ANM Performance Improvement and Quality 2

Question 1

A nurse manager notices a spike in patient falls on the night shift. Which PI tool is BEST for identifying when and how often falls occur across shifts?

Accepted Answer

Run chart

Answer

Fishbone diagram

Answer

Affinity diagram

Answer

Force field analysis

Question 2

The PDSA cycle's 'Study' phase primarily involves:

Accepted Answer

Analyzing results and comparing them to predictions

Answer

Implementing the change on a small scale

Answer

Planning the next improvement cycle

Answer

Standardizing the successful change

Question 3

A hospital's C-section rate exceeds the national benchmark. Which approach best aligns with the IHI Triple Aim framework for addressing this?

Accepted Answer

Reduce per capita cost while improving outcomes and population health

Answer

Increase staffing to monitor more patients

Answer

Focus solely on patient satisfaction scores

Answer

Expand surgical suite capacity

Question 4

Which quality improvement methodology uses defined roles such as Champion, Black Belt, and Green Belt?

Accepted Answer

Six Sigma

Answer

Lean

Answer

TQM

Answer

PDSA

Question 5

A sentinel event review reveals that a wrong-site surgery occurred. According to TJC standards, what is the FIRST required action?

Accepted Answer

Conduct a root cause analysis within 45 days

Answer

Suspend the involved surgeon pending investigation

Answer

Report the event to state authorities immediately

Answer

Implement a new surgical checklist

Question 6

Which statistical concept describes the common, everyday variation inherent in any process?

Accepted Answer

Common cause variation

Answer

Special cause variation

Answer

Assignable cause variation

Answer

Sentinel variation

Question 7

An ANM wants to reduce medication reconciliation errors. Which Lean tool would best identify non-value-added steps in the current process?

Accepted Answer

Value stream mapping

Answer

5S methodology

Answer

Kaizen event

Answer

Kanban board