Exam 2 Examples Of Situations Flashcards

1
Q

On a med-surg Unit, the charge nurse and a primary provider will conduct rounds on the provider’s clients who are admitted on that unit. When doing so, they include the team members who are contributing to the care of the client. Upon entering the room each team member will report their assessment of the client, ask the client to voice their concern or questions, review and revise the plan of care, and review and update discharge planing. This is an example of what concept?

A

the use of interprofessional teams

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2
Q

Doctor Carlisle, this is Nurse Rosalie regarding Patient Swan. Patient Swan has a fever of 103 degree F and a history of recurrent UTI’s. Her urinary catheter is now draining cloudy yellow urine into the bag. Would you like to order acetaminophen fro the fever and an antibiotic for the UTI? This situation is an example of what type of communication?

A

I-SBAR-R
I occurred when the nurse introduced herself to the doctor
S referred to the situation that is currently happening with the patient that’s she is describing to the doctor
B pertains to the history of the patient having UTI’s
A refers to what is shown after the placement of a urinary catheter
R finally shows that recommendation the nurse thinks should occur and is checking in with the doctor

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3
Q

Historically, providers made all decisions with little input from other care team members. This is an example of what barrier in interprofessional collaboration?

A

Hierarchy of professions or roles

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4
Q

Team members refuse help or recommendations from other team members because they don’t trust their member’s abilities. This is an example of what barrier in interprofessional collaboration?

A

Lack of trust in the competence of other team members

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5
Q

Nurse practitioners can write prescriptions, but other nurses cannot. This is an example of what barrier in interprofessional collaboration?

A

Lack of knowledge of health care team member’s role/title and scope of practice

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6
Q

The health care team is upset that a parent refuses to have their child vaccinated due to religious beliefs. This is an example of what barrier in interprofessional collaboration?

A

Lack of cultural competency

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7
Q

A team member harbors resentment and so avoids another individual, or raises their voices at the individual with whom they have a conflict. This is an example of what barrier in interprofessional collaboration?

A

Inability to resolve conflicts

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8
Q

A team members may not be able to join interdisciplinary rounds on a unit because they are providing care to someone else. This is an example of what barrier in interprofessional collaboration?

A

Structural factors such as time

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9
Q

Oxygen use in hypoxia, antibiotic stewardship, alarm fatigue protocols, ABCDE bundle use in ICU setting, fall prevention guidelines, and pain management are all examples of what concept in nursing?

A

Evidence based practice

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10
Q

A client’s blood coming in contact with an open abrasion on a nurse’s skin. What example is this of the modes of transportation?

A

Direct Contact Transmission

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11
Q

Drainage from a client’s wound might get on the bed rail or a bedside table, which others then touch. This is an example of what mode of transmission?

A

Indirect contact transmission

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12
Q

Sneezing, coughing, singing, talking, & medical procedures such as CPR or endotracheal intubation are all examples of what mode of transmission

A

Droplet Transmission

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13
Q

Tuberculosis, rubeola (measles), & varicella (chickenpox) are examples of what mode of transmission?

A

Airborne transmission

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14
Q

Studying the prevention of catheter-related infections, reducing nursing fatigue or stress, & decreasing medication errors are all examples of what concept?

A

Quality Improvement

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15
Q

The utilization of a pre surgical checklist that functions as a standardized protocol to prevent surgical errors is an example of what concept?

A

Standardization

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16
Q

Noncompliance with hand hygiene guidelines and medication administration errors are examples of what concept?

A

Adverse event

17
Q

Transfusing the wrong blood type, client suicide, or nicking a vein during an operation are all examples of what concept?

A

Sentinel event

18
Q

Leaving foreign materials (rags or towels) within a clients body, death or injury that occurs due to. A metal object left during an MRI are examples of what concept?

A

Never events

19
Q

A sentinel event that would require a ____ to be conducted would be determine the root cause of a medication error that led to a client’s death

A

Root Cause Analysis

20
Q

What are the questions that are asked during a root cause analysis?

A

What happened? Why did it happen? What can be done to prevent it from happening again?

21
Q

What are the 8 goals of the National patient Safety Goals?

A

-Identify patients correctly
-Improve staff communication
-Use medications safely
-Use alarms safely
-Prevent infection
-Identify patient safety risks
-Improve health care quality
-Prevent mistakes in surgery

22
Q

Medical prevention error, infection control, rights and education of clients, management of medications, emergency preparedness are all retired safety goals known as?

A

Standards of compliance