIH would take.

DIF: Cognitive Level: Analysis REF: page 62

12.The Food and Drug Administration (FDA) is a department headed by the Secretary of the U.S. Department of Health and Human Services (HHS). Which function would be expected of this department?

ANS: C

The FDA regulates medications. The other functions are not the responsibility of the FDA.

DIF: Cognitive Level: Analysis REF: page 61

13.The most common impact on the nurse of The Joint Commission standards is through the management of the pain standard. Which action is necessary to comply with the standard?

ANS: A

Documentation of pain relief is included as one of the measurements for compliance with the pain management goal. The other actions are not included in the measurements for pain management.

DIF: Cognitive Level: Application REF: page 60

14.The Joint Commission (TJC) measures the management of infections within the institution. By which method will TJC be able to measure the performance of the institution to manage infections?

ANS: A

TJC requires surveillance of infections to comply with the standard. An infection control nurse fulfills that role. Options B and C are not measures taken to determine compliance. Option D is important to the patient’s outcome but is not a measurement of TJC.

DIF: Cognitive Level: Application REF: page 60

15.The Joint Commission (TJC) goals include the safe and accurate delivery and reconciliation of medication administration. In which way is this goal measured?

ANS: B

A TJC goal is the utilization of the admission medication list for reconciliation of medications ordered during admission, discharge, and transfer to an outside facility. The other options do not measure this goal.

DIF: Cognitive Level: Analysis REF: pages 58-59

16.A goal of The Joint Commission (TJC) is prevention of health care–associated pressure ulcers. In which situation would the institution fail in complying with that goal?

ANS: A

The Braden Risk Assessment Scale is considered by TJC to be an accurate tool for identifying and therefore preventing pressure sores in patients, but the scale must be used to prevent the ulcers. When the other measures are used, prevention of pressure ulcers is possible.

DIF: Cognitive Level: Analysis REF: pages 58-59

MULTIPLE RESPONSE

1.The Joint Commission (TJC) surveyors measure each institution’s compliance by which of the following? (Select all that apply.)

ANS: B, C, D

B, C, and D are compliance standards measured by TJC. Options A and E are not compliance standard measured by TJC.

DIF: Cognitive Level: Application REF: pages 58-59

2.The ANCC (American Nurses Credentialing Center) is an organization that recognizes excellence in nursing in hospitals. Which outcome would be expected by an institution receiving Magnet Hospital status? (Select all that apply.)

ANS: A, B, E, F

A, B, E, and F are characteristics developed by ANCC to accredit hospitals through their nursing care performance. C and D are not characteristics used to acquire Magnet status.

DIF: Cognitive Level: Application REF: page 63

3.The Joint Commission (TJC) has made recommendations for abbreviation use, which have been instituted in most health care facilities. Which abbreviations would the nurse expect to find on the “Do Not Use” list from TJC? (Select all that apply.)

ANS: A, B

The abbreviation qd can be mistaken for other meanings and should be written as “daily.” The abbreviation qod can be mistaken for other meanings and should be written as “every other day.” The other options are an appropriate abbreviation and are approved.

DIF: Cognitive Level: Application REF: pages 58-59

4.In addition to staff interviews, The Joint Commission (TJC) surveyors measure an institution’s compliance by which action? (Select all that apply.)

ANS: A, D, E

TJC surveyors use these actions to measure compliance to the pain management standard. The others are not measures used by the surveyors.

DIF: Cognitive Level: Analysis REF: pages 58-59