IHI PS 105 Exam Questions With Complete Solutions
When an error occurs, which of the following is generally the proper order of
prioritization?
(A) Communicate with the patient, report to all appropriate parties, check the medical
record, care for the patient.
(B) Report to all appropriate parties, check the medical record, care for the patient,
communicate with the patient.
(C) Care for the patient, communicate with the patient, report to all appropriate parties,
check the medical record.
(D) Check the medical record, care for the patient, communicate with the patient, report
to all appropriate parties. - Answer-(C) Care for the patient, communicate with the
patient, report to all appropriate parties, check the medical record.
/.You're a new resident (house officer). At 2:00 AM, you receive a phone call about a
patient you are covering who has diabetes. The patient has an elevated blood sugar of
375. You order 12 units of NovoLog (rapid-acting) insulin and ask the nurse to check the
sugar again in one hour and call you back. One hour later, the sugar is 280, so you
order another 10 units. By 4:00 AM, the patient's sugar is dangerously low at 45. You
realize that NovoLog insulin takes two to three hours to reach peak effect. By
rechecking the patient's glucose after only one hour and giving more insulin so quickly,
you set the patient up for an episode of hypoglycemia.
Why is it important to communicate with the patient about this event?
(A) Open sharing of this type of information is necessary if patients are to trust their
caregivers.
(B) Open communication is essential according to numerous professional codes of
conduct.
(C) Open sharin - Answer-(D) A and B
/. - Answer-
/.Which of the following is true regarding communication about adverse events with
patients?
(A) Information openly communicated to patients about adverse events in their care
cannot be used in court.
(B) Open communication with patients can assuage caregivers' feelings of guilt.
(C) Due to its complexity, communication with patients following adverse events is best
done by lawyers.
(D) All of the above - Answer-(B) Open communication with patients can assuage
caregivers' feelings of guilt.
/.According to researchers, which of the following is a common reason why caregivers
choose not to communicate when something bad happens?
(A) They feel the harm is not their fault.
(B) They lack empathy for patients and families.
(C) They fear disapproval.
, (D) All of the above - Answer-(C) They fear disapproval.
/.If you are responsible for the initial communication with the patient about the error,
which of the following should you be sure to do?
(A) Speak clearly and directly
(B) Disguise any feelings of concern or remorse
(C) Explain the exact cause of the error
(D) All of the above - Answer-(A) Speak clearly and directly
/.Which of the following is a common fear clinicians experience after errors?
(A) Fear of job loss
(B) Fear of anger from the patient and/or authority figures
(C) Fear of negative publicity
(D) All of the above - Answer-(D) All of the above
/.According to a survey in The Lancet, when patients and families pursue lawsuits
against their providers, which of the following is one of the things they want most?
(A) Publicity
(B) Increased public reporting of errors
(C) Tougher laws
(D) An explanation - Answer-D) An explanation
/.You're a new resident (house officer). At 2:00 AM, you receive a phone call about a
patient you are covering who has diabetes. The patient has an elevated blood sugar of
375. You order 12 units of NovoLog (rapid-acting) insulin and ask the nurse to check the
sugar again in one hour and call you back. One hour later, the sugar is 280, so you
order another 10 units. By 4:00 AM, the patient's sugar is dangerously low at 45. You
realize that NovoLog insulin takes two to three hours to reach peak effect. By
rechecking the patient's glucose after only one hour and giving more insulin so quickly,
you set the patient up for an episode of hypoglycemia.
Based on the common reasons why caregivers choose not to communicate when
something bad happens, why might it be difficult for you to discuss what happened with
this patient?
(A) A lack of time
(B) A lack of empathy
(C) A need to preserve a sense of self
(D) None of the abo - Answer-(C) A need to preserve a sense of self
/.Who of the following people might be appropriate to include in an initial conversation
with a patient about a medical error in his or her care?
(A) A risk manager
(B) The patient's physician
(C) The patient's family
(D) All of the above - Answer-(D) All of the above
When an error occurs, which of the following is generally the proper order of
prioritization?
(A) Communicate with the patient, report to all appropriate parties, check the medical
record, care for the patient.
(B) Report to all appropriate parties, check the medical record, care for the patient,
communicate with the patient.
(C) Care for the patient, communicate with the patient, report to all appropriate parties,
check the medical record.
(D) Check the medical record, care for the patient, communicate with the patient, report
to all appropriate parties. - Answer-(C) Care for the patient, communicate with the
patient, report to all appropriate parties, check the medical record.
/.You're a new resident (house officer). At 2:00 AM, you receive a phone call about a
patient you are covering who has diabetes. The patient has an elevated blood sugar of
375. You order 12 units of NovoLog (rapid-acting) insulin and ask the nurse to check the
sugar again in one hour and call you back. One hour later, the sugar is 280, so you
order another 10 units. By 4:00 AM, the patient's sugar is dangerously low at 45. You
realize that NovoLog insulin takes two to three hours to reach peak effect. By
rechecking the patient's glucose after only one hour and giving more insulin so quickly,
you set the patient up for an episode of hypoglycemia.
Why is it important to communicate with the patient about this event?
(A) Open sharing of this type of information is necessary if patients are to trust their
caregivers.
(B) Open communication is essential according to numerous professional codes of
conduct.
(C) Open sharin - Answer-(D) A and B
/. - Answer-
/.Which of the following is true regarding communication about adverse events with
patients?
(A) Information openly communicated to patients about adverse events in their care
cannot be used in court.
(B) Open communication with patients can assuage caregivers' feelings of guilt.
(C) Due to its complexity, communication with patients following adverse events is best
done by lawyers.
(D) All of the above - Answer-(B) Open communication with patients can assuage
caregivers' feelings of guilt.
/.According to researchers, which of the following is a common reason why caregivers
choose not to communicate when something bad happens?
(A) They feel the harm is not their fault.
(B) They lack empathy for patients and families.
(C) They fear disapproval.
, (D) All of the above - Answer-(C) They fear disapproval.
/.If you are responsible for the initial communication with the patient about the error,
which of the following should you be sure to do?
(A) Speak clearly and directly
(B) Disguise any feelings of concern or remorse
(C) Explain the exact cause of the error
(D) All of the above - Answer-(A) Speak clearly and directly
/.Which of the following is a common fear clinicians experience after errors?
(A) Fear of job loss
(B) Fear of anger from the patient and/or authority figures
(C) Fear of negative publicity
(D) All of the above - Answer-(D) All of the above
/.According to a survey in The Lancet, when patients and families pursue lawsuits
against their providers, which of the following is one of the things they want most?
(A) Publicity
(B) Increased public reporting of errors
(C) Tougher laws
(D) An explanation - Answer-D) An explanation
/.You're a new resident (house officer). At 2:00 AM, you receive a phone call about a
patient you are covering who has diabetes. The patient has an elevated blood sugar of
375. You order 12 units of NovoLog (rapid-acting) insulin and ask the nurse to check the
sugar again in one hour and call you back. One hour later, the sugar is 280, so you
order another 10 units. By 4:00 AM, the patient's sugar is dangerously low at 45. You
realize that NovoLog insulin takes two to three hours to reach peak effect. By
rechecking the patient's glucose after only one hour and giving more insulin so quickly,
you set the patient up for an episode of hypoglycemia.
Based on the common reasons why caregivers choose not to communicate when
something bad happens, why might it be difficult for you to discuss what happened with
this patient?
(A) A lack of time
(B) A lack of empathy
(C) A need to preserve a sense of self
(D) None of the abo - Answer-(C) A need to preserve a sense of self
/.Who of the following people might be appropriate to include in an initial conversation
with a patient about a medical error in his or her care?
(A) A risk manager
(B) The patient's physician
(C) The patient's family
(D) All of the above - Answer-(D) All of the above
