PNC Module 5

Which example of discharge teaching addresses a never event as identified by The Centers for Medicare & Medicaid Services? A. Signs and symptoms of both hypo- and hyperglycemia B. Food choices for a low-fat, low-carbohydrate diet C. Suggested exercise options for the immediate postdelivery period D. Need for good medication compliance in managing schizophrenia

A. Signs and symptoms of both hypo- and hyperglycemia

The nurse is working with a client who is crying and very upset. The client states, "I don't want to talk about it; it is too painful." Which question would the nurse ask to obtain the most information about the client's safety? A. "Is there anyone I can notify of your condition?" B. "Do you belong to any churches in the area that could help?" C. "Do you feel that your life is in danger where you live?" D. "Have you ever thought about going to a safe house?"

C. "Do you feel that your life is in danger where you live?"

Which actions demonstrate a nurse's understanding and implementation of QSEN's competencies? (Select all that apply.) Select all that apply. A. Deviates from facility's hand hygiene practice policy only when caring for noninfectious patients B. Shares a patient's religious food preferences with members of the health care team C. Attends an in-service on a piece of equipment new to the unit D. Asks for assistance when transferring a large patient onto a stretcher E. Encourages a patient newly diagnosed with terminal cancer to talk about their end-of-life concerns

B. Shares a patient's religious food preferences with members of the health care team C. Attends an in-service on a piece of equipment new to the unit D. Asks for assistance when transferring a large patient onto a stretcher E. Encourages a patient newly diagnosed with terminal cancer to talk about their end-of-life concerns

Which infections are currently considered a Never Event by Medicare and Medicaid? (Select all that apply.) Select all that apply. A. Eye infection postcataract surgery B. Site of implanted cardiac electronic device (CIED) C. Abdominal incision site associated with bariatric surgery D. Catheter-associated urinary tract infection E. Coronary artery bypass graft site

B. Site of implanted cardiac electronic device (CIED) C. Abdominal incision site associated with bariatric surgery D. Catheter-associated urinary tract infection E. Coronary artery bypass graft site

A student nurse receives an order for diazepam to be given intravenously. Diazepam tablets are available. The student nurse crushes a tablet and mixes it with sterile water for injection. The instructor notes that the solution is cloudy and asks to see the medication vial. When the student produces the vial of sterile water for injection and the instructor stops the medication from being given, what type of error is prevented? A. Preventive error B. Treatment error C. Diagnostic error D. Communication error

B. Treatment error

Which recommendation would the nurse include when a client asks what to do to remain safe in the hospital? Select all that apply.One, some, or all responses may be correct. A. "Ask questions if you have doubts or concerns." B. "Keep and bring a list of all the medications you take." C. "Be sure to have an attorney in mind just in case you need one." D. "Make sure you understand what will happen if you need surgery." E. "Do not get any test results unless your health care provider approves it."

A. "Ask questions if you have doubts or concerns." B. "Keep and bring a list of all the medications you take." D. "Make sure you understand what will happen if you need surgery."

Which interventions would the nurse manager include in a fall prevention program to decrease the number of falls on the unit? Select all that apply. One, some, or all responses may be correct. A. Apply fall wristband. B. Install bed safety alarms. C. Establish a toileting schedule. D. Allow client to ambulate to bathroom. E. Use restraints to prevent the client from leaving the bed.

A. Apply fall wristband. B. Install bed safety alarms. C. Establish a toileting schedule.

Which situations are common negligent acts of nurses found in the hospital setting? Select all that apply. One, some, or all responses may be correct. A. Failure to notify the health care provider of problems B. Failure to follow the six rights of medication administration C. Failure to ensure the safety of a client with disequilibrium problems D. Failure to notify a family member about the client's current status E. Failure to administer medication during an emergency without consulting with the nursing manager

A. Failure to notify the health care provider of problems B. Failure to follow the six rights of medication administration C. Failure to ensure the safety of a client with disequilibrium problems

Which concepts should a nurse recognize have the strongest link to safety? (Select all that apply.) A. Regulation B. Teamwork C. Communication D. Cognition E. Quality

A. Regulation B. Teamwork C. Communication E. Quality

When discarding outdated and leftover medications from previous prescriptions at the home of an older adult client, the nurse applied which Quality and Safety Education for Nurses (QSEN) competency? A. Safety B. Quality Improvement C. Evidence-based practice D. Teamwork and collaboration

A. Safety

Which intervention is the priority for a client who is agitated and has made unprovoked hostile verbal attacks on coworkers? A. Developing trust B. Maintaining safety C. Refocusing hostile energy D. Preventing hostile outbursts

B. Maintaining safety

Which recommendation would the nurse make to the parent of a school-age child regarding medication safety? A. "Inform the child that the medicines are bitter." B. "Avoid taking medications in front of the child." C. "Store medications in a locked storage container." D. "Keep all the medications out of the child's reach."

C. "Store medications in a locked storage container."

Which intervention would provide the greatest safety for a client admitted to a mental health unit because of suicidal ideation? A. Seclusion room B. Four-point restraints C. Continual one-on-one supervision D. Removal of unsafe objects from the environment

C. Continual one-on-one supervision

The nurse is assessing the hospital room for items that the client can use to inflict self-harm and commit suicide. Which finding indicates a need to modify the client's environment for safety? A. Windows cannot open B. Battery-operated radio C. Fresh flowers in glass vase D. Breakaway shower curtain

C. Fresh flowers in glass vase

Which instruction would the nurse provide to a group of parents with small children to promote safety and prevent injury? Select all that apply. One, some, or all responses may be correct. A. Turn pot handles away from edges. B. Install smoke detectors in the house. C. Lock medication away in a safe place. D. Place child safety latches on cabinets. E. Verify water temperature before baths.

all of the above

A _________ is an individual or group who seek a product or service and whose needs and expectations to determine the quality of the service.

customer

According to Maslow's hierarchy of needs, which level of need did the nurse prioritize when assisting an older postoperative client to the restroom to prevent falling? A. First level B. Second level C. Third level D. Fourth level

B. Second level

When an error or patient safety issue is identified in an agency with a culture of safety, what does the individual who reports the problem know? A. The problem must be communicated to the patient. B. Details need to be shared in order to locate the individual at fault. C. Near misses in health care are used to improve care. D. Established protocols for discipline will be followed.

C. Near misses in health care are used to improve care.

Which nursing activity best demonstrates the quality management principle of "all one team"? A. Asking a wound care team nurse how to best educate a client on wound prevention B. Doing a search of the literature regarding prevention of postoperative bleeding in smokers C. Encouraging clients to determine when they want their daily bath D. Attending a seminar on the latest recommended therapy to reinforce cognitive function in the elderly

A. Asking a wound care team nurse how to best educate a client on wound prevention

Which intervention is most important for maintaining the safety of a restrained client? A. Assess every 15 minutes. B. Obtain new prescriptions every 48 hours. C. Provide food and fluids every hour. D. Offer use of the restroom every 2 hours.

A. Assess every 15 minutes.

The three elements of nursing competency described in the Quality and Safety for Nurses (QSEN) initiative are knowledge, skill, and which other element? A. Attitude B. Accountability C. Value D. Education

A. Attitude

o promote safety, the nurse manager sensitive to point-of-care (sharp-end) and systems-level (blunt-end) exemplars works closely with administrators to address which organizational system exemplar? A. Care coordination B. Fall prevention C. Diagnostic workup D. Communication

A. Care coordination

Which strategies will promote safety and quality of client care on the unit? Select all that apply. One, some, or all responses may be correct. A. Communicate with clarity and precision when designing multidisciplinary plans of care. B. Create a safety huddle so all health care professionals are aware of the clinical objectives. C. Emphasize electronic communication is quick and most effective means of sharing information in all situations. D. Conduct communication simulations to increase knowledge about expertise of other health care disciplines. E. Explain effective communication will take more time and effort compared with ineffective communication.

A. Communicate with clarity and precision when designing multidisciplinary plans of care. B. Create a safety huddle so all health care professionals are aware of the clinical objectives. D. Conduct communication simulations to increase knowledge about expertise of other health care disciplines.

Which findings indicate that the nurses are providing safe health care? Select all that apply. One, some, or all responses may be correct. A. Exhibits good decision-making skills B. Acts within the scope of practice of their license C. Provides cost-effective interventions to the clients D. Offers both curative and preventive interventions for the clients E. Executes interventions that have reduced the duration of hospital stays of the clients

A. Exhibits good decision-making skills B. Acts within the scope of practice of their license

According to the national Patient Safety goals, how can nursing reduce the risk of patients developing associated infections? (Select all that apply.) Select all that apply. A. Striving to remove indwelling urinary catheters as soon as possible B. Creating mandatory competencies associated with the care of surgical incisions C. Instituting sterile technique policies related to the care of central lines D. Ambulating postsurgical patients as soon as their physical condition allows E. Implementing current WHO hand washing guidelines

A. Striving to remove indwelling urinary catheters as soon as possible B. Creating mandatory competencies associated with the care of surgical incisions C. Instituting sterile technique policies related to the care of central lines E. Implementing current WHO hand washing guidelines

Which information would the nurse provide an older adult and caregivers regarding medication safety? Select all that apply. One, some, or all responses may be correct. A. Use a pill organizer. B. Read all medication labels. C. Place pills in unlabeled bottles. D. Review medications with pharmacist. E. Empty medicine cabinet every 2 years.

A. Use a pill organizer. B. Read all medication labels. D. Review medications with pharmacist.

Which factor will the home health nurse use to assess an adolescent's safety in the home environment? Select all that apply. One, some, or all responses may be correct. A. Use of helmets B. Drug and alcohol use C. Presence of weapons D. Vehicle safety restraints E. Number of people in home F. Nutrition and food consumption

A. Use of helmets B. Drug and alcohol use C. Presence of weapons D. Vehicle safety restraints

What action demonstrates a nurse's correct understanding of patient-centered care? A. Referring to evidence-based practice when planning client care B. Discussing the client's wish to include herbal preparations to treat an illness C. Being careful to use costly dressing supplies appropriately but with their cost in mind D. Promptly medicating clients when they request their PRN analgesic

B. Discussing the client's wish to include herbal preparations to treat an illness

Which statement is last priority based on Maslow's hierarchy of needs? A. "I feel that I have failed to be a worthy child of my parents." B. "My aim is to be a famous writer, and I will do anything to achieve my dream." C. "I do not like to speak to the people in my neighborhood because they are all snobs." D. "My house is being reconstructed, and chunks of the ceiling are quite often falling off."

B. "My aim is to be a famous writer, and I will do anything to achieve my dream."

Which situation reflects the second level of Maslow's hierarchy of needs? Select all that apply. One, some, or all responses may be correct. A. A client reports not having any friends. B. A client reports being taunted by his boss every day. C. A client states that her spouse belongs to a criminal gang. D. A client reports that she does not like interacting with people. E. A client reports living beside a factory that manufactures harmful chemicals.

B. A client reports being taunted by his boss every day. C. A client states that her spouse belongs to a criminal gang. E. A client reports living beside a factory that manufactures harmful chemicals.

The nurse is caring for a client who sustained a gunshot wound in a drive-by shooting. The client is fearful of further harm from unwanted visitors. Which safety intervention will the nurse implement to prevent client and staff injury? Select all that apply. One, some, or all responses may be correct. A. Notify pastoral care. B. Contact hospital security. C. Activate security cameras. D. Alert health care provider. E. Lock doors into the facility.

B. Contact hospital security. C. Activate security cameras. E. Lock doors into the facility.

How can a nurse manager best foster high-quality and safe nursing care among the nursing staff? A. Praise the staff's efforts to provide care that is both safe and of high quality. B. Create a unit culture where asking questions about health care interventions is encouraged. C. Place great emphasis on how important safe, high-quality nursing care is to the client's health. D. Offer incentives to those providing specific interventions that are safety and quality focused.

B. Create a unit culture where asking questions about health care interventions is encouraged.

Which scenario demonstrates the nurse addressing the teamwork and collaboration competency of the Quality and Safety Education for Nurses (QSEN) Initiative? A. Uses the intake and output (I&O) form to ensure that the client has accurate fluid intake. B. Discusses the development of a special diet chart with a dietician for a diabetic client. C. Educates the caregiver on the basic steps for caring for a client with a central venous access device (CVAD) at home. D. Ensures that clients and other health care team members are shifted to a safe place in case of a fire in the hospital setting.

B. Discusses the development of a special diet chart with a dietician for a diabetic client.

Which action by the nurse increase safety in the clinical setting? Select all that apply.One, some, or all responses may be correct. A. Wear a mask when performing daily hygiene B. Remain current with evidence and best practices C. Use only quality resources, especially websites D. Report faulty equipment as soon as discovered E. Sterilize all intravenous pumps between clients

B. Remain current with evidence and best practices C. Use only quality resources, especially websites D. Report faulty equipment as soon as discovered

Health care institutions are automatically approved by The Centers for Medicare & Medicaid Services (CMS) under what circumstance? A. The institution has provided care to a substantial number of Medicare and Medicaid clients. B. The institution has demonstrated their commitment to quality improvement. C. The institution has earned The Joint Commission (TJC) accreditation. D. The institution has incorporated ORYX® performance measurements into their goals.

C. The institution has earned The Joint Commission (TJC) accreditation.

Which point requires correction regarding the use of restraints? A. Less restrictive interventions must have been unsuccessful before applying restraints. B. All other alternatives must have been tried and exhausted before applying restraints. C. Restraints may be applied to ensure the physical safety of the resident or other residents. D. A written order for restraints is not required.

D. A written order for restraints is not required.

Which is the best room assignment for a child admitted with injuries that may be related to abuse? A. In an isolation room B. With a friendly older child C. With a child of the same age D. In a room near the nurses' desk

D. In a room near the nurses' desk

Which safety consideration is the nurse following when obtaining the client's family history and checking for a medical alert bracelet? A. Client identification B. Injury prevention for staff C. Injury prevention for clients D. Risk for errors and adverse events

D. Risk for errors and adverse events

Which posture and location relative to the client would the nurse assume when performing a Romberg test? A. Sitting next to the client B. Standing behind the client C. Standing in front of the client D. Standing to the side of the client

D. Standing to the side of the client

What is a widely used approach of encouraging cooperation between the health care professions? A. Quality and Safety Education for Nurses (QSEN) B. SBAR (Situation; Background; Assessment; Recommendation) C. The Robert Wood Johnson Pilot School Collaboration D. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)

D. Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS)