CPHQ無料更新100%試験合格率保証 [2025]
[2025年05月] 認証されたNAHQ試験問題集でCPHQ試験学習ガイド
CPHQ試験は、医療の品質管理に関連する広範なトピックを扱っており、医療規制および標準、品質改善手法、データ分析および管理、および患者安全性を含みます。この試験は、候補者のこれらの分野における知識とスキルを評価するために設計されており、試験に合格するには、医療品質管理の主要な概念と原則を包括的に理解する必要があります。
質問 # 113
Which of the following monitors provides patient outcome information?
- A. Degree of compliance with nursing care documentation
- B. Nosocomial infection rate
- C. Degree of compliance with renewal of antibiotics therapy
- D. Equipment malfunction rate
正解：B
質問 # 114
Measurement of variation in health care and its application to quality improvement must begin with the identification and articulation of (Choose two):
- A. Understanding true variation versus artifact or statistical error
- B. What is to be measured?
- C. The standard against which is to be compared a process based on extensive research, trial and error and collaborative discussion
- D. Assignable variation
正解：C、D
質問 # 115
The primary purpose of practice guidelines is to
- A. minimize variations.
- B. decrease the length of stay.
- C. document outcomes.
- D. decrease malpractice premiums.
正解：A
解説：
The primary purpose of practice guidelines is to minimize variations in care. By standardizing care processes and treatment protocols, practice guidelines help ensure that patients receive consistent and evidence-based care, regardless of the provider or location. This reduces the risk of errors, improves patient outcomes, and enhances the overall quality of care.
* Decrease malpractice premiums (A): While standardized care can reduce malpractice risks, this is not the primary purpose of practice guidelines.
* Document outcomes (C): Practice guidelines are used to standardize care, not specifically to document outcomes.
* Decrease the length of stay (D): Guidelines may help reduce the length of stay by promoting efficient care, but this is not their primary purpose.
References
* NAHQ Body of Knowledge: Practice Guidelines and Standardization
* NAHQ CPHQ Exam Preparation Materials: Purpose and Implementation of Guidelines
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質問 # 116
All the evaluations of quality of care can be classified in terms of one three aspects of care giving they measure.
Which of the following is/are NOT out of these measures?
- A. Output
- B. Structure
- C. Process
- D. Cutbas
正解：A、D
質問 # 117
For cheing the outcomes our focus of attention is blood pressure of patients with diabetes.
Its criteria and standard can be respectively:
- A. Criterion: Sugar level in blood on daily basis and Standard: How many times sugar level rises and how many times it declines in a week
- B. None of these
- C. Criterion: Percentage of post heart attack patients prescribed beta-bloers on discharge and Standard:
At least 96% of heart attack patients receive a beta-bloer prescription on discharge - D. Criterion: Percentage of patients with diabetes whose blood pressure is at or below 130/85 and Standard: At least 50% of patients with diabetes have blood pressure at or below 130/85
正解：D
質問 # 118
There are many different control charts. However, it its initial efforts, the average facility can manage with only four.
Which of the following is/are NOT out of those?
- A. Pie chart
- B. Individual values and moving range chart
- C. X-bar and S chart
- D. U-chart
正解：A
質問 # 119
Employees involved in quality circles are encouraged to develop ideas for improvement or request management
efforts to propose solutions for adoption. The aims of the quality circle activities are all of the following EXCEPT:
- A. Contribute to the improvement and development of the enterprise
- B. Respect human relations and build a workshop offering job satisfaction
- C. Deploy human capabilities fully and draw out infinite potential
- D. Avoid sharing o optional measures
正解：D
質問 # 120
A physician's profile shows a 4%readmissionrate following outpatient gallbladder surgery, which Is significantly higher than the rate for their peers.
What action should the quality professional take next?
- A. Review a sampleof recent individual cases of the physician's readmissions.
- B. Report the surgeon to the medical board.
- C. Review the physician's privileges against the procedures performed.
- D. Compare the physician'sreadmissionrate with peer physicians.
正解：A
解説：
When a physician's readmission rate is significantly higher than their peers, the next step for a quality professional should be to review a sample of recent individual cases of the physician's readmissions (Option D). This will help identify any patterns or issues that could be contributing to the higher readmission rate12.
Reporting the surgeon to the medical board (Option A) is a drastic step that should only be taken if there is evidence of serious misconduct or incompetence. Reviewing the physician's privileges against the procedures performed (Option B) could be useful, but it would not directly address the issue of the high readmission rate.
