Which of the following best represents the Just Culture of Safety model?
Bird's safety triangle
Reason's Swiss Cheese model
Heinrich's domino model of accident causation
Rasmussen's drift into failure model
The Correct Answer is B
Choice A reason: Bird’s safety triangle focuses on accident statistics and incident ratios, not systemic safety culture.
Choice B reason: Reason’s Swiss Cheese model illustrates that errors occur when multiple system defenses fail, emphasizing a culture of safety that examines latent failures and prevents blame, which aligns with the Just Culture approach.
Choice C reason: Heinrich’s domino model attributes accidents primarily to individual error, not systemic factors, and is less aligned with Just Culture principles.
Choice D reason: Rasmussen’s drift into failure model emphasizes gradual erosion of safety through organizational drift, which is related to but does not define the Just Culture model.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Children as young as 5 can comprehend basic concepts of death and may verbalize concerns. This behavior does not automatically indicate pathology.
Choice B reason: Discussing personal thoughts about death is part of normal development and curiosity; parental consent is not required for normal conversation.
Choice C reason: At this age, children are developing an understanding of mortality and often verbalize it repeatedly. This is within normal developmental limits and does not require intervention.
Choice D reason: The child’s discussion does not indicate obsession or pathology but rather normal developmental exploration of mortality concepts.
Correct Answer is D
Explanation
Choice A reason: Borderline personality disorder is characterized by instability in relationships, self-image, and affect, but early chronic irritability in childhood is not a strong predictor of this disorder.
Choice B reason: Schizophrenia usually presents in late adolescence or early adulthood with psychotic symptoms; chronic irritability alone is not predictive of schizophrenia.
Choice C reason: Bipolar I disorder involves episodic mania and depression. Chronic irritability without distinct manic episodes is less predictive of developing bipolar disorder.
Choice D reason: Persistent irritability and frequent temper outbursts in childhood, particularly when chronic and severe, are most predictive of developing unipolar depressive disorders in adulthood, reflecting an enduring affective dysregulation pattern.
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