Question 1

Which of the following is true regarding patient safety and prevention of harm?

Accepted Answer

D

Question 2

Which of the following best describes safety in health care?

Accepted Answer

Safety in health care involves ongoing efforts to prevent errors and harm to patients. Option B describes a common approach to improving safety after an error occurs by analyzing the contributing factors and implementing changes to prevent similar errors from happening in the future. Option A may demonstrate consequences for poor performance but does not necessarily address the underlying causes of the error. Option C may overlook safety concerns in favor of efficiency goals. Option D is important for monitoring safety but does not necessarily lead to action to improve it.

Question 3

Improvement of patient care outcomes is a focus of all health-care providers.Which of the following is a method for nurses to improve patient care outcomes?

Accepted Answer

B

Question 4

An RN receives a patient with a diagnosis of thrombotic stroke from the emergency department.The pharmacy alerts the RN that the dose of tPA must be administered within the next 15 minutes and sends the medication to the RN.The usual practice is for tPA to be administered in the emergency department before admission to the unit.The RN checks the medication administration record, noting there is no indication that the tPA was administered in the emergency department.The RN calls down to the emergency department to speak with the nurse who cared for the patient.The previous nurse failed to document administration of the medication and corrects the documentation with a late entry note.This scenario best describes which of the following?

Accepted Answer

This scenario best describes a near miss. Although there was a potential for a medication error, the RN caught the mistake before administering the medication and was able to correct the documentation. A near miss refers to an event that had the potential to cause harm but was prevented from occurring. In this case, the patient was at risk of not receiving the necessary medication, but the RN intervened in time to prevent the error.

Question 5

Which of the following best describes the characteristic of effective quality in health care?

Accepted Answer

Using current evidence to improve practice is the best characteristic of effective quality in health care.

Question 6

A nurse leader is involved with establishing the organization's quality improvement plan.Which of the following should be included in the plan?

Accepted Answer

The answer of A nurse leader is involved with establishing...

Question 7

Which of the following is true regarding a root cause analysis?

Accepted Answer

While the goal of a root cause analysis is to identify the underlying cause(s) of an error or problem, it may not always be possible to identify a single root cause. In many cases, there may be multiple contributing factors or causes that led to the error. Additionally, it is important to consider both direct and indirect causes during the analysis, rather than solely focusing on the direct cause. Finally, while identifying necessary and sufficient influences can be helpful in understanding the context of the error, it is not a crucial step in root cause analysis.

Question 8

An RN identifies safety concerns on an inpatient unit.The RN implements changes in order to improve patient outcomes.Which of the following best describes this scenario?

Accepted Answer

Applying quality improvement involves identifying safety concerns and implementing changes to improve patient outcomes. Utilizing informatics involves using technology to improve patient care. Employing evidence-based practice involves incorporating the latest research into patient care decisions. Providing patient-centered care involves focusing on the individual needs and preferences of each patient. While all of these concepts may be involved in improving patient outcomes, the most accurate description of the scenario presented is applying quality improvement.

Question 9

A patient suffered a hemolytic transfusion reaction after being given packed red blood cells with an incompatible blood type.The patient recovered.Which of the following types of safety events does this scenario best describe?

Accepted Answer

The answer of A patient suffered a hemolytic transfusion reaction...

Question 10

Which of the following best describes the characteristic of efficient quality in health care?

Accepted Answer

Efficient quality in health care involves minimizing waste and using resources wisely, such as opening only necessary supplies.

Question 11

Which of the following recommendations promotes safe, quality, patient-centered care?

Accepted Answer

The answer of Which of the following recommendations promotes safe,...

Question 12

Which of the following is a way in which nursing can impact quality and safety?

Accepted Answer

The answer of Which of the following is a way...

Question 13

A nurse is completing the morning assessment on a new patient.As the nurse approaches the IV pole, the nurse's foot gets stuck to the floor and the nurse falls to the ground, injuring his knee.It was discovered that an IV bag containing dextrose had leaked onto the floor and was not properly cleaned up.The nurse suffered a sprain and returned to work 1 week later.Which of the following does this best describe?

Accepted Answer

The answer of A nurse is completing the morning assessment...

Question 14

Which of the following is true regarding an incident report?

Accepted Answer

The answer of Which of the following is true regarding...

Question 15

A chief nursing officer is working to develop a culture of safety.Which of the following recommendations should be implemented?

Accepted Answer

Studying sentinel events helps identify the root causes of errors and provides an opportunity to learn from mistakes and prevent future occurrences. Determining who was most responsible for an error can lead to a blame culture and discourage reporting of errors, while identifying mandatory reportable errors does not necessarily address all potential sources of harm. Eliminating the cause of errors is often not feasible as healthcare is a complex system with multiple factors contributing to errors.

Quiz 11: Quality and Safety