Question 1

As the manager on an acute care medical unit, you note that the incidence of medication errors has increased since the implementation of staffing changes.What is an important stratagem to reduce errors?

Accepted Answer

A)  Revisit reporting standards for medication errors in your organization.
B)  Ensure that medication errors are consistently reported.
C)  Provide staff with additional education related to safe practice in medication administration.
D)  Involve RN staff in determining reasons for errors and practice solutions to increase the safety of medication administration.E) B) and D)
F) A) and B) D

Question 2

After consulting with practice environments about quality and safety concerns in health care, a dean in a health care program implements what to improve quality and safety in health care?

Accepted Answer

A)  A nursing program that emphasizes the development of a strong disciplinary identity.
B)  Programming that stresses discipline-based research.
C)  Partnerships with health care to develop software for the reporting of adverse events.
D)  An interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams.E) None of the above
F) A) and B)

Question 3

The NQF provides a model for advancement of healthcare quality that could be used in healthcare organizations.What does the use of this model by the Centers for Medicare and Medicaid Services specificity link with adverse patient events for healthcare facilities?

Accepted Answer

A)  Staffing
B)  Funding
C)  Composition of executive councils
D)  Composition of consumer-based councilsE) All of the above
F) C) and D)

Question 4

What would be the primary emphasis in designing and implementing a quality, safe healthcare environment?

Accepted Answer

A)  Evidence-based practice
B)  Informatics
C)  Staffing
D)  The patientE) B) and D)
F) A) and B)

Question 5

You notice that Sally, a student on your unit, is giving information to an anxious young teen who seems very uncertain about preparation for an upper GI series.After Sally leaves the room, you ask her how she thought her conversation with the patient.What is the appropriate response for you to give Sally?

Accepted Answer

A)  Encourage her to ask the patient if he has questions or concerns about the procedure.
B)  Advise her to consider providing the patient with more information.
C)  Suggest that she leave some brochures on the procedure with the patient.
D)  Suggest that she also provide teaching to the adolescent's parents.E) All of the above
F) B) and C)

Question 6

As a nurse manager on the West Surgery Unit, you are interested in increasing patient safety and reducing morbidity and mortality on your unit.What recommendations would be consistent with the IOM The Future of Nursing report?

Accepted Answer

A)  Careful screening of nursing staff for substance use and abuse
B)  Increased RN staffing on the unit
C)  Salary and benefits that reflect nursing accountabilities
D)  Increase in the percentage of baccalaureate-prepared nurses to 80%E) A) and B)
F) A) and C)

Question 7

What patients would be considered "at risk" consumers during a healthcare visit? (Select all that apply.)

Accepted Answer

A)  Clyde requires an anticoagulant.He tells the nurse about his medications.He does not include an herbal supplement.
B)  George is very shy and withdrawn.He asks the nurse to leave him alone.
C)  Sarah is a new parent who finds that nurses on the children's unit are very helpful.She is eager to accept all suggestions, including those that she does not yet understand.
D)  Claude is booked for bowel surgery.His doctor explains about the colostomy.Later, Claude tells his wife that he really doesn't know what the doctor meant by colostomy.E) B) and C)
F) A) and D)

Question 8

The nurse is educating older adult patients on staying safe in the healthcare system.What information does the nurse include in the teaching?

Accepted Answer

A)  The need to understand and record all medications being taken.
B)  Bringing their own linens and other personal items to the hospital.
C)  Washing hands frequently while in a healthcare environment and using a hand sanitizer.
D)  Following closely the directions and orders of healthcare providers.E) A) and B)
F) None of the above A

Question 9

To achieve Nurse-Sensitive Care Standards developed by the NQF, you advocate for which of the following in your health facility?

Accepted Answer

A)  Evidence-based practice to reduce the prevalence of pressure sores
B)  Implementation of informatics at the bedside
C)  Staff-manager conferences to review reporting of adverse medical events
D)  Patient councils to review food, recreation, and nurse-patient relationsE) C) and D)
F) A) and B)

Question 10

What did the IOM Health Professions Education report highlight as a concern for patient safety?

Accepted Answer

A)  A normal risk in professional practice
B)  A result of disciplinary silos
C)  A reflection of frontline staff
D)  Related to systems errorsE) A) and B)
F) A) and C)

Question 11

How would a nurse manager and the staff prepare for redesignation as a Magnet Hospital?

