A nurse educator is explaining to licensed staff that health care is no longer safe and describes The Quality and Safety for Nursing (QSEN) recommended competencies for educating nursing professionals. These include: (Select all that apply.)
a. advanced health assessment techniques.
b. patient-centered care.
c. prescriptive pharmacology content.
d. quality improvement.
e. safety.
A nurse receives a verbal order which was understood to be for Avert 6.
The physician actually ordered Antivert 25 mg daily. The patient is also taking Prozac/Sarafem (fluoxetine), which when taken with Avert can be life threatening. The patient's condition stabilizes and an interdisciplinary team meets to perform a root cause analysis hoping to learn from the mistake. The nurse was part of the group formed to help identify ways the system could be changed to prevent similar errors. This situation describes:
a. just culture.
b. standard of care.
c. a call-out.
d. benchmarking.
A nurse calls a physician and gives a brief statement about the situation, The patient is having increasing chest pain and the ECG shows ST elevation.
What component of SBAR communication would be used in the following statements: The nurse tells the physician that the patient's blood pressure is 190/100 and rates the pain as 9 on a scale of 10 (10 being most severe pain) with a nitroglycerin drip infusing at 5 mcg/min?
a. Situation
b. Background
c. Assessment
d. Recommendation
A nurse is the frequent target of lateral violence from a co-worker who is placed in charged this shift.
The nurse receives an assignment that requires multiple intravenous infusions, care of a patient in isolation, and another receiving peritoneal dialysis. Later the nurse discovers a medication was hung on the wrong patient and one drug omitted entirely. The nurse in charge is heard saying, I'll make sure the manager knows she made the error. The aspect of the work environment that led to the errors is known as:
a. workarounds.
b. human factors.
c. benchmark.
d. just culture.
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