Exam 2: Clinical Safety: The Core of Leading, managing, and Following

You notice that Sally,a student on your unit,is giving information to an anxious young teen who seems very uncertain about preparation for an upper GI series.After Sally leaves the room,you ask her how she thought her conversation with the patient.What is the appropriate response for you to give Sally?

A nurse manager is implementing strategies to support the steps in the AHRQ document "Five Steps to Safer Health Care." What does the manager include in the implementation?

Pleasant Valley Hospital has amended its safety practices and policies.What has the hospital elected to emphasize accordance with changes by The Joint Commission (TJC)?

As the manager on an acute care medical unit,you note that the incidence of medication errors has increased since the implementation of staffing changes.What is an important stratagem to reduce errors?

Mary,an 85-year-old patient with cognitive impairment and gross instability,wanders continuously.Lately,she has fallen twice,and the family demands that she be restrained.As the unit manager,you have initiated a least restraint practice.What is an appropriate action in this situation?

What would be the primary emphasis in designing and implementing a quality,safe healthcare environment?

What would managers and staff review annually in order to ensure compliance with The Joint Commission (TJC)to improve patient safety?

On the West Surgery unit,you want to institute a new system for checking armbands that evidence suggests may increase safety in medication administration.The system involves technology.What strategy may assist with rapid adoption of the technology and system?

A client requires an appendectomy.The surgeon explains the procedure and asks the client to sign the consent.The patient speaks very little English and looks worried.What is the appropriate action by the nurse?

During review of back injuries,it is determined that a large number of injuries are occurring in spite of mechanical lifts being used.Furthermore,it is determined that some lifts are outdated.In addressing this concern,the unit manager:

In an effort to control costs and maximize revenues,the Rehabilitation Unit at Cross Hospital reduced the number of its managers and increased the number of units for which each manager was responsible.Within a year,the number of adverse events on the units had doubled.How do the increase in adverse events relate to decreased managers?

The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls.What interventions might assist to reduce the number of falls on the unit?

What does the SBAR approach to patient safety encourage?

The nurse is educating older adult patients on staying safe in the healthcare system.What information does the nurse include in the teaching?

As a nurse manager on the West Surgery Unit,you are interested in increasing patient safety and reducing morbidity and mortality on your unit.What recommendations would be consistent with the IOM The Future of Nursing report?

The NQF provides a model for advancement of healthcare quality that could be used in healthcare organizations.What does the use of this model by the Centers for Medicare and Medicaid Services specificity link with adverse patient events for healthcare facilities?

As a manager in a new nursing home,where might you consult for guidance and evidence to support the development of safe patient practices?

Sarah is a second-year nursing student.The clinical instructor overhears Sarah telling a patient that she "always" checks patients' bracelets before giving medication and she is not sure how the nurses on the unit "get away with" not making more errors than they do.The clinical instructor pulls Sarah aside and explores with her how her communication might affect the patient and what it reflects about her beliefs related to the team.What competency does this action outline?

What patients would be considered "at risk" consumers during a healthcare visit?

To achieve Nurse-Sensitive Care Standards developed by the NQF,you advocate for which of the following in your health facility?