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NUR 2090 EXAM 1 QUESTIONS WITH 100% COMPLETE SOLUTIONS!!
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NUR 2090 EXAM 1 QUESTIONS WITH 100% COMPLETE SOLUTIONS!!
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NUR 2090 EXAM 1 QUESTIONS WITH 100%COMPLETE SOLUTIONS!!
Define Safety. Answer - The state of being free from harm or danger.
Define quality. Answer - Excellence or superiority of something.
What concept is safety interrelated with and why? Answer - Quality; to avoid
adverse outcomes for patients, one must provide quality healthcare
Define "culture of safety" in a healthcare setting. Answer - Every member of
the organization contributes to the safety of patients and employees.
Name one characteristic of a strong "culture of safety" in a healthcare setting.
Answer - Staff are empowered to report errors and near misses
Define Root Cause Analysis (RCA). Answer - determines underlying cause of
adverse events; used after incident to uncover primary cause
What is QSEN? Answer - Framework that defines quality and safety
competencies for nurses.
List the QSEN Competencies in Nursing. Answer - 1) P - Patient-centered care
2) E - Evidence Based Practice
3) T - Teamwork and collaboration
4) S - Safety
,5) I - Informatics
6) Q - Quality improvement
What are the Joint Commission patient safety goals? Answer - 1) improve the
accuracy of patient identification 2) improve the effectiveness of
communication amongst caregivers 3) improve the safety of using medications
4) reduce the harm associated with clinical alarm systems 5) reduce the risk of
HAIs 6) hospital identifies safety risks inherent in its patient population
A nurse's risk assessment can include the following factors: Answer - 1) the
patient 2) hospital equipment 3) the environment
If not working correctly, these systems can compromise patient safety: Answer
- 1) musculoskeletal 2) neurological and sensory 3) cardiovascular and
respiratory 4) immune 5) integumentary
What are examples of patient screening tools used to help evaluate patient
safety? Answer - 1) mini-mental state examination 2) Glasgow coma scale 3)
Hendrich II fall risk Model 4) Braden scale for preventing pressure sore risk
What characteristics can be noted in a patient risk assessment? Answer - 1)
unsteady gait 2) medications 3) blood pressure changes 4) altered mental
status, dementia, confusion 5) sensory impairment 6 prolonged bed rest 6)
incontinence/lack of toileting schedule 7) environment
In terms of environmental safety, what are contributors to consider? Answer -
1) healthcare setting - HAI 2) healthcare setting workers - violence to workers,
sharps, exposure to toxins 3) home 4) community 5) fire 6) pollution 7)
radiation 8) terrorism
, What are some nursing safety interventions? Answer - 1) identify high-risk
patients 2) non-skid footwear, good lighting, clear walkways, items in reach 3)
call bell 4) toileting schedule 5) grab bars 6) bed in lowest position and brakes
locked 7) patient/caregiver education 8) activity/exercise 9) proper body
mechanics used 10) equipment in good repair and at correct settings
What are mechanisms for quality and safety improvement? Answer - 1)
mistake-proofing 2) checklists 3) redundancy 4) communication
What is an example of mistake-proofing as a safety mechanism? Answer -
Creation of tubing connections that are not interchangeable (like IVs and
enteral feeding tubes)
What is an example of checklists as a safety mechanism? Answer - Universal
Protocol for Surgical Procedures (allows surgical staff to institute a time-our to
confirm the patient and procedure)
What is an example of redundancy as a safety mechanism? Answer - Two
nurses confirming a blood product about to be administered to a patient
What is an example of communication as a safety mechanism? Answer -
TeamSTEPPS (SBAR), huddles, debriefs, IPASS the BATON
Define SBAR. Answer - Situation, background, assessment, recommendation;
communication tool within teamSTEPPS
What is IPASStheBATON? Answer - Introduction, patient, assessment, situation,
safety concerns, background, actions, timing, ownership, next; communication
system for handing off patients
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