Successful Nurse Communication By Boynton – Test Bank

Complete Test Bank With Answers

Sample Questions Posted Below

Chapter 5: Patient Safety

MULTIPLE CHOICE

1. 2. 3. 4. 5. Safe care should be an inherent part of every nursing:

A. Intervention

B. Treatment

C. Recommendation

D. All of the above

ANS: D PTS: 1 REF: Page: 58 TOP: Safe nursing care

The definition of patient safety as defined by the Quality and Safety Education for Nurses

(QSEN) Institute includes all of the following EXCEPT:

A. Individual performance

B. System effectiveness

C. Comprehensive data review

D. Minimizing risk of harm to patients and providers

ANS: C PTS: 1 REF: Page: 59 TOP: Defining patient safety

The Institute of Medicine (IOM) considers quality of care to be:

A. Expensive

B. A luxury

C. Inseparable from patient safety

D. A low priority

ANS: C PTS: 1 REF: Page: 59 TOP: Defining patient safety

Since the late 1900s until now, the overall changes associated with patient safety would best

be described as:

A. Significantly improved

B. Significantly worse

C. Better in some areas and worse in others

D. None of the above

ANS: C PTS: 1 REF: Page: 60

TOP: A brief history of patient safety

The mission of the Agency for Healthcare Research and Quality (AHRQ) is to:

A. Produce evidence to make healthcare safer, while maintaining quality and cost

effectiveness

B. Produce evidence to make healthcare safer, higher quality, more accessible,

equitable, and affordable

C. D. Provide technological advances that support safe care

Eliminate wasted resources and optimize research data

ANS: B PTS: 1 REF: Page: 60

TOP: Primary organizations involved in patient safety

6. The Joint Commission:7. 8. 9. 10. 11. A. B. C. Tracks voluntary reports of sentinel events

Tracks root causes of sentinel events

Tracks mandatory reports of adverse events

D. Both A and B

ANS: D PTS: 1 REF: Page: 63 TOP: Sentinel event statistics

For the purposes of Successful Nurse Communication, specific sentinel event data is being

isolated with the explicit intention of:

A. Demonstrating links among patient safety, sentinel events, and communication and

human behavior

B. C. Teaching students how to track sentinel events

Building the reputation of The Joint Commission

D. All of the above

ANS: A PTS: 1 REF: Page: 63 TOP: Sentinel event statistics

The most frequent types of sentinel events as tracked by The Joint Commission during 2011,

2012, and 2013 included all of the following EXCEPT:

A. Hospital-acquired infection

B. C. Wrong site, wrong patient, or wrong procedure

Unintended retention of a foreign body

D. Delay in treatment

ANS: A PTS: 1 REF: Pages: 63-64 TOP: Sentinel event statistics

Root cause analysis is a process of inquiry and review that is initiated after an error and seeks

to answer the question:

A. B. C. D. How and why did this error take place?

Who is responsible for this error?

How much is it going to cost to prevent future errors like this?

What information do patients need to know about what happened?

ANS: A PTS: 1 REF: Page: 64 TOP: Root cause analysis

An examination of sentinel events data reported by The Joint Commission in 2011, 2012, and

2013 reveals which of the following are the leading root causes involving all types of events?

A. B. C. D. Leadership, delay in treatment, human factors

Communication, human factors, unintended retention of a foreign body

Leadership, human factors, post-operative infections

Human factors, leadership, and communication

ANS: D PTS: 1 REF: Page: 64 TOP: Root cause analysis

An operating nurse who does not speak up to a surgeon before a wrong site sentinel event

happens:

A. Is incompetent and should be disciplined

B. May indicate a symptom of underlying negative dynamics and poor

communication within the operating room team

C. Is probably responsible for many errors for which the surgeon will be blamed

D. All of the above12. ANS: B PTS: 1 REF: Page: 68

TOP: Addressing sentinel events with communication

As a subcategory under leadership as a root cause of sentinel events, resource allocation may

involve communication and behavior in terms of:

A. B. C. The skills that staff have to ask for resources they need

The skills that managers have to listen to requests for resources

The relationships between management and staff

D. All of the above

ANS: D PTS: 1 REF: Page: 67

TOP: Addressing sentinel events with communication

MULTIPLE RESPONSE

1. 2. Subcategories of human factors involved in root causes of sentinel events tracked by The Joint

Commission that may involve communication and human behavior include which of the

following? Select all that apply.

A. Staff orientation

B. Staff supervision

C. Staffing levels

D. Assessment

E. Fatigue

F. Distraction

G. Complacency

H. Rushing

ANS: A, B, C, D, E, F, G, H PTS: 1 TOP: Addressing sentinel events with communication

REF: Page: 64 | Page: 67

Which of the following are important reasons for gaining a firm grasp on the interrelationship

between sentinel events and communication? Select all that apply.

A. To prevent errors

B. C. D. E. To help in discovering all contributing factors to medical errors

To become familiar with The Joint Commission Web site

To promote nursing students’ commitment to practicing effective communication

To raise awareness about the many categories of root causes of sentinel events

ANS: A, B, D PTS: 1 REF: Page: 70

TOP: Addressing sentinel events with communication

TRUE/FALSE

1. 2. Making long-term meaningful improvement in patient safety requires changing the underlying

human dynamics involved in individual and organizational behavior.

ANS: T PTS: 1 REF: Page: 58

TOP: Addressing sentinel events with communication

The phrase “Do no harm” was first expressed by Florence Nightingale in the mid-1800s.3. ANS: F PTS: 1 REF: Page: 59

TOP: A brief history of patient safety

The Joint Commission is an independent organization that accredits and certifies healthcare

organizations and programs in the United States.

ANS: T PTS: 1 REF: Page: 60

TOP: Primary organizations involved in patient safety