NUR3816 EXAM 2023/2024 ACCURATE QUESTIONS AND ANSWERS ECXPERT VERIFIED FOR GUARANTEED PASS LATEST UPDATE Which of the following scenarios is a Sentinel Event? Determine why/why not next to each choice. A. An unanticipated death of a full -term newborn. B. Lack of oxygen during surgery resulting in brain damage. C. Improper use of forceps resulting in newborn brain damage or injury. D. Death or loss of limb in the ER resulting from bad time management. A A sentinel event is an unexpected occurrence involvin g death or serious physical or psychological injury or the risk thereof. Sentinel events requires an immediate investigation by the Joint Commission. The state of Florida, requires a Root Cause Analysis to be completed. All of the other answer choices are Adverse Events which are defined as "an injury caused by medical management rather than the underlying disease or condition." Which is true regarding sentinel events? How do sentinel events differ from Adverse Events? A. All sentinel events occur because of an error B. Every error results in a sentinel event C. Wrong site surgery is a sentinel event D. A sentinel event is an injury caused by medical management rather than the underlying disease or condition of the patient C Florida law requires reporting of adverse events to AHCA within 15 days (CODE 15). From the following events, which is an adverse event that must be reported? A. Patient has to go into surgery to remove a sponge that was left inside the abdomen during his last surgery B. A patient received 10 units of regular insulin instead of 5 units as prescribed C. An 80 year -old female fell in the bathroom and broke a hip and has to go into surgery for a hip replacement D. Patient contracted catheter -associated UTI while staying at the hospital A Code 15 —State of Florida, requires the following adverse event to be reported within a 15 day period - The performance of procedures to remove unp lanned foreign objects remaining from a surgical procedure. Which of these are the highest levels of education for nursing and are correctly matched with their focus? A. Ed.D. with a focus on research, DNP with focus on practice B. Ph.D with a focus on re search, DNP with a focus on practice C. Ph.D with a focus on research, Ed.D with a focus on practice D. Ph.D with a focus on practice, DNP with a focus on research B Ph.D is a Doctor of Philosophy and this is considered the "gold standard", research gener ating. DNP is Doctor of Nursing Practice and it is a more of a focus on practice. Ed.D is a Doctorate in Education and it is a teaching/educational degree. Which of the following is not considered an example of Man (human) error? Define the terms and think how they influence care. A. Competency B. Broken equipment C. Fatigue D. Bias B Broken equipment would be considered a machine/device error, not a human error. Bias, competency, and fatigue are all considered man (human) medical errors. Which is NOT con sidered a sentinel event? What is a sentinel event? A. Hip surgery was performed on the wrong patient B. A sponge was left inside of patient's abdomen during a C -section C. A nurse administered Hydroxyzine instead of Hydralazine without any adverse effect s D. A cancer patient was given radiation to the wrong area C This is correct because a sentinel event is defined as "an unexpected occurrence involving death or serious physical or psychological injury or the risk thereof." Answer choices A, B, and D all led to serious injury. While C is an error, it did not result in injury or death. What type of medical error poses the greatest threat? Why? A. An active error B. Man error C. Machine error D. Latent error D Latent errors pose greatest threat to safety in complex systems because they are often unrecognized and have the capacity to result in multiple types of active errors. Latent errors are removed from the direct control of the operator and include things such as poor design, incorrect installations, facility maintenance, bad management decisions, and poorly struct ured organizations. A: Active error - Active errors occur at the level of the front line operators and there effects are felt almost immediately B/C: Man and machine errors are more readily noted than system/method errors. Machines/devices: rechecking is KE Y to prevention The following are all common causes of malpractice and negligence in nursing include all but which one? Consider how communication and/or collaboration and collegiality are related to potential for error. A. Failure to document B. Failure to challenge clinician order that is incorrect C. Failure to give PRN pain medication at 8am D. Failure to communicate findings to the doctor C The most common malpractice and negligence of nursing care is failure to communicate (D: failure to communicate findings to doctor), Failure to document (A) and Failure to act as a patient advocate (B; failure to challenge clinicians order that is incorrect), therefore failure to give PRN medication at 8am is not negligence or malpractice, as it is given on an as n eeded basis and not always at 8am. The nurse enters the room of a patient who seems to be very angry with the health care system. As the nurse is taking the patient's blood pressure, the nurse has to remind the patient what blood pressure is because she fo rgot. Embarrassed and angry, the patient then gets very defensive and asks the nurse "Are you even holding the stethoscope in the right spot, you look like you've never done this before." Understanding that the patient has a very disapproving attitude, wha t is the nurse's best response? Consider effective communication and what response would diffuse the situation and what may potentially escalate the frustration. A. Call the physician to order restraints B. Leave the room to give the patient some space as she cools down C. Ask the patient why she would say something so offensive D. Apologize to the patient for making her feel uncomfortable with her service D This is the correct answer because the nurse has encountered a problem patient or a suit -prone patient. The best way to deal with these patients is to be understanding, apologetic, etc. Leaving the room may give the impression that the nurse is ignoring the patient's comments (postponing addressing the conflict); whereas, asking why she would ask somet hing so offensive potentially escalates the patient's frustration. (See communication slide for barriers.) The restraints response is not reasonable. Which Doctoral level degree is considered the "gold standard", and is awarded for research -
generating new knowledge? A. BSN B. DNP C. Ph.D. D. Ed.D. C BSN is a Baccalaureate in Science of Nursing and it is not a doctoral level degree, DNP is a Doctor of Nursing Practice —clinical/professional degree, practice focus application of research and Ed.D. is a Docto rate in Education —teaching/educational degree. A patient who had been admitted into the hospital had orders to be repositioned every two hours. The experienced nurse of 15 years, went into the room to administer medications around 0900 and the patient comp lained of feeling discomfort in his lower back but the nurse ignored the complaint. Nine hours went by without turning the patient and it was later discovered at the end of her shift that he had a stage 3 pressure ulcer. It continued to progress and became infected. Which of the following describes this example? A. Negligence B. Malpractice C. Abandonment D. Veracity B Malpractice is defined as an "act of negligence by a professional person as compared to the actions of another professional person in simi lar circumstances". Hospital policy as well as the orders said to turn to the patient every two hours. Not only did she not follow the orders but when the patient complained of discomfort and pain, the nurse completely ignored it resulting in harm to the p atient. When another nurse with similar circumstances and background was called
generating new knowledge? A. BSN B. DNP C. Ph.D. D. Ed.D. C BSN is a Baccalaureate in Science of Nursing and it is not a doctoral level degree, DNP is a Doctor of Nursing Practice —clinical/professional degree, practice focus application of research and Ed.D. is a Docto rate in Education —teaching/educational degree. A patient who had been admitted into the hospital had orders to be repositioned every two hours. The experienced nurse of 15 years, went into the room to administer medications around 0900 and the patient comp lained of feeling discomfort in his lower back but the nurse ignored the complaint. Nine hours went by without turning the patient and it was later discovered at the end of her shift that he had a stage 3 pressure ulcer. It continued to progress and became infected. Which of the following describes this example? A. Negligence B. Malpractice C. Abandonment D. Veracity B Malpractice is defined as an "act of negligence by a professional person as compared to the actions of another professional person in simi lar circumstances". Hospital policy as well as the orders said to turn to the patient every two hours. Not only did she not follow the orders but when the patient complained of discomfort and pain, the nurse completely ignored it resulting in harm to the p atient. When another nurse with similar circumstances and background was called
