1. Management and Communication
Chapter 7
13 questions on CIC

2. The Safe Medical Device Act (SMDA) falls under which U. S
The Safe Medical Device Act (SMDA) falls under which U.S. federal program?
Centers for Disease Control and Prevention (CDC)
Food and Drug Administration (FDA)
National Institutes of Health (NIH)
Agency for Healthcare Research and Qualities (AHRQ)

3. Food and Drug Administration (FDA)
The Safe Medical Device Act (SMDA) falls under which U.S. federal program?
Food and Drug Administration (FDA)
References: APIC Text, 4th edition, Chapter 4 – Accrediting and Regulatory Agencies

4. The Joint Commission standards for infection prevention and control include all of the following, except:
Collaboration of representatives from relevant components and functions within the organization in the implementation of the program
Effective management of the infection prevention and control program
Minimizing the risk for development of an healthcare- associated infection (HAI) through an organization-wide infection prevention program
Specific staffing requirement of one infection preventionist (IP) for every 100 beds in the facility

5. References: APIC Text, 4th edition, Chapter 9 – Staffing
The Joint Commission standards for infection prevention and control include all of the following, except:
Specific staffing requirement of one infection preventionist (IP) for every 100 beds in the facility
References: APIC Text, 4th edition, Chapter 9 – Staffing
The Joint Commission Five Standards
Minimizing the risk for development of an HAI through an organization-wide infection prevention program
Identification of risk for the acquisition and transmission of infections agents on an ongoing basis
Effective management of the infection prevention and control program
Collaboration of representatives from relevant components and functions within the organization in the implementation of the program
Allocation of adequate resources to infection prevention and control programs

6. A number of research studies have examined the relationship between nurse staffing levels and the risk of HAIs in the hospital setting. Which of the following statements has not been supported by the literature?
Patients in an intensive care unit (ICU) with lower levels of nurse staffing had an increased risk for ventilator-associated pneumonia
The use of nonpermanent staff significantly increases a patient’s infection risk
A specific evidence-based nurse staffing level benchmark has been determined that is associated with decreased risk for HAI
There is a relationship between adequate numbers of direct care providers (nurses) and the likelihood that CDC guidelines will be followed

7. A number of research studies have examined the relationship between nurse staffing levels and the risk of HAIs in the hospital setting. Which of the following statements has not been supported by the literature?
c) A specific evidence-based nurse staffing level benchmark has been determined that is associated with decreased risk for HAI
References: APIC Text, 4th edition, Chapter 9 – Staffing

8. Human factor limitations that contribute to errors include:
Overdependence on multitasking skills
Permanent night shifts
Limited memory capacity
Stress, fatigue, and sensory overload
1, 2, 3
2, 3, 4
1, 3, 4
1, 2, 4 Q

9. Human factor limitations that contribute to errors include:
Overdependence on multitasking skills
3. Limited memory capacity
4. Stress, fatigue, and sensory overload
c) 1, 3, 4
References: APIC Text, 4th edition, Chapter 18 – Patient Safety Q

10. The Institute for Healthcare Improvement uses the Model for Improvement- a two-part model designed to accelerate improvement for healthcare processes and outcomes. What are the key component areas of this model?
Setting aims, establishing measures, selecting changes
Plan-do-study-act
Contemplation, action, termination
Perceived seriousness and cues to action
1,2; b) 2,3; c) 3,4; d) 1,4

11. The Institute for Healthcare Improvement uses the Model for Improvement- a two-part model designed to accelerate improvement for healthcare?
Setting aims, establishing measures, selecting changes
Plan-do-study-act
1,2
References: Institute for Healthcare Improvement, Science of Improvement; How to Improve. IHI website, Available at: mprove.aspx; APIC Text, 4th edition, Chapter 1 – Infection Prevention and Control Programs; APIC Text, 4th edition, Chapter 16 – Quality Concepts

12. Failure mode and effects analysis (FMEA) is used to examine adverse events and identify what went wrong and what might prevent it from happening again. Which statement best describes the mode element of FMEA?
The way of operating or using a system or process, or a way or manner in which a thing is done
The results or consequences of an action
The detailed examination of the elements or structure of something-perhaps a process, substance, or situation
Lack of success, nonperformance, nonoccurrence, or breaking down or ceasing to function

13. Failure mode and effects analysis (FMEA) is used to examine adverse events and identify what went wrong and what might prevent it from happening again. Which statement best describes the mode element of FMEA?
The way of operating or using a system or process, or a way or manner in which a thing is done.
References: APIC Text, 4th edition, Chapter 18 – Patient Safety

14. A number of research studies have examined the relationship between nurse staffing levels and the risk of HAIs in the hospital setting. Which of the following statements has not been supported by the literature?
Patients in an intensive care unit (ICU) with lower levels of nurse staffing had an increased risk for ventilator-associated pneumonia
The use of nonpermanent staff significantly increases a patient’s infection risk
A specific evidence-based nurse staffing level benchmark has been determined that is associated with decreased risk for HAI
There is a relationship between adequate numbers of direct care providers (nurses) and the likelihood that CDC guidelines will be followed

15. A number of research studies have examined the relationship between nurse staffing levels and the risk of HAIs in the hospital setting. Which of the following statements has not been supported by the literature?
A specific evidence-based nurse staffing level benchmark has been determined that is associated with decreased risk for HAI
References: APIC Text, 4th edition, Chapter 9 – Staffing

16. Which statement about organizational conflict is correct?
Conflict resolution should focus on people not issues
Openness and transparency by management leads to conflict
Conflict is a natural process within systems and fosters a search for alternatives
Conflict is an immediate sign of dysfunctional work teams

17. Which statement about organizational conflict is correct?
Conflict is a natural process within systems and fosters a search for alternatives
References: APIC Text, 4th edition, Chapter 1 – Infection Prevention and Control Programs; APIC Text, 4th edition, Chapter 16 – Quality Concepts