Question 1

During review of back injuries,it is determined that mechanical lifts and transfer belts are not being properly used.In addressing this concern,the unit manager

Accepted Answer

A)  meets individually with nurses who are observed to be using the lifts incorrectly to review the correct procedure. 
B)  consults with the staff about the review to determine how best to proceed. 
C)  blames the system for inadequate funding for resources. 
D)  reviews the system of reporting adverse events to ensure that appropriate reporting is occurring. 
A)  meets individually with nurses who are observed to be using the lifts incorrectly to review the correct procedure. 
B)  consults with the staff about the review to determine how best to proceed. 
C)  blames the system for inadequate funding for resources. 
D)  reviews the system of reporting adverse events to ensure that appropriate reporting is occurring. B

Question 2

As the nurse was about to administer an oral mediation,the patient states,"That pill is the wrong colour." The nurse goes back to the medication administration area to check the medication and realizes that it is indeed the wrong pill.Does this situation require the completion of an adverse event report?

Accepted Answer

A)  No; there was no actual error. 
B)  No; it was the patient who stopped an error from occurring. 
C)  Yes; an error almost occurred, and close calls are to be reported. 
D)  It is up to the nurse to decide whether to complete an adverse event report. 
A)  No; there was no actual error. 
B)  No; it was the patient who stopped an error from occurring. 
C)  Yes; an error almost occurred, and close calls are to be reported. 
D)  It is up to the nurse to decide whether to complete an adverse event report. C

Question 3

Which of the following is a CPSI safety competency?

Accepted Answer

A)  Practise patient-centred care. 
B)  Optimize human and environmental factors. 
C)  Analyze nurse-sensitive outcomes. 
D)  Assess nurse staffing and skill mix. 
A)  Practise patient-centred care. 
B)  Optimize human and environmental factors. 
C)  Analyze nurse-sensitive outcomes. 
D)  Assess nurse staffing and skill mix. B

Question 4

Which of the following depicts a nursing-sensitive outcome?

Accepted Answer

A)  Programming that increases individual nurse competency to offer smoking cessation programs 
B)  Implementation of informatics at the patient's bedside 
C)  Staff-manager conferences to reviewed reporting of adverse events 
D)  Patient council meetings to review food, recreation, and nurse-patient relations 
A)  Programming that increases individual nurse competency to offer smoking cessation programs 
B)  Implementation of informatics at the patient's bedside 
C)  Staff-manager conferences to reviewed reporting of adverse events 
D)  Patient council meetings to review food, recreation, and nurse-patient relations

Question 5

Approximately what percentage of Canadian hospital admissions can be expected to include an adverse event?

Accepted Answer

A)  5 
B)  7.5 
C)  10 
D)  12.5 
A)  5 
B)  7.5 
C)  10 
D)  12.5

Question 6

In designing a high-quality,safe health care environment,the primary emphasis needs to be on

Accepted Answer

A)  evidence-informed practice. 
B)  informatics. 
C)  staffing. 
D)  the patient. 
A)  evidence-informed practice. 
B)  informatics. 
C)  staffing. 
D)  the patient.

Question 7

In an effort to control costs and maximize revenues,the Rehabilitation Unit at Cross Hospital reduces the number of its nursing managers.Within a year,the number of adverse events on the units has doubled.This may be attributable to

Accepted Answer

A)  the overload of work for staff nurses. 
B)  inability of staff at the bedside to make good choices. 
C)  a change in reporting systems. 
D)  fewer clinical leaders and advocates for necessary resources. 
A)  the overload of work for staff nurses. 
B)  inability of staff at the bedside to make good choices. 
C)  a change in reporting systems. 
D)  fewer clinical leaders and advocates for necessary resources.

Question 8

Which of the following is the CSPI's flagship program?

Accepted Answer

A)  Patients Are First 
B)  Safer Healthcare Now 
C)  Safe Healthcare for All 
D)  Patient Safety Culture Improvement 
A)  Patients Are First 
B)  Safer Healthcare Now 
C)  Safe Healthcare for All 
D)  Patient Safety Culture Improvement

Question 9

The nursing manager changed the current model of implementing nursing rounds of patients each day at 1200 hours to implementing interdisciplinary rounds of patients at 1000 hours.This change reflects

Accepted Answer

A)  a patient-centred care initiative. 
B)  delegation of responsibility from nursing to other health care professionals. 
C)  lack of consultation among the nursing staff. 
D)  an inappropriate time to complete patient rounds and will probably not work. 
A)  a patient-centred care initiative. 
B)  delegation of responsibility from nursing to other health care professionals. 
C)  lack of consultation among the nursing staff. 
D)  an inappropriate time to complete patient rounds and will probably not work.

