Question 1

The nursing student is studying about medical errors. Which organization released a groundbreaking report on medical errors?

Accepted Answer

The Institute of Medicine (now known as the National Academy of Medicine) released a groundbreaking report on medical errors titled "To Err Is Human: Building a Safer Health System" in 1999, which significantly raised awareness about medical errors and their impact on patient safety.

Question 2

The nursing student is studying about healthcare errors. Which of the following is considered a sentinel event? Select all that apply.

Accepted Answer

A, B, C

Question 3

The nursing student is reading about safe practices in healthcare. Which of the following best demonstrates safe practices? Select all that apply.

Accepted Answer

A culture of safety, informed consent, and medication management are all practices aimed at enhancing patient safety. A culture of safety involves creating an environment where safety is a priority for everyone. Informed consent ensures patients are fully aware of the risks and benefits of procedures or treatments. Medication management helps prevent medication errors, ensuring the right patient receives the right medication at the right dose and time.

Question 4

The nurse is reviewing hospital reimbursement. Which of the following hospital-acquired complications is not reimbursed by the Centers for Medicare and Medicaid Services? Select all that apply.

Accepted Answer

The answer of The nurse is reviewing hospital reimbursement. Which...

Question 5

The nurse is participating on a panel examining a culture of safety. Which priority concepts should be included? Select all that apply.

Accepted Answer

A culture of safety in healthcare settings emphasizes trust and mutual respect among staff, encourages error reporting without fear of retribution, and focuses on learning from mistakes to improve patient care. Mission and philosophy, as well as beliefs and customs, while important to an organization, are not directly related to the foundational elements of a safety culture.

Question 6

The nurse is reviewing factors related to error reporting. Which of the following demonstrates reasons for not reporting errors in healthcare? Select all that apply.

Accepted Answer

Job security, embarrassment, and legal ramifications are all reasons why healthcare professionals may not report errors.

Question 7

The nurse is verifying safety prior to surgery using the universal protocol. Which factors must met when using this protocol? Select all that apply.

Accepted Answer

The universal protocol for preventing wrong site, wrong procedure, and wrong person surgery includes three key components: a preprocedure verification process to ensure all relevant documents and studies are available and have been properly reviewed (A), marking the procedure site to confirm the correct site of surgery (B), and performing a time-out immediately before starting the procedure to ensure a final verification of the correct patient, procedure, and site (C). Preoperative education (D) and standardized plans of care (E) are important for overall patient care but are not specific components of the universal protocol.

Question 8

The nurse is preparing a client for surgery. Which of the following best demonstrates time-out inpatient safety?

Accepted Answer

Time-out is a safety protocol conducted immediately before a procedure to ensure correct patient, procedure, and site, preventing errors.

Question 9

The nursing student is reading about failure to rescue. Which of the following demonstrates the most effective strategies to increase nurses' time at the bedside? Select all that apply.

Accepted Answer

Hourly rounding, bedside shift report, and streamlining documentation are strategies that can increase nurses' time at the bedside by improving efficiency and communication, thus potentially reducing the risk of failure to rescue. Hourly rounding ensures regular patient checks, bedside shift reports enhance communication and patient involvement, and streamlining documentation reduces the time spent on paperwork, allowing more time for direct patient care.

Question 10

The nurse is reviewing Jean Watson's nursing theory. Which of the following best demonstrates components of this theory? Select all that apply.

Accepted Answer

The answer of The nurse is reviewing Jean Watson's nursing...

Question 11

The nursing student is preparing for a clinical experience in long-term care. Which of the following priority actions should be included in a falls prevention protocol? Select all that apply.

Accepted Answer

The answer of The nursing student is preparing for a...

Question 12

The nursing student is preparing to attend clinical on a nursing unit using smart pumps. Which of the following best demonstrates components of this technology? Select all that apply.

Accepted Answer

Smart pumps create a library of medications, provide clinical advisories, and offer both hard and soft alerts to ensure safe medication administration.

Question 13

The nursing student is reviewing the causes of medication errors in nursing practice. Which of the following contributes most to nursing medication errors?

Accepted Answer

Interruptions during the medication administration process significantly increase the risk of errors by disrupting the nurse's focus and workflow, leading to mistakes.

Question 14

The nursing student is reading about quality and safety in nursing. Which competencies are needed most by future nurses? Select all that apply.

Accepted Answer

Knowledge, skills, and attitudes are the three core competencies needed by future nurses to ensure quality and safety in nursing practice.

Question 15

The nursing student is preparing a project about the graduate's role in client safety. Which of the following is most important to include in this project? Select all that apply.

Accepted Answer

The answer of The nursing student is preparing a project...

Question 16

The nursing student is using a handoff tool during shift change. Which best demonstrates the components of a handoff tool? Select all that apply.

Accepted Answer

The answer of The nursing student is using a handoff...

Question 17

The nursing student is studying tools for effective communication. Which of the following best demonstrates competencies of the Team Strategies and Tools to Enhance Performance and Patient Safety? Select all that apply.

Accepted Answer

Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) focuses on team leadership, situation monitoring, and communication as key competencies for improving teamwork and patient safety. Individual performance and negative environments are not part of these core competencies.

Question 18

The nursing student is reviewing hospital-acquired infections. Which best demonstrates strategies to reduce hospital-acquired infections?

Accepted Answer

Bundles are evidence-based practices that, when implemented together, significantly improve patient outcomes and reduce hospital-acquired infections.

Question 19

The nursing student is reviewing the need for safer staffing patterns in nursing practice. Which of the following best demonstrates unit conditions influencing staffing patterns? Select all that apply.

Accepted Answer

Client acuity, nursing experience, and support staff are direct factors that influence staffing patterns. Client acuity determines the level of care needed, nursing experience affects the ability to manage patient care efficiently, and support staff availability can impact the workload of nurses. Increased hospital stays and poor client outcomes are more likely consequences of inadequate staffing rather than direct influences on staffing patterns.

Quiz 9: Safety Concerns in Healthcare