At a hospital, there has been a 20% increase in incidents of instruments and sponges being left in patients during surgery, and surgeries performed on the wrong limbs. These incidents are known as:
Never events or sentinel events.
Medically sensitive events.
Nurse-sensitive events.
Operating team performance errors.
The Correct Answer is A
Choice A reason: The term "never events" or "sentinel events" refers to serious, preventable, and costly medical errors that should never occur. Leaving surgical instruments or sponges in patients and operating on the wrong limbs fall under this category because they are clear indicators of serious systemic problems within a healthcare setting.
Choice B reason: "Medically sensitive events" is not a standard term used in healthcare for these types of incidents. Therefore, this choice is incorrect.
Choice C reason: While nurse-sensitive events are a valid category, they typically refer to outcomes that are directly related to nursing care, such as patient falls or infections, rather than surgical errors.
Choice D reason: "Operating team performance errors" could be considered a broader category that might include these incidents, but it is not the specific term used to describe such critical events in the medical field.
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Correct Answer is D
Explanation
Choice A reason: Reliance on the manager for direct guidance does not demonstrate the proactive qualities of a follower in action. Followers should be able to work independently while understanding the direction provided by leaders.
Choice B reason: Avoiding the use of a new protocol until receiving peer feedback may indicate a lack of initiative or resistance to change, which are not characteristics of an effective follower.
Choice C reason: While adherence to decisions is important, strict adherence without question does not embody the critical thinking and engagement expected of a follower in action.
Choice D reason: Self-awareness and the ability to speak up reflect a follower who is engaged, thoughtful, and proactive, which are key qualities in a dynamic healthcare environment.
Correct Answer is C
Explanation
Choice A reason: Accepting the security levels as a consequence of funding realities may be seen as passive and could potentially compromise the safety of the nurses and patients. It does not address the concerns of the nurses or seek to improve the situation.
Choice B reason: Referring the matter to the head of security and letting them deal with it removes the opportunity for nurses to be informed and involved in the decision-making process, which can lead to feelings of helplessness and frustration.
Choice C reason: Providing nurses with information about the rationale for recent changes in security staffing empowers them with knowledge and may help in understanding the broader context of the decisions made, which can alleviate concerns and foster a sense of inclusion in the workplace.
Choice D reason: While providing mentors to help nurses defuse aggressiveness can be beneficial in managing difficult situations, it does not address the root concern of decreased security presence and the reasons behind it.
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