Nurs 311 Exam 1

Front 1

Safety

Back 1

the prevention of health care errors and the elimination or mitigation of patient injury caused by health care errors

Front 2

National patient safety goals

Back 2

established in 2002 to help accredited organizations address specific areas of concern in regards to patient safety

Front 3

unsafe acts

Back 3

an error or a violation committed in the presence of a potential hazard

Front 4

violations

Back 4

A deliberate deviation from an opening procedure, standard, or rules

Front 5

Errors

Back 5

failure to carry out a planned action as intended ot application of an incorrect plan

Front 6

Mistake

Back 6

An error in decision making, incorrect planning

Front 7

Lapse

Back 7

An unobservable, or mental, error of execution

Front 8

Slip

Back 8

An unobservable error of execution

Front 9

Adverse event

Back 9

unintended harm by an act of commission or omission rather than as a result of disease process

Front 10

Near miss

Back 10

error of commission or omission that could have harmed a patient, but harm did not occur as a result of chance

Front 11

Sentinel event

Back 11

unexpected occurrence involving death or serious injury

Front 12

categories of errors

Back 12

diagnostic, treatment, preventive, communication

Front 13

scope of errors

Back 13

latent, active

Front 14

concept attributes of safety

Back 14

knowledge, skills, attitudes

Front 15

swiss cheese model

Back 15

shows how errors occur when situational factors align, despite multiple layers of safeguards for the prevention of errors

Front 16

Crew resource management :6 critical components

Back 16

situational awareness, problem identification, decision making, appropriate workload distribution, time management, conflict resolution

Front 17

Just culture

Back 17

seeks to find a balance between the need to learn from mistakes and the need for disciplinary action against employees

Front 18

just culture

Back 18

a health care system's value is in reporting errors without punishment

Front 19

critical behaviors to improve safety

Back 19

follow safety protocols, speak up when you have concerns, communicate effectively, take care of yourself

Front 20

Categories of communication

Back 20

linguistics, paralinguistics, metacommunication

Front 21

Linguistics

Back 21

the verbal exchange of messages through spoken words and written symbols

Front 22

Forms of linguistics

Back 22

conversing face to face, reading newspapers, reading books, cell phone texting

Front 23

Paralinguistics

Back 23

nonverbal exchange on symbols, less recognizable but important means of transmitting messages

Front 24

forms of paralinguistics

Back 24

gestures, touch, eye contact, facial expressions

Front 25

paralinguistics

Back 25

necessary for a complete understanding of the message sent because nonverbal gestures and facial expressions provide important cues about emotions, moods, and/or psychologic states

Front 26

metacommunication

Back 26

factors that affect how messages are recieved and interpreted would include internal personal states, environmental stimuli related to the setting of the communication, and contextual variables

Front 27

metacommunication

Back 27

all of the nonverbal cues (tone of voice, body language, gestures, facial expressions

Front 28

communication

Back 28

the use of symbols to convey meanjng through an interactive process

Front 29

communication

Back 29

sender encodes message -> message transmitted -> receiver decodes and interprets message

Front 30

relationships

Back 30

develop self awarness to focus on being helpful to patients

Front 31

non therapeutic communication responses

Back 31

stereotyping, agreeing and disagreeing, being defensive, challenging, probing, testing, rejecting, changing topic, unwanted reassurance, giving common advice

Front 32

Excellent clinical skills can compensate for poor interpersonal skills?

Back 32

False, all the clinical skills in the world cannont compensate for poor interpersonal skills

Front 33

Phases of communication

Back 33

Orientation, working, termination

Front 34

orientation phase

Back 34

indentify role, introductions, identify patient needs

Front 35

working phase

Back 35

assessment, identity of plan of care, timing, environment, implementing care, teamwork, ongoing evaluation

Front 36

termination phase

Back 36

evaluation, skills obtained, avoid continuing the relationship past the clinical needs

Front 37

Most people have the innate capacity to recognize their own emotional needs, biases, and blind spots, as well as the impact of these on others

Back 37

False

Front 38

Nurse characteristics

Back 38

Professional, Authentic, and Non - judgemental

Front 39

Professional Characteristics

Back 39

avoid personal attachment, boundaries (physical, verbal, emotional )

Front 40

Authentic Characteristics

Back 40

be true to yourself

Front 41

Non - judgemental characteristics

Back 41

accepting of other cultural belief systems/values

Front 42

when does communication begin?

