The nurse recognizes which of the following as a sentinel event?
A client is admitted to the hospital with a wound infection.
A nurse makes a derogatory comment about the client's religion.
An ordered dose of medication was not given to the client.
A hip replacement was performed on the wrong leg.
The Correct Answer is D
Rationale:
A. A client is admitted to the hospital with a wound infection: While concerning, this is typically a healthcare-associated infection, not a sentinel event, unless it results from a clear and preventable error.
B. A nurse makes a derogatory comment about the client's religion: This is unprofessional behavior and may constitute a patient rights violation, but it is not classified as a sentinel event.
C. An ordered dose of medication was not given to the client: Missing a medication dose is a medication error, but it does not meet the definition of a sentinel event unless it results in severe harm or death.
D. A hip replacement was performed on the wrong leg: Performing a procedure on the wrong site is a sentinel event because it is a preventable, serious adverse event that results in significant harm and requires immediate investigation and response.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Evaluate research findings for a specific clinical issue: While evaluating research is a step in evidence-based practice, it is not the primary goal. The purpose of evaluation is to inform clinical decision-making.
B. Facilitate the highest quality of care and the best client outcomes: The main goal of evidence-based practice is to integrate the best available research, clinical expertise, and patient preferences to ensure safe, effective care and optimize client outcomes.
C. Encourage increased research utilization in nursing practice: Promoting research use supports evidence-based practice, but it is a means to achieving better care, not the ultimate goal.
D. Reduce health care costs and improve health care: Cost reduction and quality improvement may be secondary benefits of evidence-based practice, but the central aim is enhancing patient care and outcomes.
Correct Answer is C
Explanation
Rationale:
A. Helps clients to understand their loved ones point of view: While supporting communication between clients and families is important, advocacy focuses on representing and defending the client’s own rights and wishes rather than interpreting others’ perspectives.
B. Prevents conflict regarding client care issues: Avoiding conflict may improve relationships, but effective advocacy sometimes requires addressing and challenging issues that could lead to conflict to protect the client’s rights.
C. Expresses and defends client's rights: Advocacy involves actively supporting the client’s autonomy and ensuring their rights are respected in healthcare decisions. This includes speaking up for the client’s preferences and protecting them from harm or neglect.
D. Makes decisions for clients that are in their best interest: Making decisions on behalf of the client without their input undermines autonomy. Advocacy emphasizes empowering clients to make informed decisions rather than substituting the nurse’s judgment.
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