A nurse is explaining situations that need an incident report to a newly licensed nurse. Which of the following should the nurse leave out of the explanation?
Omission of prescription
Conflict with provider and nursing staff
Needlesticks
Medication error
The Correct Answer is B
Choice A reason: An omission of a prescription is a medication error and should be documented in an incident report. This helps identify system failures and prevent future occurrences.
Choice B reason: Conflicts between providers and nursing staff, while potentially disruptive, are not typically documented in incident reports unless they result in harm or compromise patient safety. These issues are usually addressed through administrative or human resources channels.
Choice C reason: Needlestick injuries are considered occupational hazards and must be reported immediately through an incident report. This ensures proper follow-up, including testing and prophylaxis.
Choice D reason: Medication errors, including wrong dose, wrong drug, or missed administration, require incident reporting to ensure patient safety and initiate corrective actions.
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Correct Answer is D
Explanation
Choice A reason: CMS administers Medicare and Medicaid programs and focuses on healthcare coverage, reimbursement, and regulatory compliance. While it supports equitable access, it does not specifically advocate for culturally competent care.
Choice B reason: The Administration for Children and Families (ACF) promotes the well-being of families and children through social services, but its primary focus is not healthcare or cultural competence in clinical settings.
Choice C reason: The Administration on Aging (AOA) supports services for older adults, including nutrition and caregiver support. While it promotes access, it does not specialize in culturally competent healthcare delivery.
Choice D reason: The Indian Health Service (IHS) is a federal agency that provides healthcare services to American Indians and Alaska Natives. It actively promotes culturally competent care by integrating traditional practices and respecting tribal customs in healthcare delivery.
Correct Answer is B
Explanation
Choice A reason: The Nurse Practice Act (NPA) is a state-level legislative framework that defines the scope of nursing practice, licensure requirements, and disciplinary actions. It does not provide accreditation for nursing programs.
Choice B reason: The Commission on Collegiate Nursing Education (CCNE) is a recognized accrediting agency for baccalaureate and graduate nursing programs. It evaluates program quality, curriculum standards, and outcomes to ensure educational excellence and compliance with national standards.
Choice C reason: Quality and Safety Education for Nurses (QSEN) is an initiative that promotes competencies in safety, quality, and evidence-based practice. It provides educational resources but does not function as an accrediting body.
Choice D reason: The Board of Nursing (BON) regulates nursing practice and licensure within each state. While it may approve programs for licensure eligibility, it does not provide formal accreditation, which is the role of national accrediting agencies like CCNE.
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