MS II Leadership Motacki Chapters 5 and 20

The Joint Commision (TJC) is a voluntary accrediting agency with nationally recognized performance standards. Hospitals accredited by the agency will most likely experience which of the following out comes?

• improved patient outcomes

• dedicated staff

• higher salaries

• loss of practicing physcians

The most common impact of the Joint Commission on the nurse is through the manamgement of pain standard. Which action is necessary to comply with the standard?

• documentation of pain only with patient complaints of pain

• providing for alternative pain medications

• assessment of the use of therapeutics to alleviate pain

• prescribing the correct dosage of pain medication

The most common impact of the Joint Commission on the nurse is through the managment of pain standard. In which way is compliance measured?

• interviews with patients, families, and staff

• observation of a nurse for a time period

• passing as a patient for a day

• determining the number of medications removed from the Pyxis

The state regulatory agency may impose a fine on a hospital for which patient safety infraction?

• medication adminstration error resulting in no harm to the patient

• labs drawn on the wrong patient

• repetitive staffing shortage due to staff discontent

• unsafe clinical practice

The Joint Commission (TJC) measures the management of infections within the institution. By which of the following methods will the TJC be able to measure the performance of an institution in managing an infection?

• compliance with handwashing guidelines

• tracking all infections over a one month period

• interviewing patients and families

• follow-up with staff on prevention measures

What information obtained from hospital data collection can be used for patient improvement?

• infection rates

• employee satisfaction

• best practice

• overtime cost

What information obtained from hospital data collection can be used for staffing purposes?

• patient satisfaction

• best practice

• staff competency

• use of agency nurses

What information obtained from hospital data collection can be used for administrative purposes?

• unit-specific measures

• staffing ratios

• turnover

• evidence-based practice

Which hospital data collection result will most likely affect nursing practice?

• changes in staffing patterns

• changes in patient acuity

• introduction of the needleless system

• changes to the interview process

Data provided by studies on patients with community-acquired pneumonia (CAP) have influenced the standards of practice for those patients. Which order should the nurse anticipate on the standard orders as a result of initiatives developed through clinical studies?

• Obtaining blood cultures within 4 hours of arrival at the hospital

• Administering antibiotics within 4 hours of arrival at the hospital

• Administration of aspirin on arrival to the hospital

• Administration of oxygen at 4 L per nasal prongs