Patient Advocacy
A patient tells you, “Something feels really wrong, but I feel like nobody is listening to me.” What should the nurse do first?
Actively listen to the patient's concerns and take their concerns seriously
Name at least three rights of medication administration.
right person, time, medication, assessment, documentation, route
What is the single most important way to reduce transmission of infection in healthcare?
Hand hygiene
What does SBAR stand for?
Situation, background, assessment, recommendation
A patient falls while attempting to get out of bed. What is the nurse's first priority?
Assess the patient for injury
This patient-safety concern occurs when a patient's genuine clinical concerns are invalidated without proper evaluation.
medical gaslighting
A nurse receives a medication that looks unusual and is concerned it may not be legitimate. What is the safest nursing response?
Stop and re-verify the drug
How to don and doff?
Don: gown, mask, gloves
Doff: gloves, gown, mask
What is teach-back?
Asking the patient to explain the information back in their own words to confirm understanding.
What is the safest way to identify a patient before administering medication?
2 patient identifiers, Name and DOB
A nurse says, “I know you're worried, but there's nothing else we can do.” According to the article, what type of language should nurses avoid?
never words
A patient is being discharged with several medications. Which nursing action can help reduce medication-related harm during the transition home?
during discharge, go over each medication with education materials. Teach-back.
What type of precautions are required for a patient with C. difficile?
Contact precautions, gloves, gown, specific equipment
Name three things that should be included in a nursing handoff.
Patient identification, current condition, assessment findings, medications/treatments, safety concerns, and changes in condition.
A patient is identified as a high fall risk. Which intervention is most appropriate?
Implement fall precautions, such as keeping the bed low/locked, call light within reach, appropriate assistance with ambulation, and other facility-specific precautions.
A patient has an established diagnosis, and the nurse notices new symptoms. The healthcare team assumes the symptoms are caused by the existing diagnosis without considering another explanation. What cognitive bias is this?
diagnostic overshadowing
Two medications have very similar names and are easily confused. What type of medication error is this?
Look alike, sound alike medication error
What is the difference between medical asepsis and surgical asepsis?
Medical asepsis reduces the number and spread of microorganisms
Surgical asepsis aims to eliminate microorganisms from a sterile field.
A nurse delegates a task to a nursing assistant. Who is ultimately responsible for making sure the task was completed appropriately?
the nurse who delegated the task
What piece of equipment should always be within arms reach of the patient?
call light
Assess the patient's understanding, provide education, respect the patient's informed decision, and notify the appropriate provider as needed.
A patient tells the nurse they are taking a prescription medication that is missing from the medication list. What should the nurse do?
medication reconciliation
A nurse contaminates a sterile glove while performing a sterile procedure. What should the nurse do?
Stop and replace the contaminated glove/material
What are the aspects to a telephone medication order?
Verify patient, state both generic and brand name, avoid abbreviations, clarify numbers, state indication, read back order, get confirmation
You realize you administered the wrong dose of medication.
Assess the patient immediately, notify the appropriate provider/chain of command, follow facility policy, and document/report the medication error appropriately.