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A nurse is caring for clients in a hospital setting. During orientation, the nurse learned that many of the functions in the hospital are regulated by The Joint Commission (TJC). The nurse learned that the primary purpose of TJC is to:
Establish standards of practice for the specialty practice
A graduate nurse is orienting to a new hob on a medical-surgical unit. As part of the orientation process, the nurse must demonstrate competency with regard to IV therapy. The elements of IV nursing competency include (select all)
Autonomy, communication, accountability
A nurse receives physician's orders for a newly admitted client. The nurse thinks critically about the physician's orders before implementing the orders because the rule of personal liability implies that (select all)
- -The nurse is a knowlegable professional who is capable of independent judgment,
- -The nurse must be able to evaluate medical orders as they apply to the client
- -The nurse has a legal responsibility to fulfill an obligation
A pediatric nurse is caring for children admitted to a pediatric step-down unit. The nurse is aware that client care must meet minimum, established standars of care for this population. Which statement regarding "standard of care" is most accurate?
Standards of care focus on the reciepient of care and describe outcomes of care
A client signs and informed consent to recieve a unit of packed red cells. Which statements are correct with regard to obtaining informed consent? (select all)
- The client should receive the necessary info to make an iinformed decision
- The client should be capable of giving consent
- The consent should not be coerced
A client who is staggering and verbally abusive is admitted to an ED. A nurse obtains leather restraints and threatens to place them on the client while starting and IV line. Which charge(s) can be filed against the nurse if he or she follows through with the threat?
Assault and battery
A RN is asked to be ab expert witness in a lawsuit regarding Infusion related practice. According to the infusion nurses society's infusion nursing standars of practice (2006), which credentials should a RN possess to qualify as an expert witness?
Certification in Infusion Nursing
A new infusion clinic is being started. The nursing supervisor of the new clinic must conform to specific standards of practice when developing nursing policies and procedures for the new program. To which organiational standards of practice must the nurse manager adhere? (Select all)
- Center for Disease Control and prevention (CDC) guidelines
- Oncology Nursing Society (ONS) Standards
- Infusion Nurse Society (INS) standards
A nurse is planning for the discharge of a hospitalized. The nurse reviews the client's plan of care to determine whether or not all client outcomes were achieved. Which methods should the nurse use to evaluate the client's outcomes? (select all)
- Re-evaluate to determine whether corrective action is effective improvements in service obtained
- Determine the cause of the problem by comparing actual care with established standards
- Collect data to determine if standards were met
- Identify controllable or uncontrollable variables
A