,
, ◦
Chapter 1 Concepts and Trends in Healthcare b7 b7 b7 b7 b7
◦
A new nurse is working with a preceptor on an inpatient medical-
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
surgical unit. The preceptor advises the student that which is the priority whe
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
n working as aprofessional nurse?
b7 b7 b7 b7 b7
◦ Attending to holistic client needs b7 b7 b7 b7
◦ Ensuring client safety b7 b7
◦ Not making medication errors
b7 b7 b7
◦ Providing client b7
-focused care
7
b b7 b7
ANSWER: B b7
◦ All actions are appropriate for the professional nurse. However, en
b7 b7 b7 b7 b7 b7 b7 b7 b7
suring client safety is the priority. Up to 98,000 deaths result each year from errors i
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
n hospital care, according to the 2000 Institute of Medicine report. Many more cli
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
entshave suffered injuries and less serious outcomes. Every nurse has the responsi
7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
bility to guard the clients safety.
b7 b7 b7 b7 b7
◦ DIF: Understanding/Comprehension REF: b7 b7 b
72KEY: Patient safety MSC: Integrated Process: Nursin
7
b b7 b7 b7 b7 b7 b7
g Process: Intervention
b7 b7
◦ NOT: Client Needs Category: Safe and Effective C b7 b7 b7 b7 b7 b7 b7
areEnvironment: Safety and Infection Control
7
b b7 b7 b7 b7
◦ A nurse is orienting a new client and family to the inpatient unit. What
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
information does the nurse provide to help the client promote his or her o
b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
wnsafety? 7
b
◦ Encourage the client and family to be active partners.
b7 b7 b7 b7 b7 b7 b7 b7
◦ Have the client monitor hand hygiene in caregivers.
b7 b7 b7 b7 b7 b7 b7
◦ Offer the family the opportunity to stay with the client.
b7 b7 b7 b7 b7 b7 b7 b7 b7
◦ Tell the client to always wear his
b7 b7 b7 b7 b7 b7 b7
orher armband.
7
b b7 b7
ANSWER: A b7
◦ Each action could be important for the client or family to perfor b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
m.However, encouraging the client to be active in his or her health care as a partn
7
b b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
er isthe most critical. The other actions are
b7 7
b b7 b7 b7 b7 b7 b7
◦
◦ very limited in scope and do not provide the broad protection th b7 b7 b7 b7 b7 b7 b7 b7 b7 b7 b7
atbeing active and involved does.
7
b b7 b7 b7 b7
◦ DIF: Understanding/Comprehension REF: b7 b7 b
73KEY: Patient safety MSC: Integrated Process: Teachin
7
b b7 b7 b7 b7 b7 b7
g/ Learning
b7