NMNC 1110 COMPREHENSIVE EXAM LATEST
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following is included in the IHI Global Trigger Tool definition of harm?
-Psychological harm such as miscommunication about a diagnosis
-Financial Harm from expensive medical bills
-Absence of needed care that contributes to harm, such as omitting further testing for a
stroke
-Physical injury caused by medical care that triggers additional care - ✔✔Physical injury
caused by medical care that triggers additional care
✔✔The Swiss Cheese Model of Harm illustrates what important concept in patient
safety?
-Nurses commit the most healthcare errors leading to patient harm
-Harm results when the layers of defenses in a system fail to prevent a hazard from
reaching a patient
-Harm is usually caused by the sharp end of the healthcare delivery system - ✔✔Harm
results when the layers of defenses in a system fail to prevent a hazard from reaching a
patient
✔✔An action that does not go as intended and is an observable error of execution is
called:
Slip
,Lapse
Mistake
Violation - ✔✔slip
✔✔An action that does not go as intended and is not observable or mental error of
execution is called a:
Slip
Lapse
Mistake
Violation - ✔✔lapse
✔✔An action that goes as intended but is wrong, and leads to an error in decision
making or incorrect planning (knowledge or rule based) is called a:
Slip
Lapse
Mistake
Violation - ✔✔mistake
✔✔A deliberate deviation from an operating procedure, a standard or a rule is called:
Slip
Lapse
Mistake
Violation - ✔✔violation
✔✔TERCAP stands for: - ✔✔taxonomy of error, root cause analysis, practice
responsibility
✔✔purpose/need for national patient safety goals - ✔✔-Goal is to improve patient
safety.
-goals focus on problems in health care safety and how to solve them.
-to help accredited organizations address specific areas of concern in regard to patient
safety
✔✔Improve the accuracy of patient identification. - ✔✔Use at least two patient
identifiers when providing care, treatment or services
✔✔Improve the effectiveness of communication among caregivers. - ✔✔Report critical
results of tests and diagnostic procedures on a timely basis and to the appropriate staff
✔✔Reduce the risk of health care-associated infections - ✔✔Comply with either the
current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or
the current World Health Organization (WHO) hand hygiene guidelines.
✔✔six QSEN competencies - ✔✔-Patient-Centered Care
, -Teamwork and Collaboration
-Evidence-Based Practice
-Quality Improvement
-Safety
-Informatics
✔✔patient centered care - ✔✔Recognize the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patient's preferences, values, and needs.
✔✔Teamwork and Collaboration - ✔✔Function effectively within nursing and inter-
professional teams, fostering open communication, mutual respect, and shared
decision-making to achieve quality patient care
✔✔evidence-based practice - ✔✔Integrate best current evidence with clinical expertise
and patient/family preferences and values for delivery of optimal health care
✔✔Quality improvement - ✔✔Use data to monitor the outcomes of care processes and
use improvement methods to design and test changes to continuously improve the
quality and safety of health care systems
✔✔Safety - ✔✔Minimize risk of harm to patients and providers through both system
effectiveness and individual performance
✔✔Informatics - ✔✔Use information and technology to communicate, manage
knowledge, mitigate error, and support decision making
✔✔3 elements/competencies included in QSEN - ✔✔KSA
Knowledge
Skills
Attitudes
-improve the quality and safety of the healthcare systems
✔✔reflection-in-action - ✔✔-nurse's understanding of patient responses to nursing
actions while care is occurring
-happens in real time while care is occurring
-evaluating patient's reaction to an intervention
✔✔Reflection-on-action - ✔✔-consideration of the situation after the patient care occurs
-contemplating a situation and considering what was successful/unsuccessful
✔✔how nurses can develop clinical judgement - ✔✔-knowledge or deep understanding
-learning to recognize patterns
-applying concepts to nursing practice
-skillful responding
QUESTIONS AND ANSWERS SURE A+
✔✔Which of the following is included in the IHI Global Trigger Tool definition of harm?
-Psychological harm such as miscommunication about a diagnosis
-Financial Harm from expensive medical bills
-Absence of needed care that contributes to harm, such as omitting further testing for a
stroke
-Physical injury caused by medical care that triggers additional care - ✔✔Physical injury
caused by medical care that triggers additional care
✔✔The Swiss Cheese Model of Harm illustrates what important concept in patient
safety?
-Nurses commit the most healthcare errors leading to patient harm
-Harm results when the layers of defenses in a system fail to prevent a hazard from
reaching a patient
-Harm is usually caused by the sharp end of the healthcare delivery system - ✔✔Harm
results when the layers of defenses in a system fail to prevent a hazard from reaching a
patient
✔✔An action that does not go as intended and is an observable error of execution is
called:
Slip
,Lapse
Mistake
Violation - ✔✔slip
✔✔An action that does not go as intended and is not observable or mental error of
execution is called a:
Slip
Lapse
Mistake
Violation - ✔✔lapse
✔✔An action that goes as intended but is wrong, and leads to an error in decision
making or incorrect planning (knowledge or rule based) is called a:
Slip
Lapse
Mistake
Violation - ✔✔mistake
✔✔A deliberate deviation from an operating procedure, a standard or a rule is called:
Slip
Lapse
Mistake
Violation - ✔✔violation
✔✔TERCAP stands for: - ✔✔taxonomy of error, root cause analysis, practice
responsibility
✔✔purpose/need for national patient safety goals - ✔✔-Goal is to improve patient
safety.
-goals focus on problems in health care safety and how to solve them.
-to help accredited organizations address specific areas of concern in regard to patient
safety
✔✔Improve the accuracy of patient identification. - ✔✔Use at least two patient
identifiers when providing care, treatment or services
✔✔Improve the effectiveness of communication among caregivers. - ✔✔Report critical
results of tests and diagnostic procedures on a timely basis and to the appropriate staff
✔✔Reduce the risk of health care-associated infections - ✔✔Comply with either the
current Centers for Disease Control and Prevention (CDC) hand hygiene guidelines or
the current World Health Organization (WHO) hand hygiene guidelines.
✔✔six QSEN competencies - ✔✔-Patient-Centered Care
, -Teamwork and Collaboration
-Evidence-Based Practice
-Quality Improvement
-Safety
-Informatics
✔✔patient centered care - ✔✔Recognize the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patient's preferences, values, and needs.
✔✔Teamwork and Collaboration - ✔✔Function effectively within nursing and inter-
professional teams, fostering open communication, mutual respect, and shared
decision-making to achieve quality patient care
✔✔evidence-based practice - ✔✔Integrate best current evidence with clinical expertise
and patient/family preferences and values for delivery of optimal health care
✔✔Quality improvement - ✔✔Use data to monitor the outcomes of care processes and
use improvement methods to design and test changes to continuously improve the
quality and safety of health care systems
✔✔Safety - ✔✔Minimize risk of harm to patients and providers through both system
effectiveness and individual performance
✔✔Informatics - ✔✔Use information and technology to communicate, manage
knowledge, mitigate error, and support decision making
✔✔3 elements/competencies included in QSEN - ✔✔KSA
Knowledge
Skills
Attitudes
-improve the quality and safety of the healthcare systems
✔✔reflection-in-action - ✔✔-nurse's understanding of patient responses to nursing
actions while care is occurring
-happens in real time while care is occurring
-evaluating patient's reaction to an intervention
✔✔Reflection-on-action - ✔✔-consideration of the situation after the patient care occurs
-contemplating a situation and considering what was successful/unsuccessful
✔✔how nurses can develop clinical judgement - ✔✔-knowledge or deep understanding
-learning to recognize patterns
-applying concepts to nursing practice
-skillful responding
