A nurse is taking a class about patient safety. The nurse should recognize that which of the following statements is true regarding patient safety and prevention of harm?
Poorly coordinated care and nosocomial infections are examples of errors
As many as 90% of medication errors are preventable
Errors of execution are usually intentional and occur because of time or resource constraints
Medication errors are adverse events
The Correct Answer is B
A. Poorly coordinated care and nosocomial infections are examples of errors: While poorly coordinated care can lead to adverse events, nosocomial infections are typically classified as healthcare-associated infections rather than errors. Errors generally refer to mistakes made in clinical practice that can lead to harm, whereas nosocomial infections are outcomes that arise from the healthcare environment.
B. As many as 90% of medication errors are preventable: This statement is true and highlights the significant opportunity for improvement in patient safety. Recognizing that a large percentage of medication errors can be prevented underscores the importance of implementing safety protocols, effective communication, and education to reduce the likelihood of errors occurring in clinical practice.
C. Errors of execution are usually intentional and occur because of time or resource constraints: This statement is misleading, as errors of execution typically refer to mistakes made during the performance of a task rather than intentional actions. These errors often occur due to lack of knowledge, skill, or attention rather than being intentional, and they are not solely attributed to time or resource constraints.
D. Medication errors are adverse events: While medication errors can lead to adverse events, not all medication errors result in harm. An adverse event is defined as an injury caused by medical management rather than the underlying condition of the patient, so this statement is not entirely accurate. Medication errors can be classified as near misses or adverse events, depending on whether they resulted in harm to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Wear a mask when caring for the client: This is an important action to prevent the spread of influenza, which is transmitted via respiratory droplets. Wearing a mask helps protect both the healthcare provider and other patients from potential exposure to the virus, especially in the early stages of the disease when the client is most contagious.
B. Place the client in a private room: This action is recommended to minimize the risk of transmitting the influenza virus to other patients. Isolating the client in a private room can help control the spread of infection, making it a necessary measure in this situation.
C. Encourage the client to increase fluid intake: Adequate hydration is essential for clients with influenza to help alleviate fever and maintain overall health. Increasing fluid intake supports the immune system and helps prevent complications such as dehydration, so encouraging the client to drink more fluids is appropriate.
D. Place the client on contact precautions: While contact precautions are essential for preventing the spread of infections transmitted by direct contact, they are not specifically necessary for influenza, which is primarily airborne and droplet transmitted. Standard precautions, including droplet precautions, are sufficient for managing a client with influenza.
E. Prepare to administer an antibiotic to the client: This action is not appropriate because influenza is a viral infection, and antibiotics are ineffective against viruses. Treatment for influenza typically involves antiviral medications if indicated, supportive care, and symptom management rather than antibiotics. Therefore, this option should not be included in the actions the nurse takes.
Correct Answer is ["A","C","E"]
Explanation
A. Culturally incompetent caregivers. When healthcare providers lack cultural awareness, they may struggle to communicate effectively with patients from diverse backgrounds. This can lead to misunderstandings, decreased trust, and reduced adherence to treatment plans. Patients may feel unheard or disrespected if their cultural beliefs and preferences are not considered. Cultural competence training helps bridge communication gaps and improves patient-provider relationships.
B. Proper training in healthcare communication. Training in communication enhances a provider’s ability to listen actively, use clear language, and foster patient-centered interactions. It helps reduce medical errors, improve patient understanding, and enhance trust in healthcare providers. Since communication training strengthens interactions rather than hindering them, it is not considered a barrier. Well-trained providers can adapt their approach to meet the needs of each patient effectively.
C. Implicit bias. Unconscious biases can negatively affect how healthcare providers interact with patients, leading to disparities in care. Providers may unintentionally assume things about a patient based on stereotypes rather than their individual needs. This can cause miscommunication, lack of trust, and reluctance to seek care. Recognizing and addressing implicit bias is crucial for ensuring equitable and effective communication.
D. Excellent health literacy. High health literacy enables patients to understand medical information, follow treatment plans, and communicate effectively with providers. This reduces confusion, enhances decision-making, and improves health outcomes. Since excellent health literacy helps rather than hinders communication, it is not a barrier. Instead, it empowers patients to engage more actively in their care.
E. Lack of diversity. A lack of diversity in healthcare can result in communication barriers, as providers may be less familiar with different cultural perspectives and language needs. This can lead to misunderstandings, decreased patient satisfaction, and reduced quality of care. A diverse healthcare workforce fosters inclusivity, improves provider-patient communication, and promotes better health outcomes. Encouraging diversity ensures a more culturally competent and responsive healthcare system.
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