Notesale: Turn your study into money

Document Preview

Extracts from the notes are below, to see the PDF you'll receive please use the links above

---

C430 HEALTHCARE QUALITY
IMPROVEMENT AND RISK MANAGEMENT
WGU FREQUENTLY TESTED
...
The regulatory department that oversees this area of workplace
accidents is the Occupational Safety and Health Administration (OSHA)
...
)
Civil Rights Act

A highly productive medical coder has a spouse who sustained a serious
work-related injury
...


Which federal regulation has been violated in this scenario? - CORRECT
ANSWER -Family and Medical Leave Act

A hospital recently acquired a home health agency, which is a new service
for the hospital
...


What should be added to the hospital's risk management plan to manage
this new risk? - CORRECT ANSWER -

A long-term care facility acquired a hospice care agency, which provides inhome medical support including pain relief for dying patients
...


What should be added to the facility's risk management plan to manage
this new risk? - CORRECT ANSWER -Create a procedure for storing controlled
substances to prevent diversion by family members

A hospital has an increasing number of patients injured during transfer
...


Which recommendation should decrease further risk? - CORRECT ANSWER Discipline workers who transfer without using the lift

After an event involving a near-miss abduction of an infant from the
newborn unit, a hospital risk manager plans to update the risk management
and safety plan
...
The nurse completed an incident form per the risk
management plan
...
A team reviews the risk management plan and
identifies the problem as a miscalculated dosage
...
A
root cause analysis team determined that proper patient identification
protocols were not followed by the physician and transporter
...
Admission assessment supports that the skin
breakdown was not present at the time of admission
...
The organization was cited by The Joint Commission for having
insufficient fall prevention measures
...
) Provide at-risk patients with 24-hour care
B
...
) Report patient falls for the next two months and take action if falls
continue to increase
D
...


What should the doctor's office do to increase patient satisfaction? CORRECT ANSWER -Reduce the number of patients scheduled per time slot

An administrator wants to improve patient relations in a clinic and starts by
implementing a new survey to track patient satisfaction in key areas
...
The clinic wants to add an inventory management system to track
patient visits versus supplies used on any given day
...
The medical staff continues to add
additional needles after the containers are full
...


How can the hospital reach this performance expectation? - CORRECT
ANSWER -Increase staff awareness on patient pain control techniques

Per the workers compensation policy, a quarterly employee injury report
was submitted to a hospital's safety committee
...
The hospital risk manager has
requested action plans from those departments with low compliance

Which action will bring the facility back into compliance with this
requirement? - CORRECT ANSWER -Have departments in violation submit
their action plans to senior management

An improvement team at a nursing care center has been charged with
reducing resident falls within the facility
...


What should be the first step of the project? - CORRECT ANSWER -Gather
baseline data

Residents in a nursing care center report that food is cold when served
...

After implementing the temperature log, the residents reported
improvement
...
A
continuous improvement (CI) practice was implemented
...


Why is the continuous improvement (CI) practice successful? - CORRECT
ANSWER -Because the facility has fewer residents missing signed orders

A staff member notices a co-worker walking away from a computer without
logging off, leaving sensitive patient information available to other viewers
...
The fall broke the patient's arm
...
A nurse provides the worker the access code to
obtain narcotics from a drug dispensing unit on the floor
...


What should the hospital do first to reduce the immediate safety risks in
this situation? - CORRECT ANSWER -Change the access code
...
A few minutes later a nursing assistant comes in to assist the
patient to the restroom
...
- CORRECT ANSWER -The nurse should
lock the workstation prior to leaving for another room and her assistant
should log in with own password

An employee witnesses a fire erupted in the medical facility kitchen
...
The unit supervisor is implementing an action plan
with the pharmacy to label the medications better
...

The leadership has decided to reduce the fire drill frequency every six
months to enhance work productivity
...


A nurse has been working with the same patient for the last three days
...


How does this decision affect quality? - CORRECT ANSWER -Medication errors
may increase since control procedures were reduced
...
There was no

physical injury to the patient, but the patient may not have received the
protection afforded by the vaccine
...


A facility manager informs employees of the potential risks of hazardous
health environments in the workplace and the use of personal protective
equipment (PPE), as regulated by the Occupational Safety and Health
Administration (OSHA)
...
Hospital leadership
discusses possible dangers during orientation for each position
...
Hospital
leadership has purchased a sufficient quantity of equipment to meet this
standard
...


Which step should the manager take to monitor compliance with the
guidelines? - CORRECT ANSWER -Conduct periodic security risk assessments

During a review of a sentinel event, unauthorized access to a patient's
electronic medical record (EMR) was found to have occurred
...


What should the organization monitor to prevent similar problems in the
future? - CORRECT ANSWER -Reports of password sharing among staff

A hospital reports a recent increase in work related back injuries among
employees
...


Which risk management initiative will reduce this risk? - CORRECT ANSWER Installing patient lift equipment in care areas

A small family practice has recently terminated a medical assistant due to
theft of birth control and drug samples
...


