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Health Promotion: Culture of Safety Flashcards | StudBud
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Health Promotion: Culture of Safety
Health Promotion: Culture of Safety
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1
According to SBN which of the following is not a method of benefitting from mistakes and obstacles
Asking for feedback
Avoiding mistakes and errors
Facing mistakes
Attending to the 6th and 7th senses (gut response)
2
Explaining the reason for communication would be found in which section of the SBAR?
Situation
Assessment
Background
Recommendation
3
The Canadian patient safety institute (CPSI) has four areas of focus to improve patient safety. Select the four areas.
Reporting system for nursing mistakes
Medication safety
Correcting hospital policy
Home care safety
Surgical care safety
Infection prevention and control
4
You’re giving meds and the patient states they don’t remember that med before. What is the nurses next action?
Identify the patient using two identifiers
Withhold the medication and verify the medication orders
Provide the medication education to help better understand
Give the medication
5
Mistakes should always be viewed as a negative
True
False
6
An error that occurs in the administration of medication example giving the wrong medication. This is what type of error
A near miss
Error of omission
Adverse reaction
Error of commission
7
Incidents, adverse events and errors are
all
preventable and create potential harm to patients
True
False
8
You are preparing medicine and noticed that the medication sent from pharmacy is wrong. What type of error is this?
Never event
A near miss
Medication error
Adverse event
9
One in every 18 hospital stays in Canada involves at least one harmful event
True
False
10
Why is public reporting a good patient safety indicator?
⬆️ transparency, accountability and support quality improvement efforts
Allows hospitals to discipline the nurses making mistakes
It increases public trust
It can be used by schools to improve nursing education
11
Which of the following are the three focuses for safe nursing care? (select all that apply)
The client
The hospital policies
The nurse
The environment
12
Why is SBAR communication important in healthcare?
Ensures, accurate, and concise communication between providers
Is a form of entertainment for medical staff
It helps nurses remember patient details
It is a requirement for nursing certification
13
Which of the following is an example of the "S" (Situation) component in SBAR?
The patient's vital signs are stable
The patient's background includes recent surgery
The patient has a history of diabetes
The patient is complaining of severe pain in the abdomen
14
Which of the following is not a strategy to address bullying in nursing?
Commit to a zero tolerance policy for bullies
Start by training staff on employee expectations
Admitting there is a problem
Foster a respectful environment
Encouraging nurses to hold each other accountable
Eliminating factors that make bullying worse such as work overload
15
A nurse is preparing to transfer a pt from the bed to a chair. What safety measure is essential during patient transfer?
Lift the patient independently to promote self-care
Transfer the patient quickly to save time
Use proper body mechanics and assistive devices
Ignore the patient's complaints of discomfort
16
Which of the following leads to the breakdown of communication and working in silos?
Blame culture
All the above
Bullying - withholding information
Hierarchy in disciplines
Personal bias
Being too busy to communicate
17
What is the primary purpose of the assessment component in SBAR?
Providing a summary of the patient’s condition
Describing the patient appearance
Presenting the nurses analysis of the situation
Presenting detailed medical history
18
How does a nurse support a culture of safety? (select all that apply.)
Complete incident reports when appropriate
Communicating product concerns to an immediate supervisor
Identifying the person responsible for an incident
Complete incident reports for a near miss
19
Which of the following accurately describes overt bullying?
Criticizes an individual based on race or religion
Easy to recognize, includes micromanaging, criticism and insults
Indirect and passive aggressive includes spreading rumours and gossip
None of the above
20
Which of the following is a developmental safety factor in infants, toddlers, or preschoolers?
Medication errors
Sport or biking education
Choking
Stress
21
A nurse is caring for a pt with a history of falls. What is the priority nursing intervention to ensure patient safety?
Implement restraints to limit the patient's mobility and prevent falls
Conduct an assessment of the pts fall risk & implement preventive measures
Encourage the patient to walk independently to promote strength and balance
Provide pt with a call bell & instruct them to call if assistance is needed
22
A medication error can be defined as
A preventable event that may cause the inappropriate use of medication
Any event that could have adverse consequences but didn’t
Error that occurs to a patient without harm
None of the above
23
A nurse is administering medications to a patient. What action is essential for medication safety?
Verify the patient's identity using 2 identifiers before administering meds
Administer meds without explaining potential side effects to the patient
Combine multiple medications in one cup to simplify administration
Administer meds quickly to ensure timely completion of the medication round
24
An undesired effect to health products that include drugs, medical devices, and natural health products is a(n)
Medication error
A near miss
A safety incident
Adverse reaction
25
What should a nurse do if there’s a change in the patient’s condition after an initial SBAR report?
Ignore the change it is not significant
Update the healthcare provider immediately using SBAR again
Document the change in the patient’s chart, and do nothing else
Wait until the end of the shift to report to change
26
In SBAR reporting, what does “background” include?
Patient’s medical history and diagnosis
Nurses personal background
Patient’s current condition
Nurses work experience
27
Bullying is an epidemic in nursing
False
True
28
What type of error occurs when the administration process is not completed. Example not administering an ordered med.
An error of commission
A near miss
An adverse reaction
An error of omission
29
What is the greatest risk for injury to an adolescent?
Home accidents
Automobile, accidents, suicide and substance abuse
Poisoning and child abduction
Physiological changes in ageing
30
Which option is a safety incident resulting in serious patient harm or death that is preventable
A medication error
A near miss
Adverse reaction
Never event
31
You are floated to work on a nursing unit where you are given an assignment that is beyond your capability. Best action?
Discuss the problem with a colleague
Talk to the nurse in charge to discuss the situation
Leave the nursing unit and go home
Say nothing and begin your work
32
Getting a best possible med history involves communicating the most current list of meds to the pt & caregivers during..
Critical points of transfer
Post surgery
Prior to giving medication
Admission
All the above
At discharge
33
Which of the following is a developmental safety factor for adults?
Drug or alcohol abuse
Falls
Head injuries
Drowning
34
The tradition of blaming those involved in a safety incident is being replaced with a culture of __________
Acceptance
Openness and learning
Education
Punishment
35
Which of the following statements about SBAR communication is true?
It is only used for written documentation
It is not suitable for urgent situation’s
It is used exclusively and surgical settings
It helps in organizing information and improving patient safety
36
In the SBAR Format, which would be an example of data found in the assessment?
Mrs. Kelly’s Diagnosis stage two breast cancer
Miss K needs to have a social work consult
Mr. John’s lungs sounds are decreased
Mr. Jones was admitted at 10:30 this morning
37
Explaining or requesting what you need to correct a problem would be found in which section of an SBAR
Recommendation
Assessment
Situation
Background
38
What are the four P’s of intentional comfort rounding?
Proximity, Pain, Personality, Perception
Proximity, Pain, Positioning, Personal Care Needs
Pain, Position, Perception, Prevention
Pain, Perception, Personal Care Needs, Pleasure
39
What is the primary goal of using the SBAR communication technique?
To avoid sharing assessment findings
To relay the transfer of patient care
To facilitate clear and concise communication
To confuse information
40
A nurse accidentally gives the patient the medication at the wrong time. The nurses first priority is to.
Complete an occurrence report
Assess the patient
Notify the healthcare provider
Inform the charge nurse of the error
41
Violence affects all ages
True
False
