Question 1

During review of back injuries,it is determined that mechanical lifts and transfer belts are not being properly used.In addressing this concern,the unit manager

Accepted Answer

Consulting with the staff enables the nurse manager to ascertain the root of the problem,inasmuch as the equipment may be faulty or unsafe because of its age and needs to be replaced.Client-focused provision of care requires the nurse administrator to communicate,collaborate,and consult with nurses and other members of the health care team about the provision of health care services.

Question 2

On the basis of a review of increased falls with injury and increased use of restraint during evening hours,you as the unit manager are most likely to

Accepted Answer

It is the nurse manager's responsibility to challenge any action that is unsafe and to stop actions that are not performed in the patient's best interest.This includes ensuring that staffing mixes are appropriate for care provided on each shift.

Question 3

As the nurse was about to administer an oral mediation,the patient states,"That pill is the wrong colour." The nurse goes back to the medication administration area to check the medication and realizes that it is indeed the wrong pill.Does this situation require the completion of an adverse event report?

Accepted Answer

Recognizing the occurrence of an adverse event or close call and responding effectively help mitigate harm to the patient,ensure disclosure,and prevent recurrence.In this case,the error would have occurred if the patient had not questioned the colour of the medication.

Question 4

Approximately what percentage of Canadian hospital admissions can be expected to include an adverse event?

Accepted Answer

The adverse events rate was found to be 7.5 per 100 Canadian hospital admissions.This means that an adverse event was experienced in 7.5% of hospital admissions.

Question 5

Which of the following represents an activity that supports patient-centred care?

Accepted Answer

Governance and management activities that support patient-centred care include e-health stations and other technologic devices that facilitate communication,efficiency,and convenience.

Question 6

After consulting with practice environments about quality and safety concerns in health care,the Dean of Health Programs at a Canadian university develops

Accepted Answer

Working within interprofessional teams optimizes patient safety and quality of the care that patients receive.

Question 7

In an effort to control costs and maximize revenues,the Rehabilitation Unit at Cross Hospital reduces the number of its nursing managers.Within a year,the number of adverse events on the units has doubled.This may be attributable to

Accepted Answer

Strong leadership across the nursing profession is essential to ensure the delivery of safe care.Reducing nursing managers who provide support,consultation,and leadership in securing resources and in inspiring standards of excellence may increase the number of adverse events related to lack of leadership.

Question 8

Having team "huddles" each day on the nursing unit is a reflection of

Accepted Answer

Some examples of activities that health care organizations can implement to support a culture of safety include establishing Quality Improvement (QI)teams,having regular team "huddles" on the unit,debriefing with regard to adverse events,and requiring completion of a surgical safety checklist.

Question 9

Which of the following depicts a nursing-sensitive outcome?

Accepted Answer

Nursing-sensitive outcome is the phrase used to describe patient outcomes that are sensitive to nursing practice or interventions; therefore,programming that incorporates individual nurse competency into smoking cessation programs is an example.

Question 10

What is the primary purpose of nursing standards?

Accepted Answer

The primary purpose of standards is to identify for nurses,the public,government,and other stakeholders the desired and achievable level of performance expected of nurses in their practice,against which actual performance can be measured.

Question 11

Traditional approaches to ensuring patient safety have focused on

Accepted Answer

When health care facilities create a culture of safety,their staff are more willing to report adverse events because the focus is on addressing issues in the system and not blaming individuals.

Question 12

Which of the following represents a potential use of nurse-sensitive outcomes?

Accepted Answer

Doran,Harrison,Laschinger,et al.(2004)suggested the following uses for nurse-sensitive outcomes:
•Develop treatment plans for individual patients.
•Evaluate different approaches to patient care.
•Inform best practices.
•Improve the quality of nursing care.
•Improve patient outcomes.
•Inform staffing policies and decisions.
•Assist organizations to balance the competing demands of access,cost,and quality (p.3).

Question 13

Having access to information,evidence,and research is an important driver for quality and

Accepted Answer

The Canadian Patient Safety Institute's (CPSI's)Effective Governance for Quality and Patient Safety: A Toolkit for Healthcare Board Members and Senior Leaders provides information on the drivers of quality and patient safety,references (including Canadian studies),and stories from health care organizations.Important drivers of quality and patient safety include access to information,evidence and research,and relevant measures.

Question 14

Which of the following is a CPSI safety competency?

Accepted Answer

One of the six CPSI competencies is to optimize human and environmental factors,managing the relationship between individual and environmental characteristics in order to optimize patient safety.

Question 15

Which attribute is a common feature of a culture of safety?

Accepted Answer

Attributes of common features of a culture of safety include a nonpunitive approach to adverse event reporting and analysis; open communication; teamwork; organizational learning; shared belief in the importance of safety; and leadership commitment to safety.

Question 16

The nursing manager changed the current model of implementing nursing rounds of patients each day at 1200 hours to implementing interdisciplinary rounds of patients at 1000 hours.This change reflects

Accepted Answer

Patient-centred care is a priority in two main roles for nursing managers: making policies and ensuring system accountability.A number of activities can be implemented to enact these two roles,and nurses can support or implement many of them.For example,nurses can lead changes that promote team-based and collaborative care,as demonstrated in this question.

Question 17

Which of the following is the CSPI's flagship program?

Accepted Answer

The CSPI's flagship program is Safer Healthcare Now,with its vision as safe health care for all Canadians.

Question 18

As a patient care advocate,you regularly coach patients in how to stay safe in health care by educating them about

Accepted Answer

One of the patient outcomes includes self-care: that is,the patients' perceptions and abilities to manage their care,including medication administration.It is important that a patient advocate educate patients about their medications and assess their ability to correctly take their own medications.

Question 19

In designing a high-quality,safe health care environment,the primary emphasis needs to be on

Accepted Answer

Patient-centred care contributes to a safer health care environment.Patient focus is integrated in the entry-level competencies for nurses that guide nursing education programs.These entry-level competencies are developed through collaboration among nursing regulatory bodies in Canada.The competencies are grounded in a standards-based conceptual framework in which the patient is central.

Question 20

What is the focus in a culture of safety?

Accepted Answer

In a culture of safety,the focus is on effective systems and teamwork to accomplish the mutual goal of safe,high-quality performance.When something goes wrong,the focus is on what,rather than who,the problem is.The intent is to expose process failures and system issues and to solve them in a nonbiased,nonthreatening way.

Quiz 2: Patient Focus