The IOM report, To Err is Human: Building a Safer Health System, recommends supporting nursing by (select all that apply):
a. moving from a reactive culture to one that is fair and just.
b. demonstrating authoritarian behaviors.
c. mandating nurses to meet patient needs.
d. providing a safe and efficient workspace.
A, D
Included in the concept of a safety climate is a focus on nurses' health and safety. Nurses work-ing in hospitals have one of the highest rates of work-related injuries, especially back injuries and needlesticks. One major shift in an organization's safety climate is the move from a punitive and reactive culture to a fair and just culture. In a fair and just culture, expectations for system and individual learning and accountability are transparent.
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A woman is prescribed hormonal contraceptives. What aspect of this treatment places her at greatest risk for the development of blood clots?
A) Hormonal contraceptives increase serum triglyceride and cholesterol. B) Hormonal contraceptives increase platelet levels. C) Hormonal contraceptives increase blood levels of clotting factors. D) Hormonal contraceptives cause injury to blood vessel lumens.
A patient who has been admitted to the intensive care unit (ICU) with extensive burns is conscious but unable to speak due to upper airway trauma. When communicating with this patient, the ICU nurse should adopt which of the following strategies?
A) Provide brief explanations and directions to the patient. B) Ask the patient questions that can be answered with a nod or a shake of the head. C) Defer to a friend or family member of the patient when information is needed. D) Speak to the patient slowly and with increased volume.
A new nurse is securing the connections on a new IV administration set connected to a peripherally inserted central catheter (PICC) line with tape. Which action by the precepting nurse is most appropriate?
a. Make sure the tape being used is from a sterile IV start kit. b. Stop the nurse and confirm that the Luer-Lok connections are tight. c. Help the new nurse document the set change appropriately. d. Show the new nurse how to turn back the corner of the tape for easy removal.
An accomplishment for which the Frontier Nursing Service was noted is
1. Improvement of the care of sick and injured soldiers 2. Establishment of a fee-for-service program for workers at Metropolitan Life Insurance Company 3. Reduction of infant and maternal mortality regardless of environmental conditions 4. Increasing funding for communicable disease treatment