qc final exam

8/8/2019 QC Final Exam

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QC Exam (42 MCQS)

1- A medication is ordered for a diabetic patient. Its capacity to

improve health status, as a dimension of quality or

performance, is its :

a. Effectiveness

b. Appropriateness

c. Potential

d. Efficacy

2 -All of the following is true about leadership EXCEPT:

a. Creation and maintenance of the internal environment

b. Establishment of a clear vision of the organization's future.c. Day to day management of operations in the organization

d. Establishment of unity of purpose and direction of the

organization

3- Applying the Pareto principle in quality improvement is:

a. Prioritizing patient outcome issues

b. Tracking and measuring process effectiveness

c. Prioritizing process issues

d. Providing meaningful data to support strategic objectives

4- Applying the principle of continual improvement typically lead

to EXCEPT:

a. Recognizing and acknowledging improvements

b. Establishing goals to guide, and measures to track, continual

improvement

c. Stopping to train people following the implementation of the

methods and tools of continual improvementd. Employing a consistent organization-wide approach to continual

improvement of the organization's performance


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5- Choose the best indicator(s) to use when determining the

effectiveness of services at the emergency department (ED) inyour hospital:

a. a and b

b. The percentage of ED patients admitted as inpatientsc. The patient waiting time at the ED

d. The number of unplanned returns to the ED

6- Customer-focused organizations means:

a. Strive to exceed customer expectations

b. All of the above

c. Understand current and future customer needs

d. Meet customer requirements

7- Effective organizational culture:

a. Strong adherence of employees to their goals and objectives

b. Clear vision, mission and values among all employees

c. Firm employees’ control by leaders

d. Independent roles for employees

8- External customers include all EXCEPT:

a. Vendors

b. Clinicians

c. Payers

d. Patients

9- For an ideal healthcare organization, it should do:

a. track measurable quality

b. Actively fosters perceptive quality

c. All of the aboved. Understand the value and necessity of appreciative quality


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10- In developing a program to evaluate the effectiveness of

physician care, a primary care clinic would select which one ofthe following indicators?

a. Newly diagnosed hypertensive patients are controlled within 6months

b. The staff complies with all infection control policies and

procedures

c. The contract lab will provide results within 24 hours of sample

delivery

d. The patient will express overall satisfaction with clinic facilities

11- Juran Triology means :

a. Quality control / measurement is comparable to cost controlb. quality improvement relates to cost reduction and margin

improvement

c. Quality planning is equal to budgeting

d. All of the above

12- Key benefits of process approach are all of the following

EXCEPT:

a. Lower costs and shorter cycle times through effective use of

resourcesb. Focused and prioritized improvement opportunities

c. Minimizing the effect of structures and resources on the

achievement of outcomes

d. Improved, consistent and predictable results

13- Key dimensions of quality in healthcare include:

Select one:

a. Reducing waits and sometimes harmful delays for both those who

receive and those who provide the careb. Providing services based on scientific knowledge to all who could

benefit and refraining from who couldn’t benefit

c. Avoiding injuries to patients from the care that is intended to help

them

d. All of the above


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14- Monitoring phlebitis associated with IV insertions by nurses

in the Surgical Intensive Care Unit addresses which focus?

a. Administrative procedure

b. Process of care

c. Outcome of cared. Structure of care

15- Monitoring radiographic film quality by technologists

addresses which aspect of care?

a. Outcome

b. Process

c. Structure

d. Administrative

16- Monitoring the specific organization and content

requirements of a medical record system is a review of which

focus?

a. Outcome of care

b. Process of care

c. Administrative procedure

d. Structure of care

17- Quality Control/Measurement includes:

a. All of the above.

b. . Developing process and outcome performance measures.

c. Measuring actual performance and variance from expected.

d. Summarizing data and performing initial assessment/

analysis.

