W/L Ch 18 Culture of Safety Quiz Flashcards

1
Q

The new accreditation program initiated by the American Society for Radiation Oncology (ASTRO) aims to improve departmental __________________.

a. cost effectiveness
b. reliability
c. accountability
d. professionalism

A

c. accountability

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2
Q

ASTRO accreditation program assesses radiation oncology departments using _____ standards.

a. 5
b. 7
c. 14
d. 16

A

d. 16

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3
Q

The appropriate management of change efforts facilitates which of the following?
I. Improved procedures
II. Staff development as leaders
III. Positive clinical outcomes

a. I, III
b. I, II
c. II, III
d. All of the above

A

d. All of the above

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4
Q

A culture of safety in the radiation oncology department requires the participation of which of the following?
I. Physicians
II. Physicists
III. Radiation therapists

a. I, II
b. II, III
c. I, III
d. All of the above

A

d. All of the above

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5
Q

According to Kotter, which of the following would be a characteristic of successful implementation of change?

a. Dictatorship-style leadership
b. Clear communication of vision and strategy
c. Divisions of labor among staff and management
d. Division of labor among physicians and technical staff

A

b. Clear communication of vision and strategy

Kotter suggests that leadership must first develop a high sense of urgency for change. Then vision and strategy need to be drafted and clearly communicated.

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6
Q

Transformational leadership focuses on which of the following?

a. Interactions between leaders and followers
b. Relationship between leaders and followers
c. Rewards for positive behaviors and punishment for negative behaviors
d. Relationship and interactions between leaders and followers

A

b. Relationship between leaders and followers

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7
Q

Transactional-transformational leadership (TTL) focuses on which of the following?

a. Interactions between leaders and followers
b. Relationship between leaders and followers
c. Reward for positive behaviors and punishment for negative behaviors
d. Relationship and interactions between leaders and followers

A

d. Relationship and interactions between leaders and followers

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8
Q

Transformational leaders likely focus on the ______________.

a. tasks to be completed
b. methods for completing tasks
c. rationale for tasks
d. reward and punishment

A

c. rationale for tasks

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9
Q

Which of the following characteristics is least reflective of a good leader?

a. Readily receives criticism
b. Listens well
c. Inspires others
d. Promotes standardization

A

d. Promotes standardization

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10
Q

According to Harold Freudenberger, physical signs of burnout would not include which of the following?

a. Headaches
b. Insomnia
c. Fatigue
d. Alopecia

A

d. Alopecia

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11
Q

Place the three levels of burnout in progressive order.
I. Depersonalization
II. Emotional exhaustion
III. Reduced personal accomplishment

a. I, II, III
b. II, III, I
c. II, I, III
d. III, II, I

A

c. II, I, III

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12
Q

A therapist who seems cynical toward coworkers and patients may be experiencing burnout at the level known as ______________________.

a. emotional exhaustion
b. depersonalization
c. reduced personal accomplishment
d. occupational stress

A

b. depersonalization

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13
Q

Regular safety rounds may be instituted by a department in order to do which of the following?

a. Discuss items needed to perform tasks successfully.
b. Improve interpersonal and organizational communication.
c. Report various issues noticed during the day.
d. Evaluate the quality of work by others.

A

a. Discuss items needed to perform tasks successfully.

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14
Q

The main objective of peer review activities is to __________________________.

a. break down hierarchy
b. enhance quality of performance
c. improve the quality of decisions made during patient setup
d. evenly distribute the workload

A

b. enhance quality of performance

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15
Q

The step in the plan-do-study-act improvement cycle associated with making adjustments to address a problem is the ______________ step.

a. plan
b. do
c. study
d. act

A

d. act

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16
Q

Which of the following would be a key driving force for the
development of staff exhibiting “initiating” and “enhancing” behaviors during culture change efforts?
a. Positive feedback
b. Low staff levels
c. Burdensome reporting system
d. Limited access to training

A

a. Positive feedback

17
Q

Which of the following would be a key restraining force in the development of staff exhibiting initiating and enhancing behaviors during culture change efforts?

a. Positive feedback
b. Pressure to conform
c. Job-related autonomy
d. Accountability

A

b. Pressure to conform

18
Q

One tool used to show problem areas leading to potential solutions is a graph showing the range of data collected. Data would be displayed in a _____________________.

a. fishbone graph
b. Pareto graph
c. histogram
d. control chart

A

c. histogram

19
Q

Which of the following is one tool used to depict how different processes change over time?

a. Fishbone diagram
b. Control chart
c. Pareto chart
d. Histogram

A

b. Control chart