Deck 2: Patient Focus

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

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.

Answer 1

consults with the staff about the review to determine how best to proceed.

Question 2

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

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.

Answer 2

review daytime and evening staffing mixes.

Question 3

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?

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.

Answer 3

Yes; an error almost occurred, and close calls are to be reported.

Question 4

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

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

Question 5

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

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 6

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

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 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

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

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

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 9

Which of the following depicts a nursing-sensitive outcome?

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 10

What is the primary purpose of nursing standards?

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

Question 11

Traditional approaches to ensuring patient safety have focused on

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

Question 12

Which of the following represents a potential use of nurse-sensitive outcomes?

A) Informing best practices
B) Accountability for nursing behaviours
C) Performance appraisals
D) Maintaining the status quo

Question 13

Having access to information,evidence,and research is an important driver for quality and

A) nurse safety.
B) patient safety.
C) organizational policy development.
D) patient-centred care.

Question 14

Which of the following is a CPSI safety competency?

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

Question 15

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

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

Question 16

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

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 17

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

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

Question 18

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

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 19

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

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

Question 20

What is the focus in a culture of safety?

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 21

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

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 22

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

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."