The nurse manager is reviewing an occurrence report written after a client fall. For which personal factors should the manager consider as contributing to this occurrence? (Select all that apply.)
1. Patient consumed 75% of last meal
2. Patient's team leader a new graduate
3. Unlicensed assistive personnel assigned working a double shift
4. "Ambulate with assistance" not written on the Kardex care plan
5. Patient being discharged to a skilled nursing facility the next day
Correct Answer: 2, 3, 4
Factors that contribute to adverse events include human factors such as teamwork, communication, fatigue, stress, and burnout. The new graduate could be stressed or having difficulty with teamwork or communication. UAP working a double shift could contribute to fatigue. Missing information on the care plan regarding ambulation could contribute to communication. The client's appetite and discharge plans were most likely not human factors that contributed to the occurrence.
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a. "Patient found lying on right side on floor. No noted injuries, patient stated, ‘I slipped on a wet spot on the floor. I don't think I am injured.'" b. "Patient slipped on a wet spot on the floor. No noted injuries, physician notified." c. "Patient in too much of a hurry and was walking too fast and fell. Was not injured. Patient instructed to slow down and not be in such a hurry. Health care provider notified." d. "Patient fell while going outside to smoke. Patient denied any injuries. Health care provider notified. Patient counseled."
A cocaine abuser complains, "There are bugs crawling under my skin." Which term should the nurse use to document this finding?
a. Confabulation b. Formication c. Synesthesia d. Euphoria
The statistic used to test the significance of an added predictor in a stepwise regression is:
A) r B) R C) R2 D) F-ratio