Chapter 02: Safe Care: The Core of
Leading and Managing
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
MULTIPLE CHOICE
1. Which of the following would managers and staff review annually in order to ensure
compliance with the Joint Commission (TJC) to improve patient safety?
a. Appropriateness of charting terms and abbreviations
b. Nursing hours per patient
c. Acuity of patient admissions
d. Wait times for care
ANS: A
The Joint Commission issues setting-specific patient goals annually, as well as a list
of “do-not-use” terms, abbreviations, and symbols and sentinel events.
REF: Page 28
TOP: AONE competency: Knowledge of the Health Care Environment
2. In preparation for redesignation as a MagnetTM Hospital, how would you prepare?
a. Commit staff resources over a 6-month period to updating procedure manuals.
b. Educate staff through meetings and training sessions regarding appropriate
answers to questions.
c. Prepare a manual that outlines orientation procedures and ensure that all safety
issues are addressed.
d. Ensure that there are empirical data to support review of patient outcomes,
actions taken, and results of actions.
ANS: D
Through the MagnetTM model, organizations must demonstrate how they provide
excellence in five areas. Between designation and redesignation as a MagnetTM
organization, greater emphasis is placed on empirical quality results.
REF: Page 29
TOP: AONE competency: Knowledge of the Health Care Environment
3. Sarah is a second-year nursing student. The clinical instructor overhears Sarah telling a
patient that she “always” checks patients’ bracelets before giving medication and she is
not sure how the nurses on the unit “get away with” not making more errors than they
do. The clinical instructor pulls Sarah aside and explores with her how her
communication might affect the patient and what it reflects about her beliefs related to
the team. The actions of the clinical instructor reflect competencies outlined by:
a. QSEN.
b. IHI.
c. DNV/NIAHO.
d. AHRQ.
, ANS: A
The Quality and Safety Education for Nurses (QSEN) project provides resources
related to competencies that prelicensure and graduate students need to develop to
serve as safe practitioners. These competencies include leading and managing,
teamwork and collaboration.
REF: Page 29
TOP: AONE competency: Knowledge of the Health Care Environment
4. The SBAR approach to patient safety encourages:
a. Consistency in assessment and practices.
b. Continuing education.
c. Multidisciplinary approaches.
d. Patient feedback.
ANS: A
The use of SBAR (Situation, Background, Assessment, and Recommendation)
checklists are designed to decrease omission of important information and practices.
REF: Page 30
TOP: AONE competency: Knowledge of the Health Care Environment
5. As a manager in a new nursing home, where might you consult for guidance and
evidence to support the development of safe patient practices?
a. Hospitals
b. Business
c. Industry
d. Outpatient clinics
ANS: A
Practices that were once mostly studied in hospital settings are now scrutinized for
implementation in other settings, such as outpatient clinics, rural settings, and nursing
homes.
REF: Page 30
TOP: AONE competency: Knowledge of the Health Care Environment
6. As a manager, the development of your decision-making skills related to safe patient
care is facilitated by:
a. Regular reflection on decisions.
b. A culture of perfectionism.
c. Recognition of who should be held responsible for individual errors.
d. A culture of trust between the staff and you.
ANS: A
Reflection on how well decisions were enacted enables knowledge of the complexity
of situations and ramifications of the decisions made. Reflection enables elimination
of strategies and methods that are inappropriate in meeting needs and aids in
narrowing choices of best actions to take.
Leading and Managing
Yoder-Wise: Leading and Managing in Nursing, 6th Edition
MULTIPLE CHOICE
1. Which of the following would managers and staff review annually in order to ensure
compliance with the Joint Commission (TJC) to improve patient safety?
a. Appropriateness of charting terms and abbreviations
b. Nursing hours per patient
c. Acuity of patient admissions
d. Wait times for care
ANS: A
The Joint Commission issues setting-specific patient goals annually, as well as a list
of “do-not-use” terms, abbreviations, and symbols and sentinel events.
REF: Page 28
TOP: AONE competency: Knowledge of the Health Care Environment
2. In preparation for redesignation as a MagnetTM Hospital, how would you prepare?
a. Commit staff resources over a 6-month period to updating procedure manuals.
b. Educate staff through meetings and training sessions regarding appropriate
answers to questions.
c. Prepare a manual that outlines orientation procedures and ensure that all safety
issues are addressed.
d. Ensure that there are empirical data to support review of patient outcomes,
actions taken, and results of actions.
ANS: D
Through the MagnetTM model, organizations must demonstrate how they provide
excellence in five areas. Between designation and redesignation as a MagnetTM
organization, greater emphasis is placed on empirical quality results.
REF: Page 29
TOP: AONE competency: Knowledge of the Health Care Environment
3. Sarah is a second-year nursing student. The clinical instructor overhears Sarah telling a
patient that she “always” checks patients’ bracelets before giving medication and she is
not sure how the nurses on the unit “get away with” not making more errors than they
do. The clinical instructor pulls Sarah aside and explores with her how her
communication might affect the patient and what it reflects about her beliefs related to
the team. The actions of the clinical instructor reflect competencies outlined by:
a. QSEN.
b. IHI.
c. DNV/NIAHO.
d. AHRQ.
, ANS: A
The Quality and Safety Education for Nurses (QSEN) project provides resources
related to competencies that prelicensure and graduate students need to develop to
serve as safe practitioners. These competencies include leading and managing,
teamwork and collaboration.
REF: Page 29
TOP: AONE competency: Knowledge of the Health Care Environment
4. The SBAR approach to patient safety encourages:
a. Consistency in assessment and practices.
b. Continuing education.
c. Multidisciplinary approaches.
d. Patient feedback.
ANS: A
The use of SBAR (Situation, Background, Assessment, and Recommendation)
checklists are designed to decrease omission of important information and practices.
REF: Page 30
TOP: AONE competency: Knowledge of the Health Care Environment
5. As a manager in a new nursing home, where might you consult for guidance and
evidence to support the development of safe patient practices?
a. Hospitals
b. Business
c. Industry
d. Outpatient clinics
ANS: A
Practices that were once mostly studied in hospital settings are now scrutinized for
implementation in other settings, such as outpatient clinics, rural settings, and nursing
homes.
REF: Page 30
TOP: AONE competency: Knowledge of the Health Care Environment
6. As a manager, the development of your decision-making skills related to safe patient
care is facilitated by:
a. Regular reflection on decisions.
b. A culture of perfectionism.
c. Recognition of who should be held responsible for individual errors.
d. A culture of trust between the staff and you.
ANS: A
Reflection on how well decisions were enacted enables knowledge of the complexity
of situations and ramifications of the decisions made. Reflection enables elimination
of strategies and methods that are inappropriate in meeting needs and aids in
narrowing choices of best actions to take.
