Quality Management NCLEX Practice Questions

Quality Management NCLEX Practice Questions

Governmental agencies and the healthcare industry have partnered to improve the quality of care.Which action should the nurse recognize is aimed at providing better care?

Reducing the cost of quality healthcare to all consumers

Making healthcare more client-centered, reliable, accessible, and safe

Delivering care to underserved clients

Addressing behavioral, social, and environmental determinants of health - Making healthcare more client-centered, reliable, accessible, and safe

To improve the health of the population, the U.S. Department of Health and Human Services (HHS) has developed the National Quality Strategy, which contains three broad aims. One of the aims is Better Care to improve the overall quality by making healthcare more client centered, reliable, accessible, and safe. The other two aims are Healthy People/Healthy Communities and Affordable Care.

The nurse is discussing social determinants addressed by Healthy People/Healthy Communities. Which factor should the nurse include? (Select all that apply.)

Availability of resources to meet daily needs

Social norms and attitudes, such as discrimination

Physical barriers, especially for people with disabilities

Public safety

Exposure to toxic substances and other physical hazards - Availability of resources to meet daily needs

Social norms and attitudes, such as discrimination

Public safety

Healthy People/Healthy Communities is another aim the U.S. Department of Health and Human Services (HHS) has developed to improve the health of the population. The aim's focus is to health. Examples of social determinants include, but, are not limited to: (1) availability of resources to meet daily needs, such as educational and job opportunities, living wages, or healthful foods; (2) social norms and attitudes, such as discrimination; (3) social support and social interactions; (4) socioeconomic conditions, such as concentrated poverty; (5) quality schools; (6) transportation options; and (7) public safety.

Which National Quality Strategy should the nurse understand focuses on the community? (Select all that apply)

Effective prevention and treatment

Care coordination

Client safety

Affordability

Healthy living - Affordability

Healthy living

Affordability covers the community as the healthcare industry works to make healthcare more affordable to individuals, families, employers, and governments. Healthy living also covers the community because this strategy's main aim is to work with communities to promote wide use of best practices to promote healthy living. Client safety, care coordination, and effective prevention and treatment are all more focused on the individual client.

Which should the nurse recognize as being the best resource to keep abreast to the changes of the insurance and healthcare laws?

Physicians' groups

U.S. Department of Health and Human Services

American Medical Association

American Nurses Association - U.S. Department of Health and Human Services

Keep abreast of the changes in healthcare and insurance laws by visiting the U.S. Department of Health and Human Services. Physicians' groups, the American Nurses Association (ANA), and the American Medical Association (AMA) are not the best place to keep oneself up-to-date about the changes in insurance and healthcare laws.

Which activity should the nurse recognize as a way for state and local entities to make healthcare more affordable?

Require hospitals to track readmission rates for low-income clients

Develop new healthcare delivery models

Coordinate care through the use of effective communication

Offer basic health coverage for all citizens living in their state - Offer basic health coverage for all citizens living in their state

Developing new healthcare delivery models is a state and local initiative that can lower healthcare costs.Coordinating care through effective communication would be the responsibility of the healthcare institution. States and local entities are not required to provide affordable healthcare to all their citizens.Local hospitals are not just responsible to track the readmission rates, but are encouraged to actively try to reduce readmission rates through broad based teaching and follow-up as a way to lower costs.

The nurse uses a checklist to look at the completeness of documentation of postsurgical pain relief for clients discharged after a specific surgical procedure. Which term best describes the nurse's activity of this review process?

Utilization review

Retrospective audit

Root cause analysis

Concurrent audit - Retrospective audit