Accepted Answer

A)  Commit staff resources over a 6-month period to updating procedure manuals.
B)  Educate staff through meetings and training sessions regarding appropriate answers to questions.
C)  Prepare a manual that outlines orientation procedures and ensure that all safety issues are addressed.
D)  Ensure that there are empirical data to support review of patient outcomes, actions taken, and results of actions.E) None of the above
F) A) and B)

Question 12

In an effort to control costs and maximize revenues, the Rehabilitation Unit at Cross Hospital reduced the number of its managers and increased the number of units for which each manager was responsible.Within a year, the number of adverse events on the units had doubled.How do the increase in adverse events relate to decreased managers?

Accepted Answer

A)  The overload of staff nurse duties
B)  Resistance to change by staff
C)  A change in reporting system for everyone
D)  Fewer clinical leaders facilitate best practiceE) A) and D)
F) C) and D) D

Question 13

On the West Surgery unit, you want to institute a new system for checking armbands that evidence suggests may increase safety in medication administration.The system involves technology.What strategy may assist with rapid adoption of the technology and system?

Accepted Answer

A)  Employ a centralized decision-making approach.
B)  Use simulators for initial practice to build confidence.
C)  Bring in a nurse consultant who is familiar with the technology.
D)  Use early adopters among the staff as leaders and role models in implementation.E) A) and D)
F) A) and C)

Question 14

How would the nurse executive begin to increase safety in patient care areas of the Valley Hospital?

Accepted Answer

A)  Asking the community what the safety issues are
B)  Consulting with a management expert about staffing schedules
C)  Ensuring that the senior nursing officer attends the board meetings
D)  Instituting improved practices to reduce needlestick injuriesE) A) and B)
F) A) and C)

Question 15

A client requires an appendectomy.The surgeon explains the procedure and asks the client to sign the consent.The patient speaks very little English and looks worried.What is the appropriate action by the nurse?

Accepted Answer

A)  Suggest that an interpreter explain the procedure to the client and answer any questions.
B)  Ask the client if he has any questions.
C)  Draw a picture to show the incision.
D)  Not intervene.E) B) and D)
F) All of the above

Question 16

Sarah is a second-year nursing student.The clinical instructor overhears Sarah telling a patient that she "always" checks patients' bracelets before giving medication and she is not sure how the nurses on the unit "get away with" not making more errors than they do.The clinical instructor pulls Sarah aside and explores with her how her communication might affect the patient and what it reflects about her beliefs related to the team.What competency does this action outline?

Accepted Answer

A)  QSEN
B)  IHI
C)  DNV/NIAHO
D)  AHRQE) All of the above
F) C) and D)

Question 17

What does the SBAR approach to patient safety encourage?

Accepted Answer

A)  Consistency in assessment and practices
B)  Continuing education
C)  Multidisciplinary approaches
D)  Patient feedbackE) A) and D)
F) All of the above

Question 18

What facilitate the development of decision-making skills related to safe patient care for a nurse manager?

Accepted Answer

A)  Regular reflection on decisions
B)  A culture of perfectionism
C)  Recognition of who should be held responsible for individual errors
D)  A culture of trust between the staff and youE) B) and C)
F) C) and D)

Question 19

What would managers and staff review annually in order to ensure compliance with The Joint Commission (TJC)  to improve patient safety?

Accepted Answer

A)  Appropriateness of charting terms and abbreviations
B)  Nursing hours per patient
C)  Acuity of patient admissions
D)  Wait times for careE) A) and B)
F) A) and C)

Question 20

Mary, an 85-year-old patient with cognitive impairment and gross instability, wanders continuously.Lately, she has fallen twice, and the family demands that she be restrained.As the unit manager, you have initiated a least restraint practice.What is an appropriate action in this situation?

Accepted Answer

A)  Setting up a nursing team meeting to review practices
B)  Calling the family to inform them of the practice
C)  Initiating a multidisciplinary and family meeting to focus on Mary's needs
D)  Restraining Mary to satisfy the family's wishesE) A) and C)
F) All of the above

Exam 2: Clinical Safety: The Core of Leading, Managing, and Following

As the manager on an acute care medical unit, you note that the incidence of medication errors has increased since the implementation of staffing changes.What is an important stratagem to reduce errors?

Correct Answer
verified
D

After consulting with practice environments about quality and safety concerns in health care, a dean in a health care program implements what to improve quality and safety in health care?

Correct Answer
verified

The NQF provides a model for advancement of healthcare quality that could be used in healthcare organizations.What does the use of this model by the Centers for Medicare and Medicaid Services specificity link with adverse patient events for healthcare facilities?

Correct Answer
verified

What would be the primary emphasis in designing and implementing a quality, safe healthcare environment?

