Deck 11: Quality and Safety

Question 1

Which of the following is true regarding patient safety and prevention of harm?

A)Medication errors are adverse events.
B)Errors of execution are usually intentional and occur because of time or resource constraints.
C)As many as 90% of medication errors are preventable.
D)Poorly coordinated care and nosocomial infections are examples of errors.

Answer 1

Poorly coordinated care and nosocomial infections are examples of errors.

Question 2

Which of the following best describes safety in health care?

A)A registered nurse (RN) who made a major medication error was terminated.
B)After a medication error, a team works to prevent similar errors in the future.
C)An organization focuses on efficiency on the nursing units.
D)Safety indicators are reported regularly.

Answer 2

After a medication error, a team works to prevent similar errors in the future.

Question 3

Improvement of patient care outcomes is a focus of all health-care providers.Which of the following is a method for nurses to improve patient care outcomes?

A)Focus on improving patient teaching.
B)Encourage nurses to further their education.
C)Evaluate only when patient teaching fails.
D)Nurse leaders should control decision making.

Answer 3

Encourage nurses to further their education.

Question 4

An RN receives a patient with a diagnosis of thrombotic stroke from the emergency department.The pharmacy alerts the RN that the dose of tPA must be administered within the next 15 minutes and sends the medication to the RN.The usual practice is for tPA to be administered in the emergency department before admission to the unit.The RN checks the medication administration record, noting there is no indication that the tPA was administered in the emergency department.The RN calls down to the emergency department to speak with the nurse who cared for the patient.The previous nurse failed to document administration of the medication and corrects the documentation with a late entry note.This scenario best describes which of the following?

A)Medication error
B)Adverse event
C)Near miss
D)Risk management

Question 5

Which of the following best describes the characteristic of effective quality in health care?

A)Frequent assessments of patients with soft wrist restraints
B)Including the patient in planning care
C)Using current evidence to improve practice
D)Responding to call lights quickly

Question 6

A nurse leader is involved with establishing the organization's quality improvement plan.Which of the following should be included in the plan?

A)Educate the managers in the organization about quality improvement.
B)Establish a quality council to set goals according to organizational values.
C)Link quality improvement goals to the organization's strategic plan.
D)Encourage individuals to think about quality improvement.

Question 7

Which of the following is true regarding a root cause analysis?

A)The goal of a root cause analysis is to find the one root cause of an error.
B)Finding the root cause may not always be possible.
C)Determine the necessary and sufficient influences at the beginning of the root cause analysis.
D)Focus on the direct cause of the error.

Question 8

An RN identifies safety concerns on an inpatient unit.The RN implements changes in order to improve patient outcomes.Which of the following best describes this scenario?

A)Apply quality improvement.
B)Utilize informatics.
C)Employ evidence-based practice.
D)Provide patient-centered care.

Question 9

A patient suffered a hemolytic transfusion reaction after being given packed red blood cells with an incompatible blood type.The patient recovered.Which of the following types of safety events does this scenario best describe?

A)Serious incident
B)Never event
C)Minor injury
D)Sentinel event

Question 10

Which of the following best describes the characteristic of efficient quality in health care?

A)Opening only the supplies that are necessary
B)Utilizing the CAUTI bundle to prevent urinary tract infections when placing indwelling urinary catheters
C)Using an interpreter for patients who do not speak the health-care provider's language
D)Working to reduce wait times in the emergency department

Question 11

Which of the following recommendations promotes safe, quality, patient-centered care?

A)Focus on tasks.
B)Establish patient goals with the care team.
C)Communicate the care plan with the care team.
D)Evaluate outcomes at the end of the shift.

Question 12

Which of the following is a way in which nursing can impact quality and safety?

A)Pay attention to detail in daily activities.
B)Advocate for shift change communication to occur with the patient's medical record opened and under review.
C)Encourage the patient to ask questions of the health-care team and follow the team's recommendations.
D)Acknowledge the power of individuals within the profession of nursing.

Question 13

A nurse is completing the morning assessment on a new patient.As the nurse approaches the IV pole, the nurse's foot gets stuck to the floor and the nurse falls to the ground, injuring his knee.It was discovered that an IV bag containing dextrose had leaked onto the floor and was not properly cleaned up.The nurse suffered a sprain and returned to work 1 week later.Which of the following does this best describe?

A)Serious incident
B)Service occurrence
C)Minor injury
D)Sentinel event

Question 14

Which of the following is true regarding an incident report?

A)The incident report is completed in the affected patient's chart.
B)The incident report is not available during litigation.
C)The incident report should be complete, accurate, and contain the nurse's impressions of the event.
D)The incident report is kept with internal hospital correspondence.

Question 15

A chief nursing officer is working to develop a culture of safety.Which of the following recommendations should be implemented?

A)When sentinel events occur, study what happened in order to learn from the consequences.
B)Determine who was most responsible for an error that occurred.
C)Identify what errors occur for mandatory reports.
D)Eliminate the cause of errors.