Question 10

Having team "huddles" each day on the nursing unit is a reflection of

Accepted Answer

A)  nurses' need to socialize. 
B)  creating a culture of safety. 
C)  ensuring distribution of equal workloads. 
D)  the manager`s need to talk with staff nurses on a daily basis. 
A)  nurses' need to socialize. 
B)  creating a culture of safety. 
C)  ensuring distribution of equal workloads. 
D)  the manager`s need to talk with staff nurses on a daily basis.

Question 11

Organizational changes that promote systems thinking,collective accountability,and team-based care are examples of

Accepted Answer

A)  activities that promote patient-centred care. 
B)  accreditation standards that hospitals must meet. 
C)  outdated practices that are not grounded in current evidence. 
D)  quality improvement initiatives. 
A)  activities that promote patient-centred care. 
B)  accreditation standards that hospitals must meet. 
C)  outdated practices that are not grounded in current evidence. 
D)  quality improvement initiatives.

Question 12

On the basis of a review of increased falls with injury and increased use of restraint during evening hours,you as the unit manager are most likely to

Accepted Answer

A)  review daytime and evening staffing mixes. 
B)  schedule continuing education for all staff members. 
C)  review the safety of ambulation devices. 
D)  continue your current practices and procedures. 
A)  review daytime and evening staffing mixes. 
B)  schedule continuing education for all staff members. 
C)  review the safety of ambulation devices. 
D)  continue your current practices and procedures.

Question 13

What is the focus in a culture of safety?

Accepted Answer

A)  Employee safety 
B)  Investigating who is making health care errors 
C)  Effective systems and team work 
D)  Professional nursing standards and ethical codes 
A)  Employee safety 
B)  Investigating who is making health care errors 
C)  Effective systems and team work 
D)  Professional nursing standards and ethical codes

Question 14

Which attribute is a common feature of a culture of safety?

Accepted Answer

A)  Voluntary reporting of incidents 
B)  Organization behaviour 
C)  Individual-focused policies 
D)  A nonpunitive approach to adverse event reporting and analysis 
A)  Voluntary reporting of incidents 
B)  Organization behaviour 
C)  Individual-focused policies 
D)  A nonpunitive approach to adverse event reporting and analysis

Question 15

After consulting with practice environments about quality and safety concerns in health care,the Dean of Health Programs at a Canadian university develops

Accepted Answer

A)  a nursing program that emphasizes the development of a strong disciplinary identity. 
B)  programming that stresses discipline-based research. 
C)  partnerships with health care professionals to develop software for reporting of adverse events. 
D)  an interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams. 
A)  a nursing program that emphasizes the development of a strong disciplinary identity. 
B)  programming that stresses discipline-based research. 
C)  partnerships with health care professionals to develop software for reporting of adverse events. 
D)  an interdisciplinary program for nurses, pharmacists, and medical practitioners that emphasizes collaborative learning teams.

Question 16

Which of the following represents an activity that supports patient-centred care?

Accepted Answer

A)  Posting of visiting hours on the entrance way to each hospital unit 
B)  Regular staff surveys to monitor organizational satisfaction 
C)  Reserved parking spots at the main hospital entrance for physicians 
D)  Creating e-health stations on each inpatient unit 
A)  Posting of visiting hours on the entrance way to each hospital unit 
B)  Regular staff surveys to monitor organizational satisfaction 
C)  Reserved parking spots at the main hospital entrance for physicians 
D)  Creating e-health stations on each inpatient unit

Question 17

Traditional approaches to ensuring patient safety have focused on

Accepted Answer

A)  assigning blame. 
B)  finding solutions to systems issues. 
C)  instituting best practices in response to errors. 
D)  hiding errors from potential litigation. 
A)  assigning blame. 
B)  finding solutions to systems issues. 
C)  instituting best practices in response to errors. 
D)  hiding errors from potential litigation.

Question 18

Which of the following patients would be at greatest risk in a health care visit?