Back 42

When people become aware of each other's presence

Front 43

written communication

Back 43

if error is made in written statement on chart then place single, straight line through error and initial and write the correct entry below

Front 44

Electronic medical records

Back 44

disadvantage = confidentiality

Front 45

delegation

Back 45

all decisions related to delegation of nursing activities must be based upon the fundamental principle of public protection

Front 46

delegation

Back 46

licensed nurses have ultimate accountability for the management and provision of nursing care, including all delegation decisions

Front 47

delegation

Back 47

effective delegation is based on one's state nurse practice act and an understanding of the concepts of responsibility, authority, and accountability

Front 48

delegation

Back 48

the delegator is responsible for the delegation process. the delegatee is responsible for the care that the delegatee provides or the performance

Front 49

5 rights for effective delegation

Back 49

right task, right circumstance, right person, right directions, right supervision

Front 50

RN needs to know in order to effectively delegate

Back 50

the practice/organization, yourself (barriers/benefits), what needs to be done, the delegate (competency/motivation ), communication, collaboration, feedback/evaluation

Front 51

SBAR

Back 51

Situation, background, assessment, recommendation

Front 52

S =Situation

Back 52

identify yourself, unit, patient name, room number, briefly state problem, 10 seconds total

Front 53

B = Background

Back 53

admitting medications, date of admission, clinical information, vital signs, allergies, IV fluids, lab results, code status

Front 54

A = Assessment

Back 54

body system involved, how severe the problem, "might be", "could be"

Front 55

R = Recommendation

Back 55

what do you need from physician, repeat back med orders, hardest step for nurses when calling the physician

Front 56

SBAR

Back 56

preparation is the key, have all information ready when call is placed

Front 57

SBAR uses

Back 57

shift reports, transfers to different units, transfers to different institutions, provider calls

Front 58

bedside report

Back 58

communication takes 2, family and significant others can be involved with the patients consent

Front 59

email communication

Back 59

greeting closing, concise, polite tone, provide several ways to be contacted in signature, recipient's first impression of sender

Front 60

health history

Back 60

effective verbal communication essential to a successful client interview

Front 61

health history

Back 61

elicit as much data about the clients health status as possible

Front 62

health history

Back 62

open ended questions, specific information, laundry list(mundane/distasteful information), rephrasing, interfering(snooping, prying), providing information

Front 63

the most prevalent HAC is

Back 63

urinary tract infection

Front 64

which two common events has the Nursing Executive Center identified as largely nursing's responsibility

Back 64

falls and pressure ulcers

Front 65

examples of HROs in exemplar hospitals include

Back 65

intensive care units and operating rooms

Front 66

compared with errors, near misses occur

Back 66

with greater frequency

Front 67

a just culture is one in which

Back 67

staff can report mistakes without punishment

Front 68

HROs use root cause analysis (RCA) to

Back 68

analyze institutional problems

Front 69

the ultimate goal of root cause analysis is to

Back 69

prevent future harm

Front 70

preventing never events requires

Back 70

teamwork and a collaborative environment

Front 71

the exercise of power in a healthcare setting can

Back 71

lead to failure to detect errors

Front 72

never events are serious medical errors or adverse events that

Back 72

should never happen to a patient

Front 73

research has demonstrated that staffung with a higher percentage of RNs results in

Back 73

fewer adverse patient events

Front 74

the nurse is walkimg in the hall and notices that someone has spilled water on the floor. what is the most appropriate action for the nurse to take to maintain a safe environment?

Back 74

wipe up the spilled water

Front 75

the nurse is caring for a 12 year old hild following an appendectomy. what intervention could unterfere witb the quality and safety of nursing care?

Back 75

following the doctors orders no matter what

Front 76

a sentinel event refers to an event that

Back 76

harms a patient by omission or comission, not an underlying disease or condition signals the need for immediate investigation and response

Front 77

the purpose of the SBAR

Back 77

a way to provide clear, concise information concerning a patients status

Front 78

the most important information the nurse should share with the patient during the orientation phase is

Back 78

name, credentials, extent of responsibility

Front 79

a child is admitted to the pediatric unit following an automobile crash, when will the nurse begin the discharge planning process

Back 79

the day the patient is admitted

Front 80

bedside report

Back 80

keeps out negativity, helps when offgoing nurse explains tubes/drains to ongoing nurse, builds patient nurse bonding

Front 81

error of commission

Back 81

doing wrong thing, (not wearing gloves)

Front 82

error of omission

Back 82

not diing the right thing (not washing hands)

Front 83

error of execution

Back 83

doing right thing but the wrong way/incorrectly