The purpose of a root-cause analysis (RCA) is to:
a. discipline the staff involved in the patient safety event.
b. disclose the medical error to the pa-tient/patient's family.
c. identify the person(s) responsible for committing the error.
d. identify the systems issues that led to a sentinel event.
D
The purpose of the RCA is to "drill down" to the most common cause(s) for the event and de-termine what process improvements can be made to prevent the sentinel event from occurring in the future.
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The nurse performs a cultural assessment with a patient from a different culture. Which action by the nurse should be taken first?
a. Request an interpreter before interviewing the patient. b. Wait until a family member is available to help with the assessment. c. Ask the patient about any affiliation with a particular cultural group. d. Tell the patient what the nurse already knows about the patient's culture.
In the event that an unrestrained passenger was injured in a frontal-impact collision, the nurse should assess for:
1. Paradoxical movement of the chest caused by multiple rib fractures. 2. Unstable pelvic structure causing severe pain on palpation. 3. Unequal pulses in the lower extremities due to possible femur fracture. 4. Neck muscle spasms caused by hyperextension of the neck.
A client who has been hospitalized for mania in the past is laid off from her job. She becomes very depressed, refuses to look for another job, stays in her room, eats very little, and neglects her personal hygiene
The client is found unconscious, but still breathing, with an empty bottle of sertraline (Zoloft) beside her. She is stabilized in an emergency department and is then admitted to a psychiatric unit with a diagnosis of bipolar I disorder, current episode depressed. Which should be the priority nursing diagnosis for this client? A) Imbalanced nutrition, less than body requirements, related to refusal to eat B) Anxiety (severe) related to threat to self-esteem C) Risk for suicide related to depressed mood D) Complicated grieving related to loss of employment
The aim to remove a disease from a large geographic area is called:
1. Prevention 2. Control 3. Elimination 4. Eradication