A manager notes that the incidence of medication errors has increased since the implementation of staffing changes. What strategy should the manager consider to reduce errors?
Deter mistakes by emphasizing the consequences of committing a medication error.
Include the bedside nurses in the decision-making process involving their practice.
Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart.
Relinquish responsibility by asking a separate department to oversee quality improvement.
The Correct Answer is B
A. Deter mistakes by emphasizing the consequences of committing a medication error: While emphasizing consequences can be important, it does not address the root causes or systemic issues that may be contributing to the errors.
B. Include the bedside nurses in the decision-making process involving their practice: Engaging bedside nurses in decision-making helps address issues directly affecting their work environment and practice, fostering a culture of safety and collaboration that can reduce errors.
C. Encourage nurses who commit medication errors to file incident reports, placing them in the patient's chart: While reporting errors is important for documentation, placing them in the patient's chart may not be the best practice for addressing systemic issues or improving procedures.
D. Relinquish responsibility by asking a separate department to oversee quality improvement: Quality improvement should be a collaborative effort, not delegated entirely to another department, to ensure that changes are relevant and effective.
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Related Questions
Correct Answer is C
Explanation
A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.
Correct Answer is ["A","B"]
Explanation
A. The patient has a right to choose not to consent: Patients have the right to refuse consent if they do not understand the procedure or do not agree to it, reflecting the principle of autonomy in medical decision-making.
B. Consent must not be coerced: Consent must be given voluntarily and with full understanding; coercion undermines the validity of the consent.
C. Consent for life-saving surgery is always mandatory: While consent is crucial, there are exceptional cases where procedures may be performed without explicit consent if a patient is incapacitated and the surgery is urgent.
D. The patient must sign the consent because the doctor wants him to sign: The patient's understanding and voluntary consent are more important than the doctor's request; the process cannot be rushed or forced.
E. Minors can consent to procedures in the absence of parents or guardians: Generally, minors cannot consent to medical procedures without parental or guardian consent, with some exceptions based on state laws and the nature of the procedure.
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