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NUR 310 EXAM 2 WITH VERIFIED CORRECT ANSWERS
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NUR 310 EXAM 2 WITH VERIFIEDCORRECT ANSWERS
safety - correct answer -refers to the prevention of health care errors and the elimination or mitigation of patient injury
caused by health care errors.
types of health care errors: - correct answer -error of commission; error of omission; error of execution
types of errors: - correct answer -diagnostic; treatment; preventative; diagnostic
levels of errors: - correct answer -adverse event; near miss; sentinel event
error of commission - correct answer -doing the wrong thing
error of omission - correct answer -not doing the right thing
error of execution - correct answer -doing the right thing incorrectly
adverse event - correct answer -unintended harm by an act of commission or omission rather than as a result of a
disease process
near miss - correct answer -error of commission or omission that could have harmed a patient, but harm did not
occur as a result of chance
sentinel event - correct answer -unexpected occurrence involving death or serious injury
why are many errors undocumented or are not reported? - correct answer -due to staff fear of reprisal, lack of
adequate systems to report, limited staff education about safety and report process
blunt end - correct answer -latent errors; organizational/system
NUR 310 EXAM 2 WITH VERIFIED
CORRECT ANSWERS
,sharp end - correct answer -active errors; direct patient care
culture of blame - correct answer -previously existed; identified clinician at fault, followed by disciplinary measures
culture of safety - correct answer -focus on what went wrong rather than who to blame; needed to address errors and
to prevent a reoccurrence; look at what happened as opposed to who did it
just culture - correct answer -seeks to find a balance between the need to learn from mistakes and the need for
disciplinary action against employees
there has to be a balance between what when it comes to errors? - correct answer -blame and accepting
responsibility and learning from mistakes
concept attributes to safety - correct answer -knowledge; skills; attitudes
knowledge concept attribute of safety - correct answer -focus of safety is on the execution of skills, as well as on
technology and systems level; human factors, not just skills
skills concept attribute of safety - correct answer -nurses need to use tools to contribute to safer systems
attitudes concept attribute of safety - correct answer -nurses and other health care professionals need to value their
roles in safety and collaboration; Nurses' personal and professional attitudes are instrumental in shaping their nursing
practice and recognizing the cognitive and physical limits of human performance
QSEN competencies: - correct answer -patient-centered care; teamwork and collaboration; evidence-based nursing
practice; quality improvement; informatics; safety
QSEN project - correct answer -has been the national leader in defining the competencies for safety by specifying the
knowledge, skills and attitude objectives for all nurses including pre-licensure and graduate students
As nurses how do we address /prevent the safety factors that place individuals at risk? - correct answer -the nurse's
role in prevention is largely educative; observation or prediction of potentially harmful situations so that harm can be
avoided; client education that empowers clients to protect themselves and their families from injury
NUR 310 EXAM 2 WITH VERIFIED
CORRECT ANSWERS
,desired outcomes of addressing/preventing the safety factors that place individuals at risk: - correct answer -
acquisition of knowledge of hazards; behaviors that incorporate safety practices; skills to perform in the event of
certain emergencies
examples of desired outcomes: - correct answer -describe methods to prevent specific hazards; report use of home
safety measures; alter home physical environment to reduce risk of injury; describe emergency procedures for
poisoning and fire; describe age-specific risks or work safety risks or community safety risks; demonstrate correct
use of child safety seats; demonstrate correct administration of CPR; today focus on point of care safety related to
falls and restraint use
The Joint Commission National Patient Safety Goals 2016 Long Term Care: - correct answer -identify residents
correctly - use at least 2 ways to ID residents; use medicines safely - take extra care with anticoagulants and record
and pass along correct info about residents' medication; prevent infection - had hygiene and prevention of central line
infections; prevent residents from falling - fall risk assessment; prevent bed sores - skin assessment
who is more at risk for falls? - correct answer -elderly and infants
who is more at risk for ulcers? - correct answer -bed bound, immobile
The Joint Commission National Patient Safety Goals 2016 Hospital: - correct answer -identify patients correctly - at
least 2 identifiers; improve staff communication - get test results to the right staff person on time; use medicines
safely - label medications before a procedure, use caution with blood thinners, record and pass along correct infor
about patient meds; use alarms safely - make improvements to ensure that alarams on medical equipment are heard
and responded to one time; prevent infection; identify patient safety risks - find out which patients are most likely to
commit suicide; prevent mistakes in surgery - assure correct surgery is done on the correct patient and the correct
place on the patient's body
point of care exemplars of safety: - correct answer -prevention of decubitus ulcers; medication administration; fall
prevention; communication; restraint use; seizure precautions; hypothermia and hyperthermia
systems level exemplars of safety: - correct answer -documentation/electronic records; error reporting; work
processes; care coordination; team systems
common care-management problems: - correct answer -failure to monitor, observe, or act; delay in diagnosis;
incorrect assessment of risk; loss of info during transfer to other healthcare staff (and off reports); failure to note
faulty equipment; failure to carry our preoperative checks; deviation from an agreed protocol without clinical
justification; failure to seek help when necessary; use of incorrect protocol; treatment given to wrong body site
NUR 310 EXAM 2 WITH VERIFIED
CORRECT ANSWERS
, normal urine output - correct answer -30 mL/hr
when do you treat for pain? - correct answer -ranked 5 or more out of 10
risk factors for falls - correct answer -poor vision; cognitive dysfunction; impaired gait or balance; difficulty getting in
and out of chair; orthostatic hypotension; urinary frequency or diuretics; weakness from disease, injury, or therapy;
medications; history of falls
what is the leading cause of injury in older adults? - correct answer -falls
what is the most frequently reported adverse event in adult inpatient settings? - correct answer -falls
where do falls occur the most? - correct answer -in the home
how to assess fall risk? - correct answer -"Get Up and Go" Assessment Tool; Morse Fall Assessment tool
Get Up and Go Assessment tool - correct answer -get out of chair without pushing up on chair and walk 10 ft/ 3m,
then turns around walks back and sits down in chair; can use walker or cane if they typically use it;
get up and go < 10 seconds - correct answer -freely mobile
get up and go < 20 seconds - correct answer -mostly independent
get up and go 20-29 seconds - correct answer -variable mobility
get up and go > 30 seconds - correct answer -impaired mobility
Morse Fall Scale - 6 areas of fall risk identified: - correct answer -history of falling; secondary diagnosis; ambulatory
aid; IV therapy/HepLock; gait; mental status
NUR 310 EXAM 2 WITH VERIFIED
CORRECT ANSWERS
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