Safety Simulation Prep

A patient's family member tells you that their loved one "seems different today." The most appropriate initial nursing response is to:

• Tell them not to worry as changes are normal during hospitalization

• Document their concern in your notes to discuss during rounds

• Immediately assess the patient for any changes in condition

• Ask another nurse to verify the family's observation

Which of the following best represents a preventable patient safety risk?

• A nurse pausing during medication administration to verify patient allergies

• A bed alarm that has been silenced for physical therapy

• Call light placed within patient's reach

• Side rails lowered with fall risk patient unattended

When you notice a potential safety concern, your First action should be to:

• Document the issue in the patient's chart

• Address any immediate risk to patient safety

• Report to your supervisor

• Search for facility policy on the issue

During your assessment, you notice subtle changes in your patient's condition. What is the best course of action?

• Wait to see if the changes become more significant before acting

• Document the changes and continue your assessments of other patients

• Investigate the changes and gather relevant data for possible escalation

• Immediately call a rapid response without gathering more information

According to Mason (2002), what is the difference between 'ordinary noticing' and 'marking'?

• Ordinary noticing requires more attention than marking

• Marking involves remembering while ordinary noticing involves forgetting

• Marking is a heightened form of noticing that requires more energy and commitment

• There is no significant difference between the two terms

Based on the article, what is described as a significant concern regarding the reliance on technology in nursing practice?

• Technology is too expensive for most healthcare facilities

• Nurses may rely too heavily on technology and miss important patient changes

• Technology makes nursing work too complicated

• Most nurses lack proper training in using technology

According to Tanner's Clinical Judgement Model, what is the relationship between noticing and nursing action?

• Noticing occurs after nursing action

• Noticing is a prerequisite for nursing action

• Noticing and nursing action occur simultaneously

• Noticing is independent of nursing action

The article suggests that personal values and beliefs of nurses can impact noticing by

• Always improving their ability to notice patient needs

• Having no effect on what nurses notice

• Only affecting experienced nurses

• Potentially limiting what nurses notice and how they interpret observations

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