Chapter 02: Quality and Safety
A client requires an appendectomy. The surgeon explains the procedure and asks the
clientto sign the consent. The patient speaks very little English and looks worried. What
is the appropriate action by the nurse?
a. Suggest that an interpreter explain the procedure to the client and answer any
questions.
b. Ask the client if he has any questions.
c. Draw a picture to show the incision.
d. Not intervene. - ANS - a. Suggest that an interpreter explain the procedure to the
client and answer any questions.
Encouraging patients to ask questions when there are doubts and concerns and
ensuring understanding before surgery is performed are ways in which nurses can
support patients in having greater influence in their own care. In this situation, asking an
interpreter to help enables access to information for the patient and active assessment
of his understanding.
A nurse manager is implementing strategies to support the steps in the AHRQ Team
Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS 2.0)
What does the manager include in the implementation?
a. Train staff in teamwork skills to work with patients who have difficulty communicating
in English.
b. Rules and decisions are made through centralized processes.
c. You monitor the performance of each staff member closely.
d. Preference is given to increasing staff numbers rather than staff credentials. - ANS -
a. Train staff in teamwork skills to work with patients who have difficulty communicating
in English.
One of the most widely used evidence-based teamwork systems to improve
communication and teamwork skills to improve patient safety within organizations is the
AHRQ Team Strategies and Tools to Enhance Performance and Patient Safety
(TeamSTEPPS 2.0). Teamwork is one of the key safety initiatives that can transform a
healthcare culture
, After consulting with practice environments about quality and safety concerns in health
care, a dean in a health care program implements what to improve quality and safety in
health care?
a. A nursing program that emphasizes the development of a strong disciplinary identity.
b. Programming that stresses discipline-based research.
c. Partnerships with health care to develop software for the reporting of adverse events.
d. An interdisciplinary program for nurses, pharmacists, and medical practitioners that
emphasizes collaborative learning teams. - ANS - d. An interdisciplinary program for
nurses, pharmacists, and medical practitioners that emphasizes collaborative learning
teams.
Health Professions Education identified that education related to health disciplines in
silos leads to compromised communication and inability to function as an integrated
whole for patient-centered care.
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. Hospitals
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.
As a nurse manager on the West Surgery Unit, you are interested in increasing patient
safety and reducing morbidity and mortality on your unit. What recommendations would
be consistent with the IOM The Future of Nursing report?
a. Careful screening of nursing staff for substance use and abuse
b. Increased RN staffing on the unit
c. Salary and benefits that reflect nursing accountabilities
d. Increase in the percentage of baccalaureate-prepared nurses to 80% - ANS - d.
Increase in the percentage of baccalaureate-prepared nurses to 80%
A client requires an appendectomy. The surgeon explains the procedure and asks the
clientto sign the consent. The patient speaks very little English and looks worried. What
is the appropriate action by the nurse?
a. Suggest that an interpreter explain the procedure to the client and answer any
questions.
b. Ask the client if he has any questions.
c. Draw a picture to show the incision.
d. Not intervene. - ANS - a. Suggest that an interpreter explain the procedure to the
client and answer any questions.
Encouraging patients to ask questions when there are doubts and concerns and
ensuring understanding before surgery is performed are ways in which nurses can
support patients in having greater influence in their own care. In this situation, asking an
interpreter to help enables access to information for the patient and active assessment
of his understanding.
A nurse manager is implementing strategies to support the steps in the AHRQ Team
Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS 2.0)
What does the manager include in the implementation?
a. Train staff in teamwork skills to work with patients who have difficulty communicating
in English.
b. Rules and decisions are made through centralized processes.
c. You monitor the performance of each staff member closely.
d. Preference is given to increasing staff numbers rather than staff credentials. - ANS -
a. Train staff in teamwork skills to work with patients who have difficulty communicating
in English.
One of the most widely used evidence-based teamwork systems to improve
communication and teamwork skills to improve patient safety within organizations is the
AHRQ Team Strategies and Tools to Enhance Performance and Patient Safety
(TeamSTEPPS 2.0). Teamwork is one of the key safety initiatives that can transform a
healthcare culture
, After consulting with practice environments about quality and safety concerns in health
care, a dean in a health care program implements what to improve quality and safety in
health care?
a. A nursing program that emphasizes the development of a strong disciplinary identity.
b. Programming that stresses discipline-based research.
c. Partnerships with health care to develop software for the reporting of adverse events.
d. An interdisciplinary program for nurses, pharmacists, and medical practitioners that
emphasizes collaborative learning teams. - ANS - d. An interdisciplinary program for
nurses, pharmacists, and medical practitioners that emphasizes collaborative learning
teams.
Health Professions Education identified that education related to health disciplines in
silos leads to compromised communication and inability to function as an integrated
whole for patient-centered care.
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. Hospitals
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.
As a nurse manager on the West Surgery Unit, you are interested in increasing patient
safety and reducing morbidity and mortality on your unit. What recommendations would
be consistent with the IOM The Future of Nursing report?
a. Careful screening of nursing staff for substance use and abuse
b. Increased RN staffing on the unit
c. Salary and benefits that reflect nursing accountabilities
d. Increase in the percentage of baccalaureate-prepared nurses to 80% - ANS - d.
Increase in the percentage of baccalaureate-prepared nurses to 80%
