A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Surgery to the wrong site was stopped prior to a procedure.

Paralysis of a client's lower extremities occurred following epidural anesthesia.

A client fall during ambulation did not result in client injury.

A complaint that a nurse was culturally insensitive was made by a client's family member.

Answer and Explanation

The Correct Answer is B

A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.

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Correct Answer is B

Explanation

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.

A. Follower B. Manager C. Laissez-faire D. Leader

Correct Answer is D

Explanation

A. Follower: A follower role implies taking direction from others rather than initiating supportive actions independently.
B. Manager: A manager focuses on administrative and organizational tasks, while the described action is more aligned with providing emotional and spiritual support.
C. Laissez-faire: This leadership style involves minimal intervention, whereas the nurse is actively engaging with the family to offer support and resources.
D. Leader: By recognizing the family's needs and proactively offering support, the nurse demonstrates leadership in providing holistic, patient-centered care.

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A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A family is keeping vigil at a critically ill patient's bedside. The nurse speaks with the family members and asks if they would benefit from a chaplain visit or resources to aid with grief and coping. What role is the nurse assuming through this action?

Correct Answer is D

Explanation

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