Quiz Safety, EBP, and Joint Commission

The nurse is describing the "failure to rescue" to a new graduate nurse. Which statement by the new graduate would indicate an understanding of the definition? the inability to prevent death after the development of a complication inadequate training and performance of CPR pointing out nurses who provide reckless care of clients preventing all falls of clients over 65 years old

the inability to prevent death after the development of a complication

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage? 0.2 mg .2 mg 0.20 mg 2.0 mg

0.2 mg

The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of the primary cause of untoward events in the hospital setting? A)"unclear, ineffective communication." B)"unclear chain of communication for reporting." C)"ineffective reporting of the untoward event." D) "lack of consistent supervision of nursing staff."

A)"unclear, ineffective communication."

What is the goal of the Patient Safety and Quality Improvement Act? A)to improve client safety by encouraging voluntary and confidential reporting B)to ensure nurses follow universal protocol C)to ensure physicians treat nurses with respect D)to punish nurses who make serious medication errors

A)to improve client safety by encouraging voluntary and confidential reporting

The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the Situation component? A)The nurse states the patient's name using two identifiers. B)The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today. C)The oncoming nurse acknowledges the info that has been received. D)The nurse states an opinion on what is happening with the patient.

B)The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.

The student nurse is reviewing sentinel events in healthcare. According to the Joint Commission which of the following is considered the main reason for Sentinel Events? Communication errors Ambiguity in responsibilities Conflict among staff Medication errors

Communication errors

How is assertive behavior described? Apologetic Coercive Direct Self-denying

Direct

The nurse is considering strategies to increase nurses' time at the bedside. Which strategies should be included? Select all that apply: Hourly rounding by staff members Supplies in s central location near the nurses station Effectiveness in medication administration Standardized documentation tools Bedside change of shift report

Hourly rounding by staff members Effectiveness in medication administration Standardized documentation tools Bedside change of shift report

The nursing student is studying federal safety legislation. Which of the following is the main goal of the Patient Safety and Quality Improvement Act? Encourage healthcare providers to report errors with tiered retribution based on severity. Improve client safety by encouraging voluntary and confidential reporting of adverse events. Set up a plan of network safety databases to conduct research and development. Force communication about incidence that link workplace stress to healthcare errors.

Improve client safety by encouraging voluntary and confidential reporting of adverse events.

The nurse is reviewing categories for improving client safety. Which categories should the nurse review? Select all that apply: Medication management Surgery on wrong body part Prevention of hospital-related infections Tubing misconnections Facilitating information transfer and clear communication

Medication management Prevention of hospital-related infections Facilitating information transfer and clear communication

The nursing student is studying about root cause analysis (RCA) Which of the following is a critical element in error reporting? Communication is linked to increased errors. Non-punitive action when errors are reported. Errors are documented as person focused. Individuals are encouraged to report near misses.

Non-punitive action when errors are reported.

The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error? Advise the health care provider that the order must be written on the chart within the next 24 hours. Ask the nurse in charge to come to the phone to take the order. Write the order without using any unclear or unapproved abbreviations. Repeat the order, write the order verbatim, and read it back to the provider.

Repeat the order, write the order verbatim, and read it back to the provider.

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? Review the events leading up to each medication administration error. Develop a quality improvement program for nurses involved in medication administration errors. Require staff nurses to demonstrate competency by passing a medication administration examination. Provide an inservice on medication administration to all the nurses.

Review the events leading up to each medication administration error.

Dr. Jones asks you to give a medication to one of his patients, and you know the patient is allergic to it. When you point this out, Dr. Jones says, "Give the medication or I'll report this to your supervisor." What is the best assertive response? Agree to give the medication and hope no one finds out. Say "I won't give the medication, and I don't care who you talk to about it." Walk away and ignore him. Say "Perhaps you and I could talk this over with my supervisor together."

Say "Perhaps you and I could talk this over with my supervisor together."

The new graduate nurse is working to create culture of safety on the unit. What actions will exemplify a culture of safety? Select all that apply: Using the I-SBARR when collaborating with a provider. Using Universal Protocol 3 steps prior to surgery and procedures. Over riding the smart IV pump to save time. Adopt a work around when the system is not functioning to save time. Refusing to be interrupted during medication administration. look at systems and processes to identify areas that need to be changes

Using the I-SBARR when collaborating with a provider. Using Universal Protocol 3 steps prior to surgery and procedures. Refusing to be interrupted during medication administration. look at systems and processes to identify areas that need to be changes

The new graduate nurse is explaining TeamSTEPPS to their preceptor. What would the new graduate describe as TeamSTEPPS? a positive environment which mutual support and clear communication is used the steps needed to gain promotions on the unit teams who identify the highest educated person as the leader the nurse manager identifies nurses on the unit who are stellar examples to be on the team

a positive environment which mutual support and clear communication is used

What is the primary role of The Joint Commission (TJC)? granting magnet status to excellent hospitals. lobbying Congress on behalf of Medicare/Medicaid patients. ensuring medical facilities meet patient safety guidelines. inspecting hospitals for compliance of infection control standards.

ensuring medical facilities meet patient safety guidelines.

What are the factors that contribute to medication errors? Select all that apply: inadequate staffing high nurse-client ratios the use of Computerized Physician/ Provider Entry CPOE overly tired nurses computerized drug monitoring and electronic dispensing systems

inadequate staffing high nurse-client ratios overly tired nurses

The nurse is implementing fall prevention protocol. What would be included in the protocol? thorough and sound assessment of clients abilities and limitations assessment of medication side effects bed and chair alarms placing the client ben is a high position toileting every 2 hours and visual hourly checks

thorough and sound assessment of clients abilities and limitations assessment of medication side effects bed and chair alarms toileting every 2 hours and visual hourly checks