Question 1

A client requires an appendectomy.The surgeon explains the procedure and asks the client to sign the consent.The patient speaks very little English and looks worried.What is the appropriate action by the nurse?

Accepted Answer

The Five Steps to Safer Patient Care identifies that encouraging patients to ask questions when there are doubts and concerns and ensuring understanding before surgery is performed are ways in which nurses can support patients in having greater influence in their own care.In this situation,asking an interpreter to help enables access to information for the patient and active assessment of his understanding.

Question 2

As the manager on an acute care medical unit,you note that the incidence of medication errors has increased since the implementation of staffing changes.What is an important stratagem to reduce errors?

Accepted Answer

Keeping Patients Safe: Transforming the Work Environment of Nurses (2004)identified many past practices that had a negative impact on nurses,and thus on patients,and recommended the inclusion of nurses in direct care in decision making involving their practice.Future of Nursing: Leading Change,Advancing Health (2010)also emphasizes the role of nurses as leaders in changes that improve health.

Question 3

Mary,an 85-year-old patient with cognitive impairment and gross instability,wanders continuously.Lately,she has fallen twice,and the family demands that she be restrained.As the unit manager,you have initiated a least restraint practice.What is an appropriate action in this situation?

Accepted Answer

Crossing the Quality Chasm emphasizes the importance of rendering care with the client (client-centered)rather than to the client.In this situation,the patient includes family in transparent discussions about quality needs and takes a team approach that involves healthcare professionals,the family,Mary's needs,and evidence associated with safe practice.

Question 4

What patients would be considered "at risk" consumers during a healthcare visit?

Accepted Answer

Safer health care involves the patient as an active consumer who keeps and brings a list of all medications,including natural remedies and questions if there are doubts,concerns,or lack of understanding.

Question 5

What facilitate the development of decision-making skills related to safe patient care for a nurse manager?

Accepted Answer

Reflection on how well decisions were enacted enables knowledge of the complexity of situations and ramifications of the decisions made.Reflection enables elimination of strategies and methods that are inappropriate in meeting needs and aids in narrowing choices of best actions to take.

Quiz 2: Clinical Safety: The Core of Leading, managing, and Following

A client requires an appendectomy.The surgeon explains the procedure and asks the client to sign the consent.The patient speaks very little English and looks worried.What is the appropriate action by the nurse?

As the manager on an acute care medical unit,you note that the incidence of medication errors has increased since the implementation of staffing changes.What is an important stratagem to reduce errors?

Mary,an 85-year-old patient with cognitive impairment and gross instability,wanders continuously.Lately,she has fallen twice,and the family demands that she be restrained.As the unit manager,you have initiated a least restraint practice.What is an appropriate action in this situation?

What patients would be considered "at risk" consumers during a healthcare visit?

What facilitate the development of decision-making skills related to safe patient care for a nurse manager?