CPHRM Sample Test Questions with 100% Correct Answers, Exams of Nursing

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CPHRM SAMPLE TEST Questions with 100% Correct

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What are the four elements of the SBAR situational briefing model? ✔✔Situation, background, assessment, recommendation Which of the following is not one of the patient rights enumerated in the Patient Self Determination Act? ✔✔Patients have the right to select their medication. What is one advantage of a voluntary error reporting system over a mandatory error reporting system? ✔✔Voluntary systems elicit more reports from frontline practitioners. What in particular is the process chain in a laboratory subject to? ✔✔Variability. A root cause analysis of inpatient suicides would be most likely to discover problems with ✔✔The physical environment. What are the types of quality problems identified by the Institute of Medicine's Roundtable on Health Care Quality? ✔✔Misuse, Abuse, and Overuse. Which of the following conditions must be met for a patient to no longer be deserving of service under the Emergency Medical Treatment and Active Labor Act? ✔✔The patient must have provided the contact information of a person who can care for him upon discharge.

Who are most likely not to report errors? ✔✔Primary care physicians. When Computerized Provider Order Entry (CPOE) is implemented, that is almost always a decline in ✔✔Medication Errors. Whenever possible, order should be by ✔✔Dose When a hospital notes that most errors are occurring at the sharp end what does that mean? ✔✔They occur during interaction between caregiver and patient (frontline...doctors, nurses, etc.) People make fewer errors when ✔✔When staff work as a team. Information from the Health Care Integrity and Protection Data Bank can be requested by ✔✔Professional societies with formal peer review. What factors are included in a calculation of risk priority number? ✔✔Severity of possible adverse effects; likelihood of an adverse event, cost of controls. When conducting a safety audit in an Emergency Department, what does an administrator need to obtain first? ✔✔A written set of safety standards.

What group reports information to the Health Care Integrity and Protection Data Bank? ✔✔Peer-review organizations. In general how many steps should a failure modes and effects analysis proceed in each direction? ✔✔Two What is the first and most important step in a disclosure conversation? ✔✔Admitting error and apologizing. If an at-risk patient is left unattended and has an adverse response to medication, what is this known as? ✔✔A latent outcome. It has been determined that a hospital's blood transfusions are 99.7 percent error free. Which function can be used to determine the number of blood transfusions that are likely to be performed before an error is made? ✔✔Multinomial distribution A hospital uses the same labels for all of it prescriptions but these labels do not fit on the smallest containers so employees must cut and paste the labels in a special way in order to fill the prescriptions. What is this an example of? ✔✔Extra processing. What is responsible for the most privacy violations of the HIPAA? ✔✔Data disclosed without the authorization

Root Cause Analysis most often reveal that mistakes are a result of ✔✔A series of small events. According to Joint Commission, what is the primary cause of wrong site surgery errors? ✔✔Communication failure. What is one of the pieces of information available in the Health Care Integrity and Protection Data Bank but not the Practitioner Data Bank? ✔✔Malpractice payments The source of most medication errors is ✔✔verbal orders What is the most common sentinel event? ✔✔Unintended retention of a foreign body. An Example of a clear directive to a nurse is ✔✔Because infusion pumps occasionally malfunction, a nurse is instructed to monitor the pumps operation every so often. A doctor fails to administer an indicated test, and the patient's condition deteriorates to the point that he/she must be admitted to an inpatient facility. What is this an example of? ✔✔Diagnostic error. Which of the following would not be considered an emergency according to EMTALA? Kidney failure, normal child labor, myocardial infarction, ruptured appendix. ✔✔Kidney failure

The ultimate goal of Enterprise Risk Management is to ✔✔Optimize risk financing and mitigation strategies For a risk management program to be effective, it needs which of the following ✔✔Organizational commitment, visibility and access, and physician acceptance and understanding. Why should risk management professional must work closely with the media. ✔✔To protect a celebrity's identity, to protect the confidentiality of a situation, and to protect the identity of a patient is protective custody. To have a successful quality improvement process, the risk manager program must have ✔✔Interactive multidisciplinary teams, a mindset that most problems are caused by processes, and full support of senior management. Ultimately, the accountability for the risk management program belongs to ✔✔The board When a FDA inspector comes to a facility, the risk manager should ✔✔Accompany the inspector and ask to see the inspector's credentials. Generally, an incident is defined as ✔✔Any happening which is not consistent with the routine delivery of care or operation of the organization.

It is important to protect the discoverability of incident reports. What would significantly impact on whether the reports are discoverable? ✔✔State statutes, federal statutes, and case law. If a practitioner requests a telemedicine consult with another practitioner in another state, the consultant ✔✔May need to possess a valid medical license form the requesting physician's state since reciprocity varies from state to state. What are risk treatment strategies? ✔✔Risk avoidance, risk retention, and risk transfer. If there is no OSHA standard for a given potential health hazard, OSHA may ✔✔Have the authority to govern it under the general duty clause. Protecting outdoor air intakes can mitigate the risk of terrorists introducing airborne agents into a facility. Steps to accomplish this include ✔✔Relocate the intakes to a rooftop or higher up on the building; establish a security zone around the intakes; and add lighting and surveillance cameras to monitor the intakes. An original contract could contain ✔✔The effective date, the insurance requirements, and the contract terms. What is the voluntary relinquishment by the insurer or self insurer of the right to recover from a third party? ✔✔Waiver of subrogation rights clause.

A health maintenance organization (HMO) advertises itself as the best in the industry and that its physicians can manage any illness or injury. If a patient uses the HMO based on these claims and is subsequently injured, the patient might sue the HMO for ✔✔Breach of contract, vicarious liability, apparent agency, and medical malpractice. The due diligence process is complicated, multi-faceted process undertaken when acquisitions are being considered. What are objectives of the due diligence process? ✔✔Reduce the purchase price, improve post-acquisition earnings, and insulate the organization from unanticipated costs. During disasters, either external or internal, staff must not only take care of patients but also worry about requests from the media. In order to minimize risks associated with such events, a complete policy for media contact should include: ✔✔A designated spoke person; obtain consents from those who are to be photographed or interviewed; and provide guidelines about release of information to the media.