Safety First
What is the most important infection prevention method?
Hand Hygiene
Who sets the National Patient Safety Goals (NPSG)?
The Joint Commission (JCAHO)
What does ADPIE stand for?
Assessment, diagnosis, planning, intervention, evaluation
Which comes first: airway or pain control?
Airway
Which cognitive screening tool is most commonly used in older adults?
Mini-Mental State Exam (MMSE)
What should a nurse always do before silencing an equipment alarm?
Assess and resolve the cause; never silence without intervention
Which QSEN competency focuses on minimizing harm to patients and providers?
Safety
Which CJM step involves gathering subjective and objective data?
Recognize cues
A patient is “at risk for sepsis related to wound.” What type of hypothesis is this?
Risk
Which condition has a sudden onset: delirium or dementia?
Delirium
Which mnemonic is used for fire safety, and what does it stand for?
RACE = Rescue, Alarm, Contain, Extinguish; PASS = Pull, Aim, Squeeze, Sweep
How many identifiers must be used before giving meds?
Two (Name and DOB)
A patient has fever, high WBC, and wound drainage. Which CJM step is identifying infection as the problem?
Analyze cues
Which is prioritized: actual problems or risk problems?
Actual problems
Which condition is reversible: delirium or dementia?
Delirium
Name two common fall risk factors in hospitalized patients.
History of falls, gait instability, incontinence, confusion, sedatives
What is required before surgery to prevent wrong-site errors?
Site marking and a “time-out”
Which CJM step requires comparing patient outcomes with goals?
Evaluation
Which is prioritized: acute or chronic problems?
Name two signs of dementia
Memory impairment, aphasia, apraxia, agnosia, personality changes, impaired judgment
What safety intervention should be prioritized for a confused client who keeps trying to get out of bed?
Move client closer to nurses’ station for frequent monitoring.
Which NPSG addresses health disparities?
Improve health equity by identifying disparities and making improvement plans
Name all six steps of the Clinical Judgment Model.
Recognize cues, analyze cues, prioritize hypotheses, generate solutions, take action, evaluate outcomes
Maslow’s Hierarchy, ABC's, Acute vs Chronic, Actual vs Risk, Unstable vs Stable
Which assessment tool is used specifically to diagnose delirium?
Confusion Assessment Method (CAM)