Which two options will reduce this organization's risk for a wrongful
termination lawsuit in this situation? - CORRECT ANSWER -Consideration of
alternatives to termination prior to the decision and find documentation of
employee training on handling of drug samples

A hospital supervisor notices that signatures are missing on several
admission consent forms
...
OSHA discovered the workers were not performing these tasks
appropriately
...
While the intake
process involved asking the patient about medications the patient was
taking, it did not inquire about homeopathic remedies or other
supplements
...


Which risk management strategy should be implemented to avoid this
situation in the future? - CORRECT ANSWER -Educating staff on asking about
alternate therapies

A 17-year-old child and a neighbor were involved in a major car accident
...
The
child was transported to the nearest emergency department (ED) via
ambulance
...


How is consent for treatment obtained in this situation? - CORRECT ANSWER The patient implies consent in this situation

A 12-year-old child and the child's mother reported to the outpatient
surgery center for the child to have a routine hernia repair
...
A nurse
needs to obtain pre-operative paperwork including informed consent
...


How can the hospital reduce the liability risk associated with this
situation? - CORRECT ANSWER -Provide credit monitoring for those impacted
by identity theft

An office manager finds a doctor to be grossly overcharging patients and
insurance companies for medical procedures
...


How can the officer manager reduce this risk in the future? - CORRECT
ANSWER -Compare allowable amounts with the doctors existing fee structure

Nursing services received three complaints in the past two months from
family members of patients
...


Which action should reduce the risk of recurrence of this type of event? CORRECT ANSWER -Conduct a root cause analysis

A celebrity patient is scheduled for a procedure
...
The patient receives
text messages from the press concerning the medical event
...
The nurse applies for an
executive position within the hospital and is promoted by the CEO over a
more qualified senior internal candidate
...


Which action should be taken to prevent this incident from recurring in the
future? - CORRECT ANSWER -Involve Human Resources in workplace
relationships and hiring

While completing a routine coding audit, the Health Information
Management director notices that a treatment was billed as an outpatient,
rather than an inpatient, procedure
...


Which federal violation was identified? - CORRECT ANSWER -False Claims Act

A radiology technician confided in the director about being uncomfortable
in an operating room with an orthopedic surgeon
...
According to the technician, this had
happened more than once with this surgeon, but none of the operating
room staff were willing to report the behavior
...


Which strategy will help mitigate this risk? - CORRECT ANSWER -Enforce
disciplinary action upon noncompliant employees

A patient in the emergency department is sent to radiology for a computed
tomography (CT) scan of their abdomen that uses a dye injection
...


Which strategy can reduce the risk associated with this procedure? CORRECT ANSWER -Ask the patient to identify their allergies prior to the CT

While performing morning vital signs, a nurse observes that the patient
room is very cold and the television is loud
...
Before
leaving, the nurse observes a full urinary catheter bag as well as IV tubing
in the trash can
...


Which action should be taken to reduce the infection risk in this situation?
- CORRECT ANSWER -Place the patient in an isolation area

An infection control surveillance of hospital patient rooms reveals a high
level of bacteria on some surfaces
...
To control the risk of infections,
new employees already receive training in proper disinfection methods
...
The review resulted in reduced privileges
and a report of the physician to the state medical board
...
The committee recommends colleague-tocolleague intervention
...
The supervisor reviewed all of
the applications and accessed a publicly available social media site
specifically to determine the birth year of the applicants
...


A nursing center resident is started on a blood thinning drug prior to being
discharged from a hospital
...
The patient later suffers a stroke due to the
missing blood thinner
...
) Require the medical director to interview all returning residents
B
...
) Review physician orders for returning residents to identify medication
changes
D
...
) Review physician orders for returning
residents to identify medication changes

A review of hospital incident reports indicates a high rate of patients
developing heel ulcerations
...
After six months, the incidence of hospital-acquired heel
pressure ulcers is found to be slightly higher
...
At the end of the
quarter, the director reports an increase in pressure ulcers for bedridden
residents
...
) Conduct a staff focus group to determine barriers to
compliance

A high-risk resident walked away from a memory care unit
...
Despite the risk
management plan that requires high-risk residents to wear electronic
locator bracelets, this resident did not have one on
...
Cardiopulmonary resuscitation (CPR) is not started because the
nurse thinks the patient has a do-not-resuscitate order, which is incorrect
...


Which practice can be implemented to improve the effectiveness of this
risk management plan? - CORRECT ANSWER -Use color wrist bands to identify
patient code status

An occupational health nurse administered the wrong vaccine
...
The clinic's risk

management plan requires medications to be confirmed prior to
administration
...

A multidisciplinary team reviews the risk management plan and the
discharge process and implements a staff education plan
...
A
multidisciplinary team recommends improving the patient teaching
materials
...


How would the effectiveness of the plan be evaluated? - CORRECT ANSWER Percent of patients that fall during night hours

A hospital patient in an unstable condition was transported to the radiology
suite for tests
...
According to the hospital's risk management plan, a nurse should
accompany unstable patients to testing areas, but the nurse was too busy to
comply
...


A nurse neglected to administer an evening dosage of a prescribed
medication
...
A risk
management plan was implemented that included nurses being retrained in
medication administration
...
Steps you need to
do to prevent these mistakes

---