NAHQ CPHQ Exam (Latest 2023/ 2024 Update) Questions and Verified Answers with Rationales| 100% Correct| Grade A
NAHQ CPHQ Exam (Latest 2023/ 2024
Update) Questions and Verified Answers with
Rationales| 100% Correct| Grade A
Q: For a quality improvement team to deal effectively with conflict, it is important to appoint
which of the following to its membership?
A. risk manager
B. human resources representative
C. facilitator
D. senior leader
Answer:
RATIONALES:
A. A risk manager's role would not necessarily deal with conflict within a quality improvement
team.
B. A human resources representative handles staffing issues, but not necessarily conflict, within
a team.
C. A facilitator is an unbiased party that may help groups deal with conflict.
D. A senior leader's role would not necessarily deal with conflict within a quality improvement
team.
Q: A Failure Mode and Effects Analysis (FMEA) is performed
A. to immediately investigate an incident that occurred.
B. as a preventative measure before an incident occurs.
C. if the severity of an incident led to a patient death.
D. when there is a chance of an incident reoccurring.
Answer:
RATIONALES:
A. The FMEA process is performed before an incident occurs.
B. The FMEA process is a proactive, systematic method of identifying and preventing incidents
from occurring.
C. The FMEA process examines severity, but before an incident or a death occurs.
D. The FMEA process examines the likelihood of occurrence, but before an incident occurs.
Q: Which of the following best describes an organizational vision statement?
A. It is used as a marketing strategy.
B. It defines the structure of the institution.
C. It describes the organization's strategic plan.
D. It reflects the organization's aspirations.
Answer:
RATIONALES:
A. The vision statement may be used for marketing purposes, but it does not define marketing
strategies.
B. The structure of the institution is not defined in the vision statement.
C. The strategic plan is not part of an organization's vision statement.
D. Vision is the image or description of what the organization desires to become.
Q: The most effective way for a healthcare quality professional to communicate quality
improvement activities to the medical staff is by
A. developing professional relationships.
B. inviting medical staff to an inservice on quality tools.
C. evaluating physician participation on quality teams.
D. providing outcome data at medical staff meetings.
Answer:
RATIONALES:
A. Relationships are needed, but they are not the most effective way to communicate quality
improvement activities.
B. Inviting medical staff to an inservice does not ensure attendance.
C. Evaluating participation is not a communication tool.
D. Outcome data communicates objective feedback to medical staff.
Q: Quality improvement team progress is best evaluated by which of the following?
A. team leader
B. senior leadership
C. PDCA process
D. nominal group technique
Answer:
RATIONALES:
A. The team leader may be biased and is not the best source for team evaluations.
B. Senior leadership is not usually involved in evaluating a team.
C. The Plan, Do, Check, Act process is a comprehensive methodology used to conduct
performance improvement activities, including the analysis of progress.
D. The nominal group technique is a group decision-making process for generating a large
number of ideas where each member works individually. This technique would not be helpful in
evaluating team progress.
Q: To reduce the incidence of ventilator-associated pneumonia (VAP) in a critical care unit,
who should be included on a quality improvement team?
A. intensivist, ICU nurse, and respiratory therapist
B. primary care physician, infection control nurse, and surgeon
C. ICU manager, respiratory therapist, and pharmacist
D. pharmacist, intensivist, and infection control nurse
Answer:
RATIONALES: A. Intensive-care medicine or critical-care medicine is concerned with the
provision of life support or organ support systems in patients who are critically ill and who
usually require intensive monitoring. In this scenario, the healthcare quality professional would
involve staff that would most commonly be related to the care of a patient with VAP. The
involvement of the intensivist, ICU nurse, and respiratory therapist would be considered
common, and would comprise the ideal and appropriate team to care for a patient with VAP.
B. While the primary care physician may be involved, it is not common practice for the infection
control nurse/preventionist to be involved in the
daily care of a patient with VAP.
C. While the ICU manager and pharmacist could be involved in the care of a patient with VAP,
they would not be ideal members of a quality improvement team.
D. While the pharmacist, intensivist, and infection control nurse/practitioner could be part of the
VAP quality improvement team, this response is not ideal as it does not include the respiratory
therapist or ICU nurse.
Q: A team has identified a process for improvement, selected examples of best practice
performers, visited those sites, gathered all necessary data, and compiled the results. The most
effective next step for the team is to
A. identify the next process to benchmark.
B. implement change at the team's site.
C. compare results to historical data.
D. make the results public for others to use for benchmarking.
Answer:
RATIONALES:
A. The first issue has not been resolved. It needs to be addressed before moving on to the next
process.
B. Implementation is the next step in the performance improvement cycle.
C. All necessary data have already been compiled.
D. The process has not been completed, so there is nothing to share at this point.
Q: A continuous quality improvement organization promotes vigorous education and
training/retraining in order to
A. restructure internal jobs.
B. reduce the need for competency testing.
C. promote harmony within the organization.
D. acquire new knowledge and new skills.
Answer:
RATIONALES:
A. The purpose of continuous quality improvement within an organization is to reduce risks and
improve the quality of care and patient safety. Restructuring internal jobs would not be a result
of a highly reliable organization with a continuous quality improvement program and processes.
B. Continuous Quality Improvement (CQI) is a process of creating an
environment in which management and workers strive to create constantly improving quality. A
successful quality improvement program is one that inspires people to learn, but still requires
competency testing.
C. Promoting harmony is not a goal of continuous quality improvement.
D. As the stem of the question identifies a component of continuous quality improvement as one
that promotes education and training, this will yield new knowledge and skills.
Q: Which of the following is essential to an effective quality council?
A. involvement of leadership
B. consultation of the legal advisor
C. participation of the strategic planning committee
D. direction from the organization's quality department
Answer:
RATIONALES:
A. Leadership involvement promotes an effective quality council through resource and support
allocation to achieve objectives.
B. A legal advisor is not commonly a member of a quality council.
C. A strategic planning committee is not commonly a component of a quality council.
D. The quality department may provide input, but not necessarily direction, to a quality council.
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