A nurse instructor is lecturing nursing students on safety, quality and patient centered care. The students should recognize that which of the following recommendations promotes safe, quality, patient-centered care? Select all that apply.

Evaluate outcomes at the end of the shift.

Evaluate outcomes at the start of the shift.

Plan and report outcomes.

Communicate the plan.

Think critically.

Answer and Explanation

Correct Answer : A,C,D,E

A. Evaluate outcomes at the end of the shift: This is an important recommendation as it allows nurses to assess the effectiveness of interventions and the overall condition of patients. Evaluating outcomes helps in identifying areas for improvement, ensuring that patient care meets safety and quality standards. This practice fosters accountability and continuous improvement in patient-centered care.
B. Evaluate outcomes at the start of the shift: While evaluating outcomes at the beginning of the shift can provide valuable information, it is more effective to evaluate outcomes after care has been provided. Starting the shift with a review of previous outcomes can guide care planning, but the actual evaluation of interventions should occur after implementation to assess their effectiveness.
C. Plan and report outcomes: Planning and reporting outcomes are essential components of providing safe, quality, patient-centered care. This involves setting clear goals for patient care and documenting the expected results, which allows for effective communication among the healthcare team and ensures that everyone is aligned in their approach to patient care.
D. Communicate the plan: Effective communication of the care plan is critical to patient safety and quality care. Sharing the plan with all team members ensures that everyone is aware of the goals and interventions, facilitating collaboration and reducing the risk of errors. Clear communication enhances the patient's understanding of their care and promotes involvement in the decision-making process.
E. Think critically: Critical thinking is fundamental to nursing practice and promotes safe, quality, patient-centered care. It involves analyzing information, evaluating evidence, and making informed decisions based on patient needs and circumstances. Encouraging critical thinking enables nurses to assess situations thoroughly, anticipate potential problems, and implement appropriate interventions.

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Correct Answer is D

Explanation

A. Develop a quality improvement program for nurses involved in medication administration errors. While quality improvement programs are essential, implementing a targeted program without first analyzing the root causes of errors may not effectively address the underlying issues. A broader review of system-wide factors contributing to medication errors is necessary before designing an intervention.
B. Require staff nurses to demonstrate competency by passing a medication administration examination. Competency assessments may help identify knowledge gaps, but they do not address system-based errors such as workload issues, unclear protocols, or distractions during medication administration. A root cause analysis should be conducted first to ensure that interventions target the actual sources of errors.
C. Provide an inservice on medication administration to all the nurses. Educational sessions can reinforce safe practices, but without identifying the specific factors contributing to errors, they may not be effective. Training should be tailored to address the findings from an initial review of the medication errors.
D. Review the events leading up to each medication administration error. The first step in continuous quality improvement is conducting a thorough analysis of the errors, identifying patterns, and determining root causes. This helps in designing targeted interventions, whether they involve process changes, additional training, or improved safety protocols.

A. Reports routinely list the identification number of any equipment involved. B. Reports routinely include the client's hospital number. C. Reports routinely are completed within 24 hr after the incident. D. Reports routinely omit the names of witnesses to the occurrence.

Correct Answer is D

Explanation

A. Reports routinely list the identification number of any equipment involved: This practice is appropriate and helps in tracking any equipment-related issues. Including identification numbers can assist in identifying problems with specific devices or tools and does not represent a problem that needs to be reported.
B. Reports routinely include the client's hospital number: Including the client's hospital number in reports is standard practice for maintaining accurate records and ensuring proper tracking of incidents related to specific patients. This does not indicate a problem and is essential for accountability in healthcare reporting.
C. Reports routinely are completed within 24 hr after the incident: Timeliness in completing incident reports is important, and completing them within 24 hours is a best practice. This indicates a proactive approach to addressing incidents and does not represent a problem that needs to be reported to the risk manager.
D. Reports routinely omit the names of witnesses to the occurrence: This is a significant issue that should be reported to the risk manager. Witnesses can provide valuable information about the circumstances surrounding an incident, and their names should be documented for follow-up and investigation. Omitting this information could hinder the thoroughness of the incident review and the organization’s ability to address and prevent future occurrences effectively.

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A nurse instructor is lecturing nursing students on safety, quality and patient centered care. The students should recognize that which of the following recommendations promotes safe, quality, patient-centered care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?

Correct Answer is D

Explanation

A nurse is reviewing event reports submitted during the previous month. The nurse should identify which of the following as a problem that should be reported to the risk manager?

Correct Answer is D

Explanation

A nurse is caring for a client diagnosed with pneumonia and assesses labored breathing and copious tracheobronchial secretions. What priority action should the nurse encourage with the client?

A nurse is reviewing arterial blood gas results for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should expect which abnormal finding?

A new nurse is working on a SWOT analysis. The nurse is considering the influences that could hinder career planning, such as changes in policies and regulations. Which of the following is most likely the section of the SWOT analysis under consideration?

A nurse is caring for a client who has an acute respiratory failure (ARF). The nurse should monitor the client for which of the following manifestations of this condition? (Select all that apply.)

A nurse is caring for a client diagnosed with chronic obstructive pulmonary disease (COPD). The nurse should prioritize which precaution when administering nasal oxygen therapy to the client?

A nurse is caring for a client. Exhibits Which of the following actions should the nurse take? (Select all that apply.)

A nurse is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A new graduate nurse attends a seminar on Communication in Healthcare. Which of the following are considered barriers to appropriate communication with clients? Select all that apply.