Accepted Answer

A)  Bruno requires an anticoagulant. He tells the nurse about his medications. He does not include an herbal supplement. 
B)  Glen is very shy and withdrawn. He asks the nurse to leave him alone. 
C)  Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not yet understand. 
D)  Claude is scheduled for bowel surgery. His surgeon explains about the colostomy. Later, Claude tells his wife that he really does not know what the surgeon meant by "colostomy." 
A)  Bruno requires an anticoagulant. He tells the nurse about his medications. He does not include an herbal supplement. 
B)  Glen is very shy and withdrawn. He asks the nurse to leave him alone. 
C)  Sarah is a new parent who finds that nurses on the children's unit are very helpful. She is eager to accept all suggestions, including those that she does not yet understand. 
D)  Claude is scheduled for bowel surgery. His surgeon explains about the colostomy. Later, Claude tells his wife that he really does not know what the surgeon meant by "colostomy."

Question 19

As a patient care advocate,you regularly coach patients in how to stay safe in health care by educating them about

Accepted Answer

A)  the need to understand and record all medications being taken. 
B)  bringing their own linens and other personal items to the hospital. 
C)  washing hands frequently while in a health care environment and using a hand sanitizer. 
D)  following closely the directions and orders of health care providers. 
A)  the need to understand and record all medications being taken. 
B)  bringing their own linens and other personal items to the hospital. 
C)  washing hands frequently while in a health care environment and using a hand sanitizer. 
D)  following closely the directions and orders of health care providers.

Question 20

What is the primary purpose of nursing standards?

Accepted Answer

A)  To inform performance appraisals at the unit level 
B)  To identify the desired level of performance 
C)  To inform the courts in relation to negligence and malpractice cases 
D)  To educate other health care professionals about the role of the nurse 
A)  To inform performance appraisals at the unit level 
B)  To identify the desired level of performance 
C)  To inform the courts in relation to negligence and malpractice cases 
D)  To educate other health care professionals about the role of the nurse

Exam 2: Patient Focus

During review of back injuries,it is determined that mechanical lifts and transfer belts are not being properly used.In addressing this concern,the unit manager

Which of the following is a CPSI safety competency?

Which of the following depicts a nursing-sensitive outcome?

Approximately what percentage of Canadian hospital admissions can be expected to include an adverse event?

In designing a high-quality,safe health care environment,the primary emphasis needs to be on

In an effort to control costs and maximize revenues,the Rehabilitation Unit at Cross Hospital reduces the number of its nursing managers.Within a year,the number of adverse events on the units has doubled.This may be attributable to

Which of the following is the CSPI's flagship program?

The nursing manager changed the current model of implementing nursing rounds of patients each day at 1200 hours to implementing interdisciplinary rounds of patients at 1000 hours.This change reflects

Having team "huddles" each day on the nursing unit is a reflection of

Organizational changes that promote systems thinking,collective accountability,and team-based care are examples of

On the basis of a review of increased falls with injury and increased use of restraint during evening hours,you as the unit manager are most likely to

What is the focus in a culture of safety?

Which attribute is a common feature of a culture of safety?

After consulting with practice environments about quality and safety concerns in health care,the Dean of Health Programs at a Canadian university develops

Which of the following represents an activity that supports patient-centred care?

Traditional approaches to ensuring patient safety have focused on

Which of the following patients would be at greatest risk in a health care visit?

As a patient care advocate,you regularly coach patients in how to stay safe in health care by educating them about

What is the primary purpose of nursing standards?

Leading, Managing, and Following

Developing the Role of Leader

Developing the Role of Manager

Legal Issues

Ethical Issues

Making Decisions and Solving Problems

Health Care Organizations

Understanding and Designing Organizational Structures

Cultural Diversity in Health Care

Power,Politics,and Influence

Caring,Communicating and Managing With Technology

Managing Costs and Budgets

Care Delivery Strategies

Staffing and Scheduling

Selecting, developing, and Evaluating Staff

Strategic Planning and Goal Setting

Leading Change

Building Teams Through Communication and Partnerships

Collective Nursing Advocacy

Managing Quality and Risk

Translating Research Into Practice

Understanding and Resolving Conflict

Managing Personalpersonnel Problems

Workplace Violence and Incivility

Practising and Leading in Interdisciplinary Settings

Role Transition

Self-Management: Stress and Time

Managing Your Career

Thriving for the Future

Filters