An elderly man fell during his hospitalization and has died from a head injury sustained in the fall.
What is the role of the risk manager in this situation?
To find the root cause so that the person who is responsible can be identified.
To protect the nursing staff from litigation.
To find the root cause so preventative measures can be put in place.
To determine why the nurses were never told that the patient was a high fall risk.
The Correct Answer is C
The role of the risk manager is to identify and analyze the factors that contributed to the adverse event and to implement strategies to prevent or reduce the likelihood of recurrence. The risk manager is not concerned with assigning blame or protecting the staff from litigation, but rather with improving the quality and safety of care.
Choice A is wrong because it implies a punitive approach that does not address the underlying system issues.
Choice B is wrong because it suggests a defensive attitude that does not foster a culture of learning and improvement.
Choice D is wrong because it assumes that the nurses were not aware of the patient’s fall risk, which may not be the case.
The risk manager should investigate all aspects of the situation, including the communication and documentation of the patient’s fall risk assessment and interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A patient with a BMI of 38 is considered to have obesity, which means they have excess body fat that may impair their mobility and increase their risk of complications such as pressure ulcers, infections, and respiratory problems. A bariatric bed is designed to accommodate the weight and size of obese patients, and a trapeze bar can help them change positions and transfer to a chair or wheelchair.
These interventions can promote comfort, safety, and independence for the patient.
Choice A is wrong because hourly vital signs are not necessary for a patient with obesity unless they have other conditions that warrant frequent monitoring.
Choice B is wrong because implementing all fall risk precautions may be excessive and restrictive for a patient with obesity who is otherwise stable and alert.
Choice D is wrong because supine positioning can compromise the patient’s breathing and circulation, and increase the risk of pressure ulcers and aspiration.
The patient should be encouraged to change positions frequently and elevate the head of the bed when lying down.
Correct Answer is C
Explanation
Allowing time during the workday when each nurse can demonstrate proficiency is the best way to evaluate staff competency with the new equipment. This method ensures that the nurses can perform the skills correctly and safely under the charge nurse’s supervision and feedback.
Choice A is wrong because verbally questioning the staff about the new equipment does not assess their practical skills or ability to use the equipment correctly.
Choice B is wrong because requiring each nurse to take a written examination about the new equipment does not assess their hands-on skills or ability to troubleshoot problems with the equipment.
Choice D is wrong because asking each nurse to read the procedure and sign a form acknowledging competency does not verify that the nurses have understood the procedure or can apply it in practice.
It also relies on the nurses’ honesty and self-assessment, which may not be accurate or reliable.
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