Patient Safety&Quality
A nurse identifies a patient using name and DOB before medication administration. This is an example of what safety principle?
What is using two patient identifiers?
The most effective way to prevent infection transmission.
What is hand hygiene?
What does the “A” in ADPIE stand for?
What is assessment?
Respecting a competent client’s decision to refuse treatment demonstrates this ethical principle.
What is autonomy?
This technique gives the client time to think and continue speaking.
What is therapeutic silence?
This is the most common cause of preventable harm in hospitalized patients.
What are falls?
These precautions are used for all patients regardless of diagnosis.
What are standard precautions?
This step involves identifying patient problems.
What is diagnosis?
Keeping a promise made to a client demonstrates this ethical principle.
What is fidelity?
“Tell me more about how you are feeling” is this type of question.
What is an open-ended question?
A client attempts to get out of bed unassisted. This is the nurse’s priority action.
What is ensuring patient safety?
Gown, mask, goggles, and gloves represent this sequence when applying PPE.
What is donning PPE?
Writing SMART goals occur in this step.
What is planning?
The nurse questions an unsafe medication order before administering it. This ethical responsibility is demonstrated.
What is client advocacy?
“You seem worried about the test results” demonstrates this technique.
What is reflecting feelings?
Reporting a near-miss medication error supports this type of safety culture.
What is a just culture?
A nurse cleans from least contaminated to most contaminated. What principle is this?
What is medical asepsis?
A nurse carries out interventions in this step.
What is implementation?
A nurse fails to apply ordered fall precautions, but the client is not harmed. This required element of negligence is missing.
What is injury or harm?
“I know exactly how you feel” is considered this type of response.
What is a nontherapeutic response?
Upon seeing a client attempting to climb out of bed unassisted, the nurse should take this priority action.
What is staying with the patient and assisting them safely?
A client diagnosed with C. difficile requires this type of transmission-based precautions.
What are contact precautions?
A nurse collects vital signs and patient history in this step.
What is assessment?
A nurse threatens to give an injection to a client who refuses it. This intentional tort has occurred.
What is assault?
A client says, “Nothing matters anymore.” This is the nurse’s priority response.
What is “Are you thinking about harming yourself?”
A colleague skips scanning the client’s ID band. The nurse should take this action.
What is intervening to prevent a potential error?
Gloves are removed, but hand hygiene is still required for this reason.
What is gloves do not eliminate contamination risk?
In this step, a nurse sets a goal: “Patient will ambulate 50 feet by discharge."
What is planning?
A nurse gives the injection after the client refuses it. This intentional tort has occurred.
What is battery?
A client says, “The voices are warning me.” The nurse should respond using this technique.
What is presenting reality without arguing?
A confused client repeatedly attempts to get out of bed. Before requesting restraints, the nurse should take this action.
What is implement less restrictive measures, such as frequent rounding, toileting, and a bed alarm?
After caring for a client with C. difficile, the nurse should use this hand-hygiene method.
What is wash hands with soap and water?
In this step a nurse assists the patient to ambulate.
What is implementation?
A nurse leaves an impaired client unattended, and the client falls. This legal concept may apply.
What is negligence?
The nurse repeats the client’s main idea in different words. This technique checks understanding.
What is paraphrasing?
After receiving an opioid, a client reports dizziness and urinary urgency. The nurse should take this safety action.
What is reassess the client’s fall risk?
During transport, a client with suspected tuberculosis must wear this.
What is a surgical mask?
A client’s pain remains 8/10 thirty minutes after IV medication. This is the nurse’s next action.
What is reassess the client before revising the plan of care?
A client asks that a diagnosis not be shared with family. The nurse must uphold this obligation.
What is client confidentiality?
During report, the nurse states the client’s current problem and why immediate help is needed. This SBAR component is being used.
What is situation?