Interpersonal Relationships 8th Edition Arnold Test Bank

A nurse manager is teaching a group of nurses about patient safety. The nurse manager teaches the nurses that safety is defined as “avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the process of health care itself.” What is the source of this definition? a. Hippocratic oath b. National Patient Safety Foundation c. American Association of Colleges of Nursing d. American Nurses Association’s Code of Ethics ANS: B The National Patient Safety Foundation defines safety as “avoidance, prevention, and amelioration of adverse outcomes or injuries stemming from the process of healthcare itself.” DIF: Cognitive Level: Knowledge TOP: Step of the Nursing Process: All Phases MSC: Client Needs: Management of Care 2. When conducting an in-service on serious medical errors, the nurse teaches that nearly 70% of sentinel events are related to a. lack of education. b. inadequate resources. c. minimal rest periods. d. miscommunication. ANS: D Multiple studies have pinpointed miscommunication as a major causative agent in sentinel events, that is, errors resulting in unnecessary death and serious injury. Miscommunication is the root cause in nearly 70% of sentinel events. DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: All Phases MSC: Client Needs: Management of Care 3. When working on a nursing unit, the nurse recognizes that incomplete communication errors most often occur during a. staff meetings. b. the night shift. c. a handoff procedure. d. medication administration. ANS: C It is estimated that 70% of reported errors are preventable. “Preventable” means the error occurs through a medical intervention, not because of the patient’s illness. Fatigue is repeatedly cited as a factor contributing to errors. The most common cause of error is incomplete communication during the very many “handoffs” transferring responsibility for client care to another care provider, another unit, or agency. It is estimated that in one day a client may experience up to eight handoffs. This study source was downloaded by from CourseH on :16:15 GMT -06:00 This study resource was shared via CourseH Interpersonal Relationships 8th Edition Arnold Test Bank DIF: Cognitive Level: Understanding TOP: Step of the Nursing Process: All Phases MSC: Client Needs: Management of Care 4. A student nurse is learning about how to reduce errors and increase safety. The nursing instructor recognizes that further teaching is warranted when the student nurse states which of the following? a. “When communicating with patients, I will be clear.” b. “I will be timely in my communication with patients.” c. “I will promote communication with patients that is ambiguous.” d. “When communicating with patients, I will ensure the patient understood.” ANS: C Standardization of communication is an effective tool to avoid incomplete or misleading messages. Standardization needs to be institutionalized at the system level and implemented consistently at the staff level. Safe communication about patient care matters needs to be clear, unambiguous, timely, accurate, complete, open, and understood by the recipient to reduce errors. DIF: Cognitive Level: Analyzing TOP: Step of the Nursing Process: All Phases MSC: Client Needs: Management of Care 5. The nurse manager sets a goal to establish a new safety culture on a hospital unit. The nurse manager recognizes that basic components in establishing a new safety culture include a. support of effective health care teamwork. b. encouragement of individualism. c. discouragement of new concepts. d. promotion of a hierarchiacal system 6. ANS: A A major international effort is underway to prioritize safety goals by improving communication about patients among his or her various providers. The aim is to reduce patient mortality, decrease medical errors, and promote effective health care teamwork. DIF: Cognitive Level: Application TOP: Step of the Nursing Process: All Phases MSC: Client Needs: Management of Care 7. A nurse attends an in-service aimed to educate staff about reporting hospital errors. The nurse demonstrates understanding when listing which of the following as being NOT consistent with creating a culture of safety? a. Creating a way to advise and compensate harmed patients b. Supporting care providers after adverse events c. Ensuring the negative consequences of disclosing errors serve as a guide d. Installing a nonpunative reporting system ANS: C Many health care providers express concern about reporting errors or near miss incidents. The system needs to be redesigned to be nonpunitive if we are to create a culture of safety. A culture of safety is characterized by installing a strong, nonpunative reporting system; supporting care providers after adverse events; and developing a method to inform and compensate patients who were harmed. This study source was downloaded by from CourseH on :16:15 GMT -06:00 This study resource was shared via CourseH Interpersonal Relationships 8th Edition Arnold Test Bank DIF: Cognitive Level: Analyzing TOP: Step of the Nursing Process: All Phases MSC: Client Needs: Management of Care 8. When educating a newly diagnosed patient about management of diabetes mellitus, the nurse recognizes that health care–related communication a. does not lead to errors within the hospital. b. is generally well understood by most patients. c. is not an important component of patient care. d. can cause patients to misunderstand information