Deck 9: Safety Concerns in Healthcare

Question 1

The nursing student is studying about medical errors. Which organization released a groundbreaking report on medical errors?

A) Institutes of Medicine
B) National Quality Forum
C) The Joint Commission
D) American Nurses Association

Answer 1

Institutes of Medicine

Question 2

The nursing student is studying about healthcare errors. Which of the following is considered a sentinel event? Select all that apply.

A) Tubing misconnections
B) Surgery on wrong body part
C) Inpatient client suicide
D) Homicide in hospital parking garage
E) Discharge of an infant to family members

Answer 2

Tubing misconnections
Surgery on wrong body part
Inpatient client suicide

Question 3

The nursing student is reading about safe practices in healthcare. Which of the following best demonstrates safe practices? Select all that apply.

A) Culture of safety
B) Informed consent
C) Medication management
D) Caregiver fatigue
E) Health-associated infections

Answer 3

Culture of safety
Informed consent
Medication management

Question 4

The nurse is reviewing hospital reimbursement. Which of the following hospital-acquired complications is not reimbursed by the Centers for Medicare and Medicaid Services? Select all that apply.

A) Pressure ulcers
B) Hospital-acquired infections
C) Air embolism
D) Warfarin overdose
E) Blood transfusions

Question 5

The nurse is participating on a panel examining a culture of safety. Which priority concepts should be included? Select all that apply.

A) Trust and mutual respect
B) Encourage error reporting
C) No fear of retribution
D) Mission and philosophy
E) Beliefs and customs

Question 6

The nurse is reviewing factors related to error reporting. Which of the following demonstrates reasons for not reporting errors in healthcare? Select all that apply.

A) Job security
B) Embarrassment
C) Legal ramifications
D) Root cause analysis
E) Type of error

Question 7

The nurse is verifying safety prior to surgery using the universal protocol. Which factors must met when using this protocol? Select all that apply.

A) Preprocedure verification process
B) Marking the procedure site
C) Performing a time-out
D) Preoperative education
E) Standardized plans of care

Question 8

The nurse is preparing a client for surgery. Which of the following best demonstrates time-out inpatient safety?

A) Conducted immediately before a procedure
B) Involves nurses from other units
C) Surgical procedure started after checklist complete
D) Surgical orders completed prior to procedure

Question 9

The nursing student is reading about failure to rescue. Which of the following demonstrates the most effective strategies to increase nurses' time at the bedside? Select all that apply.

A) Hourly rounding
B) Bedside shift report
C) Streamlining documentation
D) Medication administration
E) Calling discharges for follow-up

Question 10

The nurse is reviewing Jean Watson's nursing theory. Which of the following best demonstrates components of this theory? Select all that apply.

A) Focused on ways nurses care for clients
B) Proponent of the nursing process
C) Identified value of caring in healing
D) Proposed client satisfaction scores
E) Identified safer staffing patterns

Question 11

The nursing student is preparing for a clinical experience in long-term care. Which of the following priority actions should be included in a falls prevention protocol? Select all that apply.

A) Bed alarms
B) Foam pads on the floor
C) Toileting schedules
D) Visual checks every 2 hours
E) Keep clients in bed with side rails up

Question 12

The nursing student is preparing to attend clinical on a nursing unit using smart pumps. Which of the following best demonstrates components of this technology? Select all that apply.

A) Creates a library of medication.
B) Provides clinical advisories.
C) Alerts cannot be overridden.
D) Work-arounds are not possible.
E) Provides both hard and soft alerts.

Question 13

The nursing student is reviewing the causes of medication errors in nursing practice. Which of the following contributes most to nursing medication errors?

A) Interruptions
B) Handwritten orders
C) Client acuity
D) Organizational resources

Question 14

The nursing student is reading about quality and safety in nursing. Which competencies are needed most by future nurses? Select all that apply.

A) Knowledge
B) Skills
C) Attitudes
D) Education
E) Culture

Question 15

The nursing student is preparing a project about the graduate's role in client safety. Which of the following is most important to include in this project? Select all that apply.

A) Responsibility to direct others
B) System-oriented corrections
C) Evaluating client care
D) Inability to correct mistakes as new graduate
E) Penalty-based errors of staff members

Question 16

The nursing student is using a handoff tool during shift change. Which best demonstrates the components of a handoff tool? Select all that apply.

A) Client condition
B) Client needs
C) Plan of care
D) Discharge date
E) Medication orders

Question 17

The nursing student is studying tools for effective communication. Which of the following best demonstrates competencies of the Team Strategies and Tools to Enhance Performance and Patient Safety? Select all that apply.

A) Team leadership
B) Situation monitoring
C) Communication
D) Individual performance
E) Negative environments

Question 18

The nursing student is reviewing hospital-acquired infections. Which best demonstrates strategies to reduce hospital-acquired infections?

A) Bundles
B) Personal protective equipment
C) Standard precautions
D) Aseptic techniques in dressing changes

Question 19

The nursing student is reviewing the need for safer staffing patterns in nursing practice. Which of the following best demonstrates unit conditions influencing staffing patterns? Select all that apply.

A) Client acuity
B) Nursing experience
C) Support staff
D) Increased hospital stays
E) Poor client outcomes