Nursing Quality and Safety Exam 1 Questions With Multiple Choice Answers A Grade

Nursing Quality and Safety Exam 1 Questions with Multiple Choice Answers A Grade According to IHI, making dramatic improvements in patient safety will require which of the commitments? A. Recognizing that most patient harm is caused by bad systems and not bad people B. Avoiding lawsuits related to medical errors at all costs C. Singling out individuals who refuse to work in teams and take disciplinary action against them D. Patients and their families are the only ones affected by adverse events - A. Recognizing that most patient harm is caused by bad systems and not bad people All nurses that work together on the same intensive care unit are trained on new IV pump equipment and medication administration protocols. This is an example of which of the 5 principles for the design of safety systems in health care organizations? A. Create a learning environment B. Anticipate the unexpected C. Promote effective team functioning D. Respect human limits in process design E. Provide leadership - C. Promote effective team functioning The following factor is a part of creating a culture of safety within an organization. It supports the idea that creating an environment in which people feel comfortable raising concerns and asking questions should have the opportunities to do so? A. Psychological safety B. Accountability C. Negotiation D. Teamwork and communication - A. Psychological safety The nurse ensures that the volume on the IV pump is loud enough to be heard in case there are complications with the patient's medication infusion and an alarm is triggered. This is an example of which of The Joint Commission's 2021 Hospital National Patient Safety Goals? A. Use alarms safely B. Prevent infection C. Use medicines safely D. Prevent mistakes in surgery - A. Use alarms safely Ensuring that all nurses receive patient workloads that are fair in the amount of time and care their patients will require is an example of which of the 5 principles for the design of safety systems in health care organizations? A. Respect human limits in process design B. Promote effective team functioning C. Create a learning environment D. Anticipate the unexpected E. Provide leadership - A. Respect human limits in process design The hospital develops an indwelling catheter care protocol that is to be utilized every shift when caring for the catheterized patient. The guidelines in the protocol are evidence-based and include the use of Chlorhexidine gluconate (CHG). This is an example of which of The Joint Commission's 2021 Hospital National Patient Safety Goals? A. Use medicines safely B. Prevent mistakes in surgery C. Identify patients correctly D. Prevent infection - 2021 TJC Hospital NPSG 1: Identify patients correctly - Use at least two ways to identify patients. For example, use the patient's name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment 2021 TJC Hospital NPSG 2: Improve staff communication - Get important test results to the right staff person on time 2021 TJC Hospital NPSG 3. 04. 01: Use medicines safely - Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up 2021 TJC Hospital NPSG 3.05.01: Use medicines safely - Take extra care with patients who take medicines to thin their blood 2021 TJC Hospital NPSG 03.06.01: Use medicines safely - Record and pass along correct information about a patient's medicine. Find out what medicines the patient is taking. Compare those medicines to new medicines given to the patient. Give the patient written information about the medicines they need to take. Tell the patient it is important to bring their up-to-date list of medicines every time they visit a doctor 2021 TJC Hospital NPSG 6: Use alarms safely - Make improvements to ensure that alarms on medical equipment are heard and responded to on time 2021 TJC Hospital NPSG 7: Prevent infection - Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning. 2021 TJC Hospital NPSG 15: Identify patient safety risks s - Reduce the risk for suicide 2021 TJC Hospital NPSG UP 01.01.01: Prevent mistakes in surgery - Make sure that the correct surgery is done on the correct patient and at the correct place on the patient's body 2021 TJC Hospital NPSG UP 01.02.01: Prevent mistakes in surgery - Mark the correct place on the patient's body where the surgery is to be done 2021 TJC Hospital NPSG 01.03.01: Prevent mistakes in surgery - Pause before the surgery to make sure that a mistake is not being made According to WHO, in developed countries worldwide, what is the approximate likelihood that a hospitalized patient will be harmed while receiving care? A. 1% B. 10% C. 50% D. 75% - B. 10% Safety has been called a "dynamic non-event" because when humans are in a potentially hazardous environment: A. It requires the same kind of thinking that causes problems to set them right B. There is generally a high prevalence of "near misses." C. It takes significant work to ensure nothing bad happens D. It is natural to establish and follow safe practices - C. It takes significant work to ensure nothing bad happens Isadora is a first-year surgery resident on her first pediatric rotation. Her attending (consultant) asks her to immediately start intravenous (IV) replacement fluids on a two-year-old girl who is experiencing vomiting and diarrhea. Isadora has recently learned the guidelines for calculating fluid replacement rates for very small children; however, she confuses them and picks a rate that is too high. To prevent this type of error from recurring in this unit, which of the following is MOST important? A. More severe, well-publicized consequences for providers who are reckless B. An improved culture of safety C. Clearer medical guidelines for fluid replacement in patients of all ages D. A change to the system, so that it does not rely as heavily on human memory - A change to the system, so that it does not rely as heavily on human memory James is a first-year surgery resident on his first pediatric rotation. His attending (consultant) asks him to start intravenous (IV) replacement fluids on a two-year-old boy who is having vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid replacement rates for very small children, James asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too high, putting the child into fluid overload. To prevent this type of error from recurring in this unit, which of the following is MOST important? A. More severe, well-publicized consequences for providers who are reckless B. An improved culture of safety and teamwork C. Closer supervision of residents, especially in the first year D. Clear medical guidelines for fluid replacement in patients of all ages - B. An improved culture of safety and teamwork James is a first-year surgery resident on his first pediatric rotation. His attending (supervising physician) asks him to start intravenous (IV) replacement fluids on a two-year-old boy who is having vomiting and diarrhea. Having trouble remembering the guidelines for calculating fluid replacement rates for very small children, James asks Maria, a nurse on the unit. Maria responds, "You're the doctor. It's your job to decide this." James picks a rate that is much too high, putting the child into fluid overload. Who is likely to be negatively affected by this medical error? A. The patient and his family B. James (the first-year surgery resident) C. Maria (the nurse on the unit) D. All of the above - D. All of the above At the large multi-specialty clinic in which you work, there have been two near misses and one medical error because various clinicians did not follow up on patient results. Different caregivers were involved each time. When asked why they failed to follow up, each caregiver said he or she forgot. Based on what you know, how would you classify the caregivers' behavior? A. Human error B. At-risk behavior C. Reckless behavior D. None of the above - A. Human error At the large multi-specialty clinic in which you work, there have been two near misses and one medical error because various clinicians did not follow up on patient results. Different caregivers were involved each time. After the second near miss, the physician involved was asked to leave the clinic. A nurse who realized that his colleagues weren't consistently following up on patient results reported the problem to the clinic leadership right away. Which response would be most consistent with a culture of safety? A. Transferring the nurse to another clinic B. Placing the item on the agenda for the leadership meeting next year C. Thanking the nurse and asking him to keep quiet about it D. Investigating the problem and seeking systems solutions - D. Investigating the problem and seeking systems solutions