Sherpath Exam 2 - Injury Prevention and Safety Promotion in Health Care

How does QSEN ensure that nurses advance quality and safety in future health care settings? By opening new nursing schools By starting legislation to keep the project going By providing safety goals and hospital accreditation By preparing nurses with knowledge, skills, and a positive attitude

By preparing nurses with knowledge, skills, and a positive attitude

The nurse is walking down the hall and witnesses a small child dumping his juice on the floor. The parent acknowledges the incident but does nothing to stop it. What is the appropriate nursing action to promote safety? Clean up the juice immediately. Call housekeeping to mop up the juice. Call security to deal with child's parent. Ask the parent to clean up the child's mess.

Clean up the juice immediately.

The nurse has an assignment today with a family who is very nervous about being in the hospital. Their father was admitted the previous evening with a stroke and serious deficits. The nurse has assessed the patient and began talking with the family. What are some interventions the nurse can anticipate during his care of this patient and family? Select all that apply. Education about the diagnosis of stroke Evaluation of the education given during care Neurological assessments as ordered by the health care provider Pain management, as needed by the patient, per health care provider order Performing range of motion and positioning the patient so he is comfortable

Education about the diagnosis of stroke Pain management, as needed by the patient, per health care provider order Performing range of motion and positioning the patient so he is comfortable

Which are examples of unintentional injuries? Select all that apply. Falls Suicide Drowning Homicide Fire-associated injuries

Falls Drowning Fire-associated injuries

An adolescent boy is brought to the ER after consuming a bottle of his mother's sleeping pills. A suicide note was left beside his bed. What type of injury is this? Accidental Unintentional Routine Intentional

Intentional

The Institute of Medicine published To Err is Human more than a decade ago and we still use this document to guide our safety practices within the hospital setting. What performance standards has The Joint Commission developed from this? NCLEX Assessments National Patient Safety Goals Employer's Annual Performance Review Advanced Cardiac Life Support (ACLS)

National Patient Safety Goals

Which provides specific performance-related patient safety outcomes? NCLEX Health Care provider on the unit for the day National Patient Safety Goals (NPSGs) Hospital policies about standards of care

National Patient Safety Goals (NPSGs)

Why was The National Center for Injury Prevention and Control established? Select all that apply. To increase HCAPS scores. To gain repeat business. To decrease the mortality rate. To reduce cost associated with injuries. To reduce the number of patients on disability.

To decrease the mortality rate. To reduce cost associated with injuries. To reduce the number of patients on disability.

Quality and Safety Education for Nurses (QSEN) project is increasing emphasis for patient safety. In what way has it impacted actual initiatives and regulations? Implementing new job descriptions for safety nurses Requiring all newly licensed RN's to take a safety test Requiring newly licensed nurses to petition their senator for support on patient safety Using national resources for professional development to focus attention on safety in hospital settings

Using national resources for professional development to focus attention on safety in hospital settings

A nurse is teaching a student nurse about The Joint Commission's National Patient Safety Goals. Which statement shows further teaching is needed? "Before administering medication, I will ask for the patient's name." "Prior to surgery, I will mark the patient's body where surgery is to be completed." "I will label all unlabeled medications in the medication supply area before a procedure." "Remind patients to bring their up-to-date medication list every time they visit their health care provider."

"Before administering medication, I will ask for the patient's name." (should be 2 identifiers)

The nurse is educating a student nurse on the initiatives that guide nurses to ensure safety for their patients and environment. Which statements made by the student nurse demonstrates that the education has been effective? Select all that apply. "The QSEN project will continue to guide improvements and recommend safe practice." "The Joint Commission continues to re-evaluate and recommend new safety goals each year." "The National Center for Health Statistics continues to examine injury and report patterns so we can work toward prevention." "QSEN recommends hospitals install improved ventilation and water systems in health care settings." "The Joint Commission (TJC) recommends that acute care hospitals enact a no-lifting policy and provide patient lifting equipment."

"The QSEN project will continue to guide improvements and recommend safe practice." "The Joint Commission continues to re-evaluate and recommend new safety goals each year." "The National Center for Health Statistics continues to examine injury and report patterns so we can work toward prevention." "The Joint Commission (TJC) recommends that acute care hospitals enact a no-lifting policy and provide patient lifting equipment."

A nurse is teaching a student nurse what The Joint Commission (TJC) might do while at a hospital renewing their accreditation. Which statements made by the student nurse demonstrates that the teaching has been effective? Select all that apply. "The surveyor may observe and talk to patients." "It is likely that the surveyor will interview the staff." "During an on-site survey, the surveyor will trace patient care." "A hospital's information and documentation is reviewed during accreditation." "The surveyor will provide a final accreditation decision at the closure of the on-site survey."

"The surveyor may observe and talk to patients." "It is likely that the surveyor will interview the staff." "During an on-site survey, the surveyor will trace patient care." "A hospital's information and documentation is reviewed during accreditation."

Which individuals are more likely to be involved in an intentional injury? Select all that apply A young female with a history of falling An adolescent female with severe depression A young adult male with a history of violence An older adult male diagnosed with dementia A middle-aged female who is a known child abuser

An adolescent female with severe depression A young adult male with a history of violence A middle-aged female who is a known child abuser

Which is an example of a patient-centered care nursing skill, as defined by the QSEN project? Assess and treat pain and suffering in light of patient values, preferences, and expressed needs. Empower contributions of others who play a role in helping patients and families achieve health goals. Develop guidelines for clinical decision making regarding departure from established standards of care. Communicate observations or concerns related to hazards and errors to patients, families, and the health care team.

Assess and treat pain and suffering in light of patient values, preferences, and expressed needs.

The nurse enters a room and notices that the patient's bed is very high up off the ground, posing a safety risk. What step in the nursing process is this? Diagnosis Assessing Evaluation Intervention

Assessing