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Patient Education Questions and Correct Answers/ Latest Update / Already Graded

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A client on the psychiatric unit asks a nurse about psychiatric advance directives (PADs). What information should form the basis of the nurse's response? crisis occurs Ans: A client is allowed to consent to or refuse potential psychiatric treatments if a future incapacitating mental health Loratadine (Claritin), 10 mg by mouth once a day in the morning, is prescribed for a 15-year-old girl with hay fever. The girl tells the school nurse that she is concerned that she will be sleepy for a quiz the next day. How should the nurse respond? Ans: By explaining that this medication rarely causes drowsiness The parents of a child with acute poststreptococcal glomerulonephritis tell the nurse that they are concerned about activity restrictions after discharge. How should the nurse respond? Ans: Activity does not affect the course of the illness. An obese client with a hiatal hernia asks the nurse how to prevent esophageal reflux. What is the nurse's best response? All rights reserved © 2025/ 2026 | Page | 2 Ans: Eat less food at each meal. A 24-year-old woman wants to use her basal body temperature (BBT) in natural family planning but is unsure when to take her temperature. The nurse informs her that an accurate BBT is best taken: Ans: Each morning prior to getting out of bed or increasing her activity A client whose total cholesterol level is found to be 210 mg/dL at a screening session at a health fair asks the nurse what to do in light of this result. The nurse responds, "Your level is: Ans: Elevated slightly and a diet low in saturated fats should be followed. After a prostatectomy, the client's retention catheter is pulled taut and is taped to the thigh. The client reports that the catheter is pulled too tight. What is the best initial action for the nurse to take? Ans: Explain that the traction helps to control bleeding A client who is at 33 weeks' gestation has contracted gonorrhea and is prescribed probenecid (Benemid) and penicillin. What instructions will the nurse give to the client regarding the reason for dual therapy? All rights reserved © 2025/ 2026 | Page | 3 Ans: The amoun

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Patient Safety Questions and Correct
Answers/ Latest Update / Already Graded
Anesthesia Patient safety Foundation APSF

Ans: first organization developed expressly to improve safety
for patients under Ellison Pierce, Jr. MD while president of Am
Soc of Anesthesiologist. He established a Committee on Pt
Safety and Risk Management then 2 yrs later proposed an
independent foundation which became APSF


Cofounders of Institute for Healthcare Improvement

Ans: Don Berwick MD and Paul Batalden MD and Gene Nelson


NEJM Harvard Medical Practice Study 1 and II

Ans: found evidence that a significant number of pts are
harmed by treatment: Adverse events occurred 3.7% of
hospitalizations and 27.6% were due to negligence. 2.6% were
permanently disabling and 13.6% led to death.


Dr. Lucian Leape

Ans: coauthor of Harvard Medical Practice Study who became
a prominent leader of the pt safety movement. He presented



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, Page |2

statistical evidence of the occurrence of harm in an essay titled
"error in Medicine" which appeared in JAMA 12/94


Error in Medicine categories of error

Ans: medication erroro, missed diagnoses, and operational
errors such as delayed treatment, the role of complexity and
culture in medicine, the model of safety improvement offered
by aviation, and the effect that medicine's culture of denia l has
on physicians involed in medical mistakes


Annenberg Conferences

Ans: Two notable conferences in the 1990s to advance pt
safety. The AMA debuted teh National Patient Safety
Foundation, formally established in 1997 as a catalyst for action
modeled on the APSF.


Institute of Medicine (IOM) charged the Committee on Quality of Care
in America with developing a strategy that will result in a threshhold
improvement in quality over the next ten years

Ans: 1998


To Err is Human



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