Nurse Executive Test Risk Assessment & Management 3

Question 1

A nurse executive is implementing a safety culture survey. Which outcome is the MOST important indicator that a just culture has been established?

Accepted Answer

Staff willingness to report near-misses without fear of punishment

Answer

A just culture fosters psychological safety, encouraging staff to report near-misses and errors voluntarily, which is essential for learning and prevention.

Question 2

Which risk assessment framework uses a 5x5 matrix to categorize risks by likelihood and severity?

Accepted Answer

Risk Matrix (Heat Map)

Answer

A risk matrix or heat map plots risks on a grid based on probability of occurrence and severity of impact, helping prioritize mitigation efforts.

Question 3

A patient falls and sustains a hip fracture. Under CMS regulations, this event is classified as a:

Accepted Answer

Never event (serious reportable event)

Answer

CMS designates patient falls with serious injury as a 'never event' (serious reportable event), meaning it should not occur with proper care and is not reimbursed.

Question 4

Which principle of risk management focuses on transferring financial risk through contractual arrangements?

Accepted Answer

Risk transfer

Answer

Risk transfer shifts the financial burden of potential losses to another party, typically through malpractice insurance policies or vendor contracts.

Question 5

A nurse executive discovers that informed consent documentation is inconsistently completed before procedures. Which risk management intervention is MOST appropriate?

Accepted Answer

Develop a standardized informed consent checklist and audit compliance

Answer

A standardized checklist with compliance auditing ensures consistent documentation, reduces legal liability, and protects patient rights across all procedure types.

Nurse Executive Test Practice Test

Nurse Executive Test Practice Test

Nurse Executive Test Risk Assessment & Management 3