A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)
"We use an automated dispensing device to track the use of controlled substances."
"You are required to have a second nurse witness disposal of a controlled substance."
“If a client refuses a medication, you can place it in your pocket to administer later."
"Activities of the automated dispensing machine will be reviewed periodically."
"We count the amount of a controlled substance available before removal from a medication drawer.”
Correct Answer : A,B,D,E
Explanation:
A. "We use an automated dispensing device to track the use of controlled substances."
This is a valid statement. Automated dispensing devices (ADDs) help track the use of controlled substances by requiring users to log in, record transactions, and provide an audit trail of medication access.
B. "You are required to have a second nurse witness disposal of a controlled substance."
Having a second nurse witness disposal of controlled substances is a common practice to ensure accountability and prevent diversion. This statement aligns with safety protocols.
C. “If a client refuses a medication, you can place it in your pocket to administer later."
This statement is incorrect and potentially dangerous. Controlled substances should never be pocketed or carried around for later administration, as this increases the risk of diversion and compromises medication safety.
D. "Activities of the automated dispensing machine will be reviewed periodically."
Reviewing the activities of the automated dispensing machine is an essential part of medication safety and helps detect any discrepancies or irregularities in medication access and administration.
E. "We count the amount of a controlled substance available before removal from a medication drawer."
Counting the amount of controlled substances before removal from a medication drawer is a standard procedure to ensure accurate inventory management and detect any discrepancies or losses promptly.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Explanation:
A. "Qualitative research studies how to implement EBP into various settings."
This statement is not accurate. Qualitative research focuses on exploring phenomena, understanding experiences, and interpreting meanings rather than specifically studying how to implement evidence-based practice (EBP) into different settings. Qualitative research methods often involve interviews, observations, and thematic analysis.
B. "Quantitative research aims to understand the feelings associated with a particular event."
This statement is not accurate. Quantitative research primarily deals with numerical data and aims to quantify relationships, measure variables, and analyze data using statistical methods. Understanding feelings associated with events is more aligned with qualitative research, which explores subjective experiences and perceptions.
C. "Qualitative research uses larger sample sizes than quantitative research."
This statement is generally not true. Qualitative research typically uses smaller sample sizes compared to quantitative research. Qualitative studies focus on in-depth exploration and understanding of a smaller number of cases, often using purposive sampling to select participants who can provide rich and meaningful insights into the phenomenon being studied.
D. "Quantitative research analyzes collected data using statistical methods."
This is the correct statement. Quantitative research involves the collection of numerical data, which is then analyzed using statistical techniques to identify patterns, relationships, trends, and associations. Statistical methods such as regression analysis, t-tests, ANOVA, correlation, and others are commonly used in quantitative research to interpret and draw conclusions from the data.
Correct Answer is D
Explanation
Explanation:
A. Standardization:
Standardization involves developing and implementing standardized protocols, procedures, or guidelines for specific aspects of client care. This can include standardizing processes such as medication administration, wound care, or infection control practices. The goal of standardization is to promote consistency, reduce variability, enhance quality, and improve safety in healthcare delivery.
B. Root cause analysis:
Root cause analysis (RCA) is a systematic process used to identify underlying causes or contributing factors that lead to adverse events, errors, or problems in healthcare. It involves investigating incidents thoroughly, identifying the primary cause (or root cause), analyzing contributing factors, and developing corrective actions or strategies to prevent similar occurrences in the future. RCA aims to address the underlying issues rather than just treating the symptoms of a problem.
C. Benchmarking:
Benchmarking involves comparing an organization's performance, practices, or outcomes against established standards or best practices in the industry. It allows healthcare providers to assess their performance relative to peers or recognized benchmarks and identify areas for improvement. Benchmarking can be used to set performance goals, track progress, identify best practices, and drive quality improvement initiatives.
D. Evidence-based practice (EBP):
Evidence-based practice (EBP) is a systematic approach to clinical decision-making that integrates the best available research evidence with clinical expertise and patient preferences. It involves critically appraising research literature, applying valid and relevant evidence to clinical practice, considering individual patient characteristics and preferences, and evaluating outcomes to inform and improve care delivery. EBP aims to ensure that healthcare decisions are based on current best evidence, promote effective interventions, and enhance patient outcomes.
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