Comparing the physician's readmission rate with peerphysicians (Option C) has already been done, as stated in the question. Therefore, the most appropriate next step is to review individual cases to gain a deeper understanding of the reasons for the high readmission rate345.
質問 # 121
Baldrige's scoring system is based on a __________point scale. Each of seven criteria is assigned maximum value ranging from 85 to 450 maximum points.
- A. 2000-point scale
- B. 1000-point scale
- C. 1500-point scale
- D. 500 points
正解：B
質問 # 122
Efficiency refers how well resources are used in achieving a given result. Efficiency whenever the resources used to produce a given output are _____________.
- A. Increases, increased
- B. It is truly situation dependent
- C. Improves, reduced
- D. Reduces, reduced
正解：C
質問 # 123
Which of the following is the relationship between clinical outcomes and patient satisfaction? Besides measuring
morbidity and mortality, this management takes into account the quality of healthcare received from the patient's
perspective.
- A. Outcome management
- B. Benchmarking
- C. Clinical pathways
- D. Outcome measures
正解：B
質問 # 124
Interpersonal relationships are the fundamental part of a management system. They basically coordinate activities of
different departments in a unit. What is the role of Interpersonal relationships in Healthcare delivery systems?
- A. None of the above
- B. It relates to Medical Ethics
- C. Clinicians who relate well to their patients are more likely to elicit a more complete and accurate history from their
patients - D. Promotion of cordial relationships
正解：C
質問 # 125
Experts on delivering superior customer service suggest that healthcare organizations adopt the following principle/s (Choose three):
- A. Hire service-savvy people. Aptitude is everything, people can be taught technical skills
- B. Help staff cope better is a stressful atmosphere
- C. Maintain a focus on facilities
- D. Establish high standards of customer service
正解：A、B、D
質問 # 126
The distinction between inpatient and outpatient data is an important consideration in planning the data collection
process because:
- A. Approaches to data collection may be different
- B. The data sources may be different
- C. Both A & B
- D. Mixing of data may or may not be reliable
正解：C
質問 # 127
A patient safety manager is asked to recommend the best action to reduce medication errors at a hospital.
Which of the following is the most appropriate next step?
- A. Conduct research on implementation of a bar code medication administration system.
- B. Ask the unit managers to counsel staff following medication errors.
- C. Drill down on the data to identify trends before making recommendations.
- D. Re-educate the nursing staff on correct medication administration procedures.
正解：C
解説：
The most appropriate next step for the patient safety manager in reducing medication errors is to drill down on the data to identify trends before making recommendations. Understanding the underlying causes and patterns of medication errors through data analysis is essential for developing targeted and effective interventions. By identifying trends, the safety manager can focus on the specific areas that need improvement, ensuring that any actions taken are evidence-based.
* Re-educate the nursing staff on correct medication administration procedures (A): Education may be necessary but should be informed by an understanding of the root causes of errors.
* Conduct research on implementation of a bar code medication administration system (B): This could be a potential solution, but it should follow a thorough analysis of error trends.
* Ask the unit managers to counsel staff following medication errors (C): This addresses individual errors but does not tackle systemic issues that may be identified through data analysis.
References
* NAHQ Body of Knowledge: Data Analysis in Patient Safety
* NAHQ CPHQ Exam Preparation Materials: Medication Error Reduction Strategies
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質問 # 128
An organization Is evaluating the data used to measure compliance with medication reconciliation by clinic.
Three abstractors have been assigned to collect the data. The compliance data by abstractor and unit are below:
Based on this table, which of the following Is the best next step to evaluate accuracy and reliability ol the data?
- A. Study best practices In Clinic D.
- B. Develop a corrective action plan for Clinic B.
- C. Implement an interrater reliability process.
- D. Educate Abstractor 1 and Abstractor 3 on data collection.
正解：C
解説：
The table shows the compliance data by three different abstractors across four clinics. There is a noticeable variation in the data collected by different abstractors for the same clinic.
According to NAHQ's resources, ensuring data accuracy and reliability is crucial in healthcare quality. One of the ways to achieve this is through an interrater reliability process, which assesses the degree of agreement among raters or evaluators.
Implementing an interrater reliability process will help in evaluating if the variations are due to errors or actual differences in compliance levels. It ensures that the data collected is consistent and reliable across all abstractors.
Educating Abstractor 1 and 3 or developing a corrective action plan for Clinic B might be necessary steps later on, but without first establishing the reliability of the data through an interrater reliability process, it would be premature to take these steps.
Studying best practices in Clinic D could be beneficial but does not directly address the issue of data accuracy and consistency among different abstractors.
質問 # 129
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