Deck 5: Quality and Safety Education Strategies

Question 1

A staff nurse identifies the need to use critical language to address a dangerous patient event. Which statements would be included in this language? Standard Text: Select all that apply.

A) I don't like the way the patient is breathing.
B) I don't want to leave the patient's bedside.
C) I think the patient's status is deteriorating.
D) I want to document patient care.
E) I need to take a break. Correct

Answer 1

I don't like the way the patient is breathing.
I don't want to leave the patient's bedside.
I think the patient's status is deteriorating.

Question 2

The nurse is utilizing the 6.0.-second situation assessment tool to determine which patient to see first after morning report. Which patient would be considered the most critical?

A) Patient respiratory rate 8 and lethargic
B) Patient without intravenous lines wearing oxygen
C) Patient lying on right side in bed responds to verbal stimuli
D) Patient in bed with both side rails down talking on the telephone Correct

Answer 2

Patient respiratory rate 8 and lethargic

Question 3

The preceptor provides a graduate nurse with a tool to self-assess the nurse's knowledge on teamwork and collaboration. Which criteria would be included on this tool?

A) Describe impact of own communication style on others
B) Initiate a plan for self-development as a team member
C) Value teamwork and the relationships upon which it is based
D) Delineate general categories of error and hazards in care Correct

Answer 3

Describe impact of own communication style on others

Question 4

The nurse manager observes a staff nurse initiating actions to resolve a conflict between a physician and another nurse. Which category of teamwork and collaboration criterion did the staff nurse exemplify?

A) Skill
B) Attitude
C) Creativity
D) Knowledge Correct

Question 5

The school of nursing curriculum committee is planning strategies to implement the Institute of Medicine's Health Professions Education quality competencies within the nursing courses. Which strategies will be of particular importance for the committee to include? Standard Text: Select all that apply.

A) Waste reduction strategies
B) Evidence-based practice
C) Interdisciplinary teams
D) Patient-centered care
E) Informatics Correct

Question 6

The nurse manager meets with the nursing staff to discuss the latest quality improvement findings. During this meeting the manager emphasizes the value of each nurse in keeping the patients free from harm. Which Crew Resource Management principle is the nurse manager demonstrating?

A) Effective communication
B) Leadership and role identification
C) Error anticipation and mitigation
D) Situational awareness Correct

Question 7

During interdisciplinary rounds a patient states confusion regarding the purpose of prescribed medications. Which action would support quality patient care?

A) The nurse stating that the purpose of all medications will be reviewed before discharge
B) The physician stating that medications are prescribed to help with the patient's problems
C) The pharmacist stating the actions and purpose of the medication and what to expect
D) The physical therapist stating the medication has to be taken after therapy for effectiveness Correct

Question 8

A committee of school of nursing instructors is meeting to discuss quality and safety strategies to include in the curriculum. Which strategies will the instructors most likely include? Standard Text: Select all that apply.

A) Provide study plans that link didactic information with clinical practice.
B) Limit the use of skills checklists to be used only for critical skills.
C) Emphasize the importance of customer service in each course.
D) Add quality and safety interventions in each course of study.
E) Teach delegation skills. Correct

Question 9

The nurse manager is evaluating the success of the Transforming Care at the Bedside program implemented on a patient care area. Which would the nurse manager identify as being a desirable outcome of patient-centered care?

A) Increase in patient satisfaction
B) Reduction in medication errors
C) Increased family satisfaction
D) Reduced staff turnover Correct

Question 10

The nurse manager is reviewing the assertion cycle to be used by staff to improve assertive communication. Place in order the steps of this cycle beginning with the first step to the last.Standard Text: Click and drag the options below to move them up or down.Choice

A) Reach a decision
B) State the problem
C) Propose an action
D) Express your concern
E) Get the person's attention Correct

Question 11

The nurse manager is identifying areas in which excessive waste occurs on a patient care area. Which areas would the nurse manager include on this list? Standard Text: Select all that apply.

A) Moving wheelchairs
B) Walking to two areas to get supplies
C) Stocking one dozen of a patient care item that is rarely used
D) Assessing new admissions within 1 hour of arrival to the unit
E) Wasting packaged sterile gloves because of tears in the outer package Correct

Question 12

The Quality Improvement committee is studying the amount of time nurses spend on unproductive activities. Which action would improve a continuous flow of work and reduce the waste of nurses' time?

A) Centralizing supplies
B) Creating a medication room
C) Following-up on vital sign assessments
D) Creating care pods with commonly used supplies Correct

Question 13

The staff nurse observes that another nurse is behind in providing care to assigned patients. Which action exemplifies mutual support?

A) Documenting patient care for the nurse
B) Offering to help the nurse with patient care activities
C) Finding nursing assistive personnel to help the nurse
D) Changing the nurse's scheduled lunch break to later in the shift Correct

Question 14

After working for a month in the transition to practice program a group of new graduate nurses are asked to identify gaps in their basic nursing education. Which gaps will the nurses most likely identify? Standard Text: Select all that apply.

A) Administer medications to several patients
B) Conduct thorough patient assessments
C) Use information technology
D) Practice delegation of tasks
E) Ability to prioritize Correct

Question 15

The nurse manager is evaluating the performance of a new graduate nurse who has been participating in the transition to practice program. What strengths would the nurse manager most likely assess in the new graduate nurse? Standard Text: Select all that apply.

A) Rapport with patients and families
B) Respect for cultural diversity
C) Delegation of tasks
D) Conflict resolution
E) Customer service Correct

Question 16

The staff nurse is using the SBAR process to report a patient care situation. What would be included as background for the process?

A) When the situation occurred
B) Synopsis of treatment to date
C) Changes from prior assessments
D) Safety concerns Correct