Exam 11: The Nurses Role in Quality and Safety

The nurse is completing an occurrence report for a client in the intensive care area.The client's medications were accidentally switched with another client necessitating extending mechanical ventilation.Prior to the occurrence the client's hemodynamic parameters were stable,however they have been tenuous for the last 16 hours.What collected data should the nurse identify as nursing work environment variables that contributed to this occurrence? (Select all that apply. )

The nurse manager is reviewing an occurrence report written after a client fall.For which personal factors should the manager consider as contributing to this occurrence? (Select all that apply. )

The healthcare organization is planning to implement patient-centered care.What aspects of this delivery model should be emphasized when training the staff? (Select all that apply. )

The charge nurse is beginning rounds after attending morning report.Which clients should the nurse be concerned for developing a never event? (Select all that apply. )

The Quality Improvement committee is identifying indicators as measures of health care.What should the committee identify as characteristics of quality indicators? (Select all that apply. )

The staff on a care area expresses dissatisfaction with participating in data collection of quality indicators.What should the manager explain as reasons to measure quality? (Select all that apply. )

The vice president of nursing is curious about the quality performance of the cardiovascular intensive care program as compared with other major city hospitals.Which resource should the vice president use to determine this performance?

A staff nurse accidentally provided a client with an incorrect stock medication,however did not report the occurrence to anyone.What behavior is this staff nurse demonstrating?

A series of medication errors occurred on a care area and are believed to be caused by the redesign of the unit dose delivery system.Who should the nurse manager expect to participate when conducting a root cause analysis of these occurrences? (Select all that apply. )

The staff development trainer is preparing information for a seminar on the Quality and Safety Education for Nurses (QSEN)initiative as part of the National Safety Week celebration.Which attributes should the trainer emphasize as being an integral part of this initiative? (Select all that apply. )

The nurse manager is counseling a staff nurse who demonstrated reckless behavior.What should the manager say when meeting with this nurse?

The charge nurse is overheard yelling at a new graduate who mixed a tube feeding with the incorrect volume of water.What would be the expected outcome from this exchange?

The nurse manager has plans to improve teamwork among the nurses and other health care providers.What actions should the manager take to achieve this goal? (Select all that apply. )

The nurse manager is curious as to how the client care staff is meeting process outcomes.On what should the manager focus when making this determination? (Select all that apply. )

The quality improvement committee is creating materials to use when implementing Six Sigma into the organization.In which order should the steps of this process be presented to the staff?

At the completion of orientation the new graduate is completing a written test that focuses on the QSEN competencies.Which statements should the nurse identify as describing these competencies? (Select all that apply. )

A client with a nasogastric tube to suction has been prescribed tracheostomy suctioning as needed to maintain airway integrity.While rounding after report the nurse notes that the tubing for the nasogastric suction has been switched with that to be used for the tracheostomy suctioning.How should the charge nurse categorize this error?

The nurse receives the report for a client recovering from a repair of a fractured hip,who is being transferred to the orthopedic care area.The following information was obtained in the telephone report: Report received 14:00 hours: 76-year-old female;ORIF of right hip caused by falling in the home;receiving Morphine sulfate 2 mg IV every 4 to 6 hours for pain;difficult to keep turned on non-operative site;indwelling urinary catheter in place;Hgb 10 after 2 units PRBCs post-operatively. Which National Patient Safety goals should the nurse make a priority for this client? (Select all that apply. )

The nurse is preparing information to use when conducting SBAR communication.In which order should the nurse perform the following actions?

The Quality Improvement director is reviewing the number of medication errors that occurred in a skilled nursing facility over the last month. The total number of medication doses provided equals 625,500. The total number of medication errors was 7. If using the Six Sigma statistical measure to limit defects to 3.4 per million opportunities, what should be the goal for the number of medication errors for this care area? (Round the answer to the nearest whole number.)