True/False Unspecific Questions

Question 1

True or False: There are sex differences in how CAUTIs occur.

Answer 1

True

Males get infections from the bag up. Females get infections from the urethra down.

Question 2

True or False: Most people have symptoms of a CAUTI.

Answer 2

False.

Pyuria (pus in urine) is not a reason to test for a UTI. Pus can be caused by other sources (e.g. STI, TB, Kidney stones)

Question 3

True or False: Are CLABSIs and Catheter Associated BSIs subsets of VAD?

Answer 3

True

Question 4

True or False: Colonization of the fluid through the VAD is most common reason for endemic situations.

Answer 4

False.

Colonization of the fluid through the VAD is the most common reason for epidemic situations.

Colonization of the VAD is the most common reason for endemic situations.

Question 5

True/false - Dialysis patients with central venous catheters are allowed to shower with the catheter in.

Answer 5

True - while the catheter should not be submerged or inserted in water, they may shower so long as the insertion site is covered with an impermeable dressing.

Question 6

T/F - pregnant HCPs adhere more closely to recommended SP than non-pregnant individuals

Answer 6

True

Question 7

T/F - Cell-mediated immunity decreases in third trimester in pregnant individuals

Answer 7

True

Question 8

T/F - pregnant women are recommended to get MMR, varicella if they are not immune.

Answer 8

False. They can only get non-live vaccines according to the adult immunization schedule.

HPV - no recommendation.
Shingles recommended after pregnancy.

Question 9

T/F - Infections are the number 1 reason for transferring LTCF residents to the hospital

Answer 9

True - 33% of all transfers.

Question 10

T/F - Cell-mediated immunity is an immune response that involves antibody production.

Answer 10

False - Involves a provision of phagocytes, antigen specific T-lymphocytes, and the release of cytokines in response to an antigen.

Question 11

T/F - B-cells create antibodies which are are created by a cell-mediated immunity response.

Answer 11

False - B-cells create antibodies which are created by humoral immunity response.

Question 12

T/F - Cytokines, macrophages, and T cell stimulation is caused by the cell-mediated immunity response.

Answer 12

True.

Humoral stimulates B-cell production of antibodies.

Question 13

T/F:

The primary goal of a QAPI program is the widespread adoption of scientific findings into clinical practice to improve patient care and outcomes.

Answer 13

False. This is the primary goal of implementation science.

QAPIs goal is improvement in targeted process or outcome, including prevention of harm

Question 14

T/F:

Conceptual design of QAPI program is a continuous design based on PDSA

Answer 14

True

Implementation science uses engagement, education, execution and evaluation. These are linear steps (bench to bedside), but may have directional feedback

Question 15

T/F:

Implementation science project duration is usually shorter than QAPI project duration.

Answer 15

False: Implementation science is usually longer.

Question 16

T/F:

Common tools of QAPI programs include, audits, checklists, best practice bundles, flow charts

Answer 16

True.

Implementation science common tools include knowledge transfer analysis, adoption of clinical effectiveness studies, qualitative impact studies.

Question 17

T/F:

Measures of success for implementation science include predetermined process and outcome metrics.

Answer 17

False. These are measures for QAPI.

Question 18

T/F:

QAPI measures of success include evaluating changes in clinician behavior that correspond to improvements identified in scientific literature.

Answer 18

False: These are success measure for implementation science.