The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

Restrain patients at risk for falls.

Recognize that errors are solely the result of the actions of individual people.

Provide an in-service that informs nurses of the current, best practices of fall prevention.

Punish the staff who are caring for the patients who fall.

Answer and Explanation

The Correct Answer is C

A. Restrain patients at risk for falls: Restraining patients can lead to physical and psychological harm and is not an evidence-based intervention for fall prevention.
B. Recognize that errors are solely the result of the actions of individual people: This approach ignores systemic issues and does not address the root causes of falls, making it an ineffective strategy.
C. Provide an in-service that informs nurses of the current, best practices of fall prevention: Educating staff on best practices for fall prevention is an evidence-based intervention that can help reduce the number of falls.
D. Punish the staff who are caring for the patients who fall: Punishment creates a blame culture, which can reduce staff morale and does not effectively address the factors contributing to falls.

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Correct Answer is C

Explanation

A. Practice failure: Practice failure refers to the inability of a practice or intervention to be successful in a clinical setting, but the issue described is specific to the difficulty of implementation rather than complete failure.
B. Efficacy: Efficacy refers to the ability of an intervention to produce the desired outcome under ideal conditions, but it does not address real-world application challenges.
C. Effectiveness: Effectiveness refers to how well an intervention works in real-world settings, considering factors like ease of use and patient understanding. The feedback highlights difficulties in real-world application, indicating an issue with effectiveness.
D. Comparative error: Comparative error would refer to errors in comparing two different interventions, but the problem here is related to the usability of the new scale.

A. Surgery to the wrong site was stopped prior to a procedure. B. Paralysis of a client's lower extremities occurred following epidural anesthesia. C. A client fall during ambulation did not result in client injury. D. A complaint that a nurse was culturally insensitive was made by a client's family member.

Correct Answer is B

Explanation

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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The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Feedback from staff suggests that the new scale is too difficult for patients who have limited language skills and who are already under duress to understand. The difficulty in implementing the new scale refers to testing:

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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The Rehabilitation Unit at Pleasant Valley Hospital has a high number of falls. What interventions might assist to reduce the number of falls on the unit?

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