18- Quality improvement involves all of the following EXCEPT:

a. Analyzing data/information for better or best practice

b. Systematically developing optimal solutions to chronic problems

c. Providing accurate, timely feedback.

d. Collaboratively studying and improving selected existing

processes and outcomes in governance, management, clinical, and

support activities


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19- Quality in Healthcare ensures all of the following EXCEPT:

a. Retention of talented staff

b. Satisfaction of all our many other customers

c. High technology in performance

d. The best possible outcome for patients

20- Quality is:

a. Compliance with the standards

b. The result of high intention

c. All of the above

d. Doing right things right from the first time

21- Quality of care is all of the following EXCEPT:

a. Associated with increased desirable health outcomes

b. Features that meet patient’s requirements

c. Acceptable deficiencies

d. Is consistent with current professional scientific knowledge

22- Quality of healthcare is needed because of the following

EXCEPT : Select one:

a. Increasing costs of care

b. Rising demandsc. Variation in medical practice

d. Social representation and show up

23- Quality of healthcare should be:

a. At least prior to management of the organization

b. First priority of the organization

c. Among the priorities of the organization

d. One of the priorities of the organization

24- Quality planning means

a. Identifying and tracking the customers of a particular process

b. Identifying process issues critical to effective outcomes

c. All of the above

d. Identifying, measuring and prioritizing customer needs and

expectations concerning the process and its outcomes


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25- Review of the timeliness of high risk screening for diabetesaddresses which focus?

a. Structure of care

b. Administrative procedurec. Process of care

d. Outcome of care

26- Root cause analysis is the most appropriate Performance

Improvement (PI) process for:

a. Evaluating dental care

b. Performing peer review

c. Determining costs / benefits

d. Analyzing special cause variation

27- Rules of the healthcare system in the 21st Century are:

a. Care is primarily based on visits

b. Care is customized according to patient’s values and needs

c. Decision making is based on training and experience

d. Professionals controls care

28- That dimension of quality/performance that is dependent

upon evaluation by the recipients and/or observers of care is :

a. Availability

b. Respect/caring

c. Continuity

d. Safety

29- That function in the Juran Quality Management Cycle that

includes the initial analysis of data/information is:

a. Quality control/measurement

b. Quality improvement

c. All of the above

d. Quality planning


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30- The “appropriateness” of care is:

a. A key dimension of quality care

b. Equivalent to “case management”

c. Primarily a focus of utilization managementd. The degree to which healthcare services are coherent & unbroken

31- The paradigm of structure, process and outcome:

a. Outcome measures are the best

b. Is causally related

c. Each represent a single set or step

d. Deals with certainties

32- The perception of quality by a patient receiving care in anambulatory healthcare center is influenced most by:

a. Caring staff and physician

b. The physical environment

c. The physician’s technical competence

d. New technology

33- To identify customer needs, the following could be used:

a. Researches and surveysb. Focus group discussions

c. All of the above

d. Interviews

34- Total quality management philosophy assumes that

a. Most problems with service delivery result from difficulties with

individuals

b. Most problems with service delivery result form systems

difficultiesc. Top management leadership in quality activities limits creativity of

employees

d. Frequent inspection is the only way to improve quality


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35- What is the most important relationship between structure,

process, and outcomes as types of indicators of quality?

a. Interdependent structure directly affects both process and

outcome

b. Relational: useful for comparisons, but not causalc. There is no relationship they are categories used to group

indicators

d. Causal structure leads to process and process lead to outcome

36- Whenever a quality problem has multiple causes, just a few

of those causes account for most of the incidents is anexpression of:

a. Deming's first principle

b. The quality improvement principle

c. Deming's third principle

d. The Pareto principle

37- Which of the following best describes the most successful

outcome of the quality improvement process?

a. Customer satisfaction

b. Enhanced communication

c. Improved statistical datad. Employee empowerment

38- Which of the following is the BEST definition of process?

a. Patient care activities

b. Technical aspects of providing care

c. The steps required to provide care

d. A series of steps that achieve a desired outcome

39- Which of the following is the most important characteristic

of customer-focused organizations?

a. Trained staff in the customer service department

b. Clear leadership from top management

c. A documented quality management system

d. Reward and recognition programs for all employees


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40- Within the context of total quality management philosophy,communication of quality is:

a. Independent of process budgets or costs

b. Delegated to the Quality Management Departmentc. The responsibility of top management leaders

d. An internal organizational, not community, issue

41- Within the frame of key dimensions of quality of healthcare,

Appropriateness means:

a. None of the above

b. Providing care and service up-to-the professional scientific

knowledge

c. Doing things rightd. Care and service are relevant to the patient’s needs

42- Within the frame of measurable quality, all is true EXCEPT:

a. Measurement tools include performance indicators or measures

b. It is measured on the basis of customer’s satisfaction

c. It means adherence to practice guidelines

d. Compliance with standards constitute the basis for granting

licensure and/or accreditation or re-imbursement

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