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CPPS Review Course /85 Questions And Answers Updated
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CPPS Review Course /85 Questions And AnswersUpdated 2023-2024
Quiz :A staff member discovered a medication with an incorrect label. The staff
immediately notified the pharmacist and the correct label was sent prior to
medication administration. Then, the staff completed an event report through
the organization's reporting tool.
Which of the following actions should the unit manager take in response to
this event?
A.) Document the incident in the employee's performance review.
B.) Investigate system failures and recognize the employee for reporting a
near-miss event.
C.) Notify the director of pharmacy about the pharmacist's error.
D.) No action, since the incident did not cause patient harm. - Answer :B.)
Investigate system failures and recognize the employee for reporting a near-
miss event.
Quiz :You are educating clinical managers in your health care facility on how to
identify appropriate events for conducting a root cause analysis (RCA). Which
event provides the BEST opportunity for an RCA?
A.) A post-operative patient removes his own IV, causing a skin tear from the
tape.
B.) A patient with no known allergies experiences an anaphylactic reaction to
an antibiotic, requiring transfer to ICU.
C.) The biopsy samples from a colonoscopy are never received by pathology
after the procedure.
D.) In the last four months, there have been three occurrences of depressed
respirations related to sedation in the same department. - Answer :C.) The
biopsy samples from a colonoscopy are never received by pathology after the
procedure.
Quiz :A hospital is using the AHRQ Hospital Survey on Patient Safety Culture.
There were 80 employees who responded. Responses to the survey item that
states "we have patient safety problems in this unit" were as follows:
Strongly Agree: 16
Agree: 32
Neither Agree nor Disagree: 12
Disagree: 17
Strongly Disagree: 3
,A.) 75%
B.) 60%
C.) 25%
D.) 20% - Answer :C.) 25%The AHRQ Hospital Survey on Patient Safety Culture
User Guide scoring guidance says to use the "Strongly Agree/Agree" response
sum, or, for negatively worded items—such as this one—use the "Strongly
Disagree/Disagree" sum.
In this example, 17+3 gives us the response sum (i.e., 20), which we divide by
total number of respondents (i.e., 80): 20/80 = 25%.
Quiz :What is one example of a communication technique providers can use to
improve communication with patients?
A.) SBAR
B.) Teach-back
C.) CUSP
D.) Two-Challenge Rule - Answer :B.) Teach-back
Quiz :The Impact of Organizational Change on Safety
What are the three steps to managing patient safety through organizational
change?
A.) Monitor change, identify potential safety implications, and employ
countermeasures to mitigate any anticipated risks
B.) Employ countermeasures to mitigate any anticipated risks, monitor change
C.) Identify potential safety implications, employ countermeasures to mitigate
any anticipated risks, and monitor the change
D.) None of the above - Answer :C.) Identify potential safety implications,
employ countermeasures to mitigate any anticipated risks, and monitor the
change
Quiz :What is the term which describes the belief that one will not be
punished or humiliated for speaking up with ideas, questions, concerns, or
mistakes? - Answer :Psychological safety
Quiz :A safety-supportive system of shared accountability in which: 1.)
Healthcare institutions are accountable for safe systems design and for
encouraging safe choices of clinicians and staff (clear expectations set the tone
to create environment of mutual respect)
,2.) Clinicians and staff are accountable for the quality of their choices (i.e.
striving to make the best possible choices as professionals) - Answer :Just
Culture
Quiz :At the conclusion of a surgical procedure at your hospital, the
instrument count is incorrect. The hospital policy does not stipulate that the
surgeon must remain on the premises until an x-ray is obtained to check for
retained foreign objects. By the time the x-ray results come in to reveal that
there is, in fact, a retained instrument, the original surgeon has left the
hospital to catch a flight. Another surgeon is contacted to remove the retained
instrument.
How should leadership respond to this event?
A.) Revise the hospital policy to make it clear that surgeons must stay in the
operating room (OR) until instrument count issues are resolved.
B.) Using an appropriate accountability system, counsel the surgeon about
customary clinical standards.
C.) Re-educate the OR nursing staff on keeping track of instruments on the
sterile field.
D.) Create a process map of how instruments are managed during surgery,
looking f - Answer :B.) Using an appropriate accountability system, counsel the
surgeon about customary clinical standards.
Quiz :This term reflects a group of individuals who understand the importance
of self- and group- regulation. - Answer :Professionalism
Quiz :The human resources department at your organization has asked your
patient safety specialist for recommendations on new policies to help support
safety culture. Which recommendation sounds best?
A.) Sending human resources all event data so that they can record
involvement in adverse events in personnel files
B.) Including human resources in all root cause analyses so that they can
provide guidance on recommended training updates for staff
C.) Implementing routine use of a tool to determine which events are
attributed to human error, at-risk behavior, and reckless behavior
D.) Implementing routine use of a tool to determine which events are
attributed to human error, at-risk behavior, and reckless behavior AND
consulting with human resources on at-risk and reckless behavior cases -
Answer :D.) Implementing routine use of a tool to determine which events are
, attributed to human error, at-risk behavior, and reckless behavior AND
consulting with human resources on at-risk and reckless behavior cases
Quiz :At the end of a long, exhausting shift, an experienced nurse
administered the wrong medication by picking up the wrong syringe. The
wrong medication was an analgesic, and the patient didn't suffer any
problems. After recalling that his colleague was fired last month over a
medication error, he decides not to file an incident report.
Safety culture would be improved if the hospital provided this employee with
which of the following?
A.) Situational awareness training
B.) Training on reporting
C.) Psychological safety
D.) An electronic reporting system - Answer :C.) Psychological safety
Quiz :A staff nurse at your hospital fails to complete a double-check before
administering a high-alert medication. She gives the medication to the
incorrect patient, and the patient suffers an arrhythmia.
When applying James Reason's unsafe acts algorithm, what is a strategy to use
prior to holding the nurse personally accountable?
A.) Perform the substitution test with three other nurses.
B.) Have the chief nursing officer interview with the nurse.
C.) Hold a root cause analysis.
D.) Ask other nurses if the staff nurse is trustworthy. - Answer :A.) Perform the
substitution test with three other nurses.
Quiz :To improve culture of safety survey results, which of the following
should an organization do?
A.) Acknowledge and celebrate high-performing areas in front of leadership.
B.) Perform root cause analysis on underperforming units to better understand
their results.
C.) Examine high-performing units to identify and disseminate best practices.
D.) Offer coaching and apply Just Culture principles to leaders in lower
performing areas. - Answer :C.) Examine high-performing units to identify and
disseminate best practices.
Quiz :In which of the following activities would a patient safety specialist
engage to promote a culture of safety?
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