PNC Quality Assurance & Standards 2 — Questions and Answers
Question 1: Which organization publishes the foundational Scope and Standards of Practice that parish nurses use to benchmark their care quality?
- American Nurses Association (ANA) (Correct answer)
- Joint Commission on Accreditation
- National League for Nursing
- Centers for Medicare & Medicaid Services
Correct answer: American Nurses Association (ANA)
The ANA, in collaboration with the Health Ministry Association, publishes the Scope and Standards of Practice for faith community nursing.
Question 2: A parish nurse wants to measure whether her blood pressure screening program is effective. Which quality indicator is MOST direct?
- Number of screenings conducted
- Percentage of participants achieving controlled BP at 6-month follow-up (Correct answer)
- Number of educational handouts distributed
- Total hours spent on the program
Correct answer: Percentage of participants achieving controlled BP at 6-month follow-up
Outcome indicators like controlled blood pressure at follow-up directly measure the health impact of the intervention.
Question 3: What does a 'process standard' evaluate in faith community nursing quality assurance?
- The health status of congregants before the program starts
- How nursing care activities are carried out (Correct answer)
- The physical resources available to the parish nurse
- The number of congregants served annually
Correct answer: How nursing care activities are carried out
Process standards evaluate how care is delivered, such as whether assessment, planning, and intervention follow accepted protocols.
Question 4: During a quality review, a parish nurse finds that only 40% of home visit notes are completed within 24 hours per policy. The BEST next step is to:
- Accept the current rate as a baseline and monitor annually
- Identify barriers to timely documentation and develop an improvement plan (Correct answer)
- Eliminate the 24-hour documentation requirement
- Report all non-compliant nurses to the health board
Correct answer: Identify barriers to timely documentation and develop an improvement plan
Quality improvement requires identifying root causes of gaps and creating structured plans to address them.
Question 5: Which ethical principle is MOST directly supported by quality assurance activities in parish nursing?
- Autonomy
- Justice
- Nonmaleficence (Correct answer)
- Fidelity
Correct answer: Nonmaleficence
Quality assurance helps ensure care does not harm congregants, directly upholding the principle of nonmaleficence (do no harm).
Question 6: A faith community nursing program decides to use the Donabedian model for quality assessment. Which triad does this model evaluate?
- Prevention, Treatment, Rehabilitation
- Structure, Process, Outcome (Correct answer)
- Assessment, Planning, Evaluation
- Input, Throughput, Output
Correct answer: Structure, Process, Outcome
Donabedian's model evaluates quality through three lenses: the structure of care, the processes of care, and the outcomes of care.
Question 7: A parish nurse documents a congregant's refusal of a referral to mental health services. This documentation PRIMARILY serves which quality assurance purpose?
- Billing and reimbursement
- Legal accountability and continuity of care (Correct answer)
- Statistical reporting to the denomination
- Infection control tracking
Correct answer: Legal accountability and continuity of care
Documenting informed refusal protects legal accountability and ensures future caregivers understand the congregant's stated wishes.
PNC Quality Assurance & Standards 2
Which organization publishes the foundational Scope and Standards of Practice that parish nurses use to benchmark their care quality?