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. Leadership, delay in treatment, human factors
B. Communication, human factors, unintended retention of a foreign body
C. Leadership, human factors, post-operative infections
D. Human factors, leadership, and communication


ANS: D

Nursing

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A nurse who is applying eyedrops to a client holds pressure against the corner of the eye nearest the nose after instilling the drops. The client asks what the nurse is doing. What response by the nurse is best?

a. "Doing this allows time for absorption." b. "I am keeping the drops in the eye." c. "This prevents systemic absorption." d. "I am stopping you from rubbing your eye."

Nursing

The residents on a particular unit do not answer pages very quickly, and sometimes do not answer them at all. The nursing staff complains to the nursing supervisor. After several weeks, this conflict has spiraled into a heated disagreement

Which is the most important reason to make the necessary changes to settle this conflict? 1. Client care and satisfaction will suffer should it be allowed to continue. 2. The residents cannot be allowed to continue such unprofessional behavior. 3. Residents who do not answer pages do not get the most out of the experience. 4. Physicians do not know what is going on with clients if the residents do not tell them.

Nursing

A nurse is preparing to administer penicillin therapy. The nurse would expect to administer penicillins cautiously to clients with which of the following? Select all that apply

A) History of allergies B) Diabetes C) Asthma D) Bleeding disorders E) Hypertension

Nursing

A mother watches as a neonate cries, spreads his arms, and draws them in again in response to being pulled up and laid back down. She asks the nurse what is going on with her baby. What is the best explanation for this response?

A) "Your baby is experiencing gas, and this movement helps to expel it." B) "Your baby is demonstrating a normal CNS response called the Moro reflex." C) "Your baby is experiencing the signs and symptoms of an abnormal neural response to being startled." D) "Your baby's actions are normal automatic movements to help maintain core body temperature."

Nursing