Correct Answer
verified

Correct Answer
verified

As a nurse manager on the West Surgery Unit, you are interested in increasing patient safety and reducing morbidity and mortality on your unit.What recommendations would be consistent with the IOM The Future of Nursing report?

Correct Answer
verified

What patients would be considered "at risk" consumers during a healthcare visit? (Select all that apply.)

Correct Answer
verified

The nurse is educating older adult patients on staying safe in the healthcare system.What information does the nurse include in the teaching?

Correct Answer
verified
A

To achieve Nurse-Sensitive Care Standards developed by the NQF, you advocate for which of the following in your health facility?

Correct Answer
verified

What did the IOM Health Professions Education report highlight as a concern for patient safety?

Correct Answer
verified

How would a nurse manager and the staff prepare for redesignation as a Magnet Hospital?

Correct Answer
verified

Correct Answer
verified
D

On the West Surgery unit, you want to institute a new system for checking armbands that evidence suggests may increase safety in medication administration.The system involves technology.What strategy may assist with rapid adoption of the technology and system?

Correct Answer
verified

How would the nurse executive begin to increase safety in patient care areas of the Valley Hospital?

Correct Answer
verified

A client requires an appendectomy.The surgeon explains the procedure and asks the client to sign the consent.The patient speaks very little English and looks worried.What is the appropriate action by the nurse?

Correct Answer
verified

Correct Answer
verified

What does the SBAR approach to patient safety encourage?

Correct Answer
verified

What facilitate the development of decision-making skills related to safe patient care for a nurse manager?

Correct Answer
verified

What would managers and staff review annually in order to ensure compliance with The Joint Commission (TJC) to improve patient safety?

Correct Answer
verified

Mary, an 85-year-old patient with cognitive impairment and gross instability, wanders continuously.Lately, she has fallen twice, and the family demands that she be restrained.As the unit manager, you have initiated a least restraint practice.What is an appropriate action in this situation?

Correct Answer
verified

Exam 2: Clinical Safety: The Core of Leading, Managing, and Following

As the manager on an acute care medical unit, you note that the incidence of medication errors has increased since the implementation of staffing changes.What is an important stratagem to reduce errors?

Correct AnswerverifiedD

After consulting with practice environments about quality and safety concerns in health care, a dean in a health care program implements what to improve quality and safety in health care?

Correct AnswerverifiedShow Answer

The NQF provides a model for advancement of healthcare quality that could be used in healthcare organizations.What does the use of this model by the Centers for Medicare and Medicaid Services specificity link with adverse patient events for healthcare facilities?

Correct AnswerverifiedShow Answer

What would be the primary emphasis in designing and implementing a quality, safe healthcare environment?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

As a nurse manager on the West Surgery Unit, you are interested in increasing patient safety and reducing morbidity and mortality on your unit.What recommendations would be consistent with the IOM The Future of Nursing report?

Correct AnswerverifiedShow Answer

What patients would be considered "at risk" consumers during a healthcare visit? (Select all that apply.)

Correct AnswerverifiedShow Answer

The nurse is educating older adult patients on staying safe in the healthcare system.What information does the nurse include in the teaching?

Correct AnswerverifiedA

To achieve Nurse-Sensitive Care Standards developed by the NQF, you advocate for which of the following in your health facility?

Correct AnswerverifiedShow Answer

What did the IOM Health Professions Education report highlight as a concern for patient safety?

Correct AnswerverifiedShow Answer

How would a nurse manager and the staff prepare for redesignation as a Magnet Hospital?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedD

On the West Surgery unit, you want to institute a new system for checking armbands that evidence suggests may increase safety in medication administration.The system involves technology.What strategy may assist with rapid adoption of the technology and system?

Correct AnswerverifiedShow Answer

How would the nurse executive begin to increase safety in patient care areas of the Valley Hospital?

Correct AnswerverifiedShow Answer

A client requires an appendectomy.The surgeon explains the procedure and asks the client to sign the consent.The patient speaks very little English and looks worried.What is the appropriate action by the nurse?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

What does the SBAR approach to patient safety encourage?

Correct AnswerverifiedShow Answer

What facilitate the development of decision-making skills related to safe patient care for a nurse manager?

Correct AnswerverifiedShow Answer

What would managers and staff review annually in order to ensure compliance with The Joint Commission (TJC) to improve patient safety?

Correct AnswerverifiedShow Answer

Mary, an 85-year-old patient with cognitive impairment and gross instability, wanders continuously.Lately, she has fallen twice, and the family demands that she be restrained.As the unit manager, you have initiated a least restraint practice.What is an appropriate action in this situation?

Correct AnswerverifiedShow Answer

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D

Correct Answer
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Correct Answer
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A

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D

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