Chapter 22: Quality Patient Care
Zerwekh: Evolve Resources for Nursing Today, 9th Edition
MULTIPLE CHOICE
1. The primary role of The Joint Commission (TJC) is
a.
granting magnet status to excellent hospitals.
b.
lobbying Congress on behalf of Medicare/Medicaid patients.
c.
ensuring that medical facilities meet patient safety guidelines.
d.
inspecting hospitals for compliance of infection control standards.
ANS: C
The Joint Commission (TJC) is the primary accrediting body for health care institutions. Its
standards directly address patient safety issues. Magnet status is approved by the American
Nurses Association. TJC does not lobby Medicare/Medicaid issues. The CDC is the agency
that maintains standards regarding infection control for hospital compliance.
PTS: 1 DIF: Cognitive Level: Knowledge/Remembering
REF: p. 506 OBJ: Identify the role of regulatory standards and agencies.
TOP: Role of The Joint Commission
MSC: NCLEX®: Safe and effective care environment—management of care
2. The Joint Commission publishes a Sentinel Event Alert every month. Which of the
following is the best example of a sentinel event?
a.
Tylenol three tablets are given to a patient when Tylenol two tables were ordered.
b.
Code pink is called after a newborn is discovered missing from the nursery.
c.
After receiving the correct medication, the patient complains of itching all over,
and a rash is noted on the patient’s trunk.
d.
The patient gets a meal tray intended for the roommate.
ANS: B
A sentinel event is an unexpected occurrence involving death or loss of limb or function.
Examples of sentinel events include serious medication errors, significant drug reactions,
surgery performed on the wrong body site, blood transfusion reactions, and infant
abductions. An infant abduction is the best example as it could lead to death or not be
solved. The other examples do not rise to this level of significance.
PTS: 1 DIF: Cognitive Level: Analysis/Analyzing
REF: p. 501 OBJ: Describe the history and evolution of quality in health care.
TOP: Sentinel events
MSC: NCLEX®: Safe and effective care environment—management of care
3. A nurse is reviewing the technique used to identify the factors involved in an error. Which
statement indicates the nurse has an adequate understanding?
a.
“The rapid cycle test is a technique that is widely used.”
b.
“A root cause analysis is a process designed to investigate and categorize the root
cause of the event.”
c.
“A failure mode and effects analysis is a procedure to investigate the cause of the
error.”
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