Day 6 Quiz

Nursing standards of care and the organization’s policies and procedures greatly decrease risk to patient safety. Which of the following steps can a nurse take to further reduce risk?

• Submit event or incident reports for near misses.

• Follow medication administration policies and procedures.

• Always report significant data on care to patients and providers in a timely manner.

• All of the above

To achieve safe patient care, a culture of safety must exist. What are characteristics of an organization with a culture of safety?

• Transparency, openness, reporting of errors is rewarded, blame-free environment

• Honesty, studying of serious events

• Privacy, reporting of errors appreciated

• Blame‐free environment, openness, error reporting is encouraged

The hospital management is concerned about feedback regarding long waiting times for treatment in the emergency department and forms a committee to resolve the issue.
Which should be the first task by the leader of the committee to solve the problem?

• Form a Continuous Quality Improvement team to define the desired outcome.

• Reevaluate emergency room waiting times.
  

• Collect baseline data to determine if a problem exists.

• Ask the director of operations for solutions.

Which statement should the nurse use to describe the purpose of the root cause analysis?

• Brainstorming preferred outcomes
  

• Identifying risks causing financial loss

• Providing a report to the leader of the committee

• Identifying the root cause of the problem through problem solving

Which governmental agency should the nurse recognize as being instrumental in developing indicators of high-quality care and measures?

• U.S. Red Cross

• Centers for Disease Control and Prevention (CDC)

• U.S. Department of Health and Human Services (HHS)

• National Institutes of Health (NIH)

Which statement should the nurse understand as reflecting the aim of affordable care in the United States?

• Improving health by addressing behavioral, social, and environmental determinants

• Reducing the cost of quality health care for individuals, families, employers, and government

• Improving the quality of care by making care more patient centered, reliable, accessible, and safe

• Reducing wait times that may result in harmful delays for those who provide or receive care

Which scenario describes an adverse medication event?

• The nurse gives the patient the wrong medication.

• The nurse is late with the patient's medication by 1 hour.

• While waiting for a surgery, a patient stops breathing and resuscitation attempts fail.

• The patient's tongue swells and breathing is difficult after taking a new medication.

The nurse is discussing the purpose of a just culture.
Which information should the nurse include?

• Balancing quality with justice

• Balancing the blame-free environment with appropriate accountability

• Balancing discipline with accountability

• Balancing the blame-free environment with discipline

The nurse is a member of the utilization review committee that is composed of members from various disciplines within the hospital.
Which patient situation should the nurse understand will be of interest to the utilization review committee?

• Each inpatient provided with an admission kit

• Routine use of sterile packs in surgery
  

• Application of adult diapers on every older adult patient

• 
  Routine maintenance of medical equipment

Sally, an experienced nurse, gradually begins to fatigue easily. She also becomes emotionally exhausted, asking herself, "Why did I ever become a nurse?" What syndrome is Sally experiencing?

• Compassion fatigue

• Burnout

• Stress management

• Depression