A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Surgery to the wrong site was stopped prior to a procedure.

Paralysis of a client's lower extremities occurred following epidural anesthesia.

A client fall during ambulation did not result in client injury.

A complaint that a nurse was culturally insensitive was made by a client's family member.

Answer and Explanation

The Correct Answer is B

A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.

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Correct Answer is C

Explanation

A. Establishing a journal club: A journal club provides a collaborative environment for staff to review and discuss current research, promoting evidence-based practice.
B. Encouraging staff to join a professional association: Professional associations often offer resources, education, and networking opportunities that support evidence-based practice.
C. Instituting mandatory writing assignments discussing a chosen best-practice article: Mandatory writing assignments can be seen as punitive and may not be well-received by staff, potentially leading to resistance rather than engagement.
D. Creating an incentive program for staff to pursue a specialty certification: Offering incentives for specialty certification encourages professional development and can enhance evidence-based practice among staff.

A. Incidence of catheter-induced urinary tract infections. B. Nursing staff ratios. C. Availability of resources, such as fire extinguishers. D. Quality of nursing care provided.

Correct Answer is A

Explanation

A. Incidence of catheter-induced urinary tract infections: Outcome audits measure the results or outcomes of care, such as the incidence of infections, reflecting the effectiveness of care interventions.
B. Nursing staff ratios: This pertains to a process or structure audit, which examines staffing levels and their adequacy rather than the outcomes of care.
C. Availability of resources, such as fire extinguishers: This is assessed by a structure audit, focusing on the availability and adequacy of resources rather than client care outcomes.
D. Quality of nursing care provided: While important, quality of care is typically assessed through various audit types including process and outcome audits, and is not specifically categorized under outcome audits alone.

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A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

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Naxlex Comprehensive Predictor Exams

To help staff nurses prepare for evidence-based practice, which strategy is NOT appropriate for the nurse manager to recommend?

Correct Answer is C

Explanation

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Correct Answer is A

Explanation

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Which of the following is most accurate regarding evidence-based practice?

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