NURS 641 EXAM 1 QUESTIONS WITH 100%
CORRECT ANSWERS
What is safety theory?
Assuming errors will happen instead of assuming they wont
What is the systems theory?
That many accidents are due to a number of small failures that align. If you can offset one error
from continuing, you may avoid harm.
What factors increase error likelihood?
Fatigue
Stress
Interruptions
Complexity
Transitions
How many adverse events are considered preventable?
58%
How many patients experience ADE?
6-10%
What is the most common adverse events?
Adverse drug events
What are the elements of the quality theory?
Structural - characteristics of the care setting (availability)
Process - how care is provided (EBP)
Outcomes - what happens as result of care (morbidity/mortality)
What is true about EBP care?
Only about half of recommended EBP care. Improved care comes from larger volumes of cases
(more familiar)
What did Medicare find with readmission rates?
The more chronic conditions, the higher risk of readmission
6+ conditions had 3 or more adm per year
Where do errors happen most often?
Discharges (handoff, med errors, communication to patient)
, What are the screening tools for readmission risk?
LACE index
8Ps
What are factors that impact readmissions?
Therapeutic errors
Failed handoffs
Poor follow up
High risk patients
Social factors
What meds have ocular effects?
Bronchodilators
Thiazides
Anticholinergics
SSRI/SNRIs
Topiramate
What are the characteristics of conjunctivitis?
Extremely common
Moderate to copious discharge
Mild pain
Diffuse infection
Causative organisms on smear
What are the characteristics of uveitis?
Common
No discharge
Blurred vision
Moderate pain
Mainly circumcorneal
Small pupil size
Poor pupil response
Maybe elevated pressure
No organisms on smear
What are the characteristics of acute angle-closure glaucoma?
Uncommon
No discharge
Very blurry vision
Severe pain
Mainly circumcorneal
CORRECT ANSWERS
What is safety theory?
Assuming errors will happen instead of assuming they wont
What is the systems theory?
That many accidents are due to a number of small failures that align. If you can offset one error
from continuing, you may avoid harm.
What factors increase error likelihood?
Fatigue
Stress
Interruptions
Complexity
Transitions
How many adverse events are considered preventable?
58%
How many patients experience ADE?
6-10%
What is the most common adverse events?
Adverse drug events
What are the elements of the quality theory?
Structural - characteristics of the care setting (availability)
Process - how care is provided (EBP)
Outcomes - what happens as result of care (morbidity/mortality)
What is true about EBP care?
Only about half of recommended EBP care. Improved care comes from larger volumes of cases
(more familiar)
What did Medicare find with readmission rates?
The more chronic conditions, the higher risk of readmission
6+ conditions had 3 or more adm per year
Where do errors happen most often?
Discharges (handoff, med errors, communication to patient)
, What are the screening tools for readmission risk?
LACE index
8Ps
What are factors that impact readmissions?
Therapeutic errors
Failed handoffs
Poor follow up
High risk patients
Social factors
What meds have ocular effects?
Bronchodilators
Thiazides
Anticholinergics
SSRI/SNRIs
Topiramate
What are the characteristics of conjunctivitis?
Extremely common
Moderate to copious discharge
Mild pain
Diffuse infection
Causative organisms on smear
What are the characteristics of uveitis?
Common
No discharge
Blurred vision
Moderate pain
Mainly circumcorneal
Small pupil size
Poor pupil response
Maybe elevated pressure
No organisms on smear
What are the characteristics of acute angle-closure glaucoma?
Uncommon
No discharge
Very blurry vision
Severe pain
Mainly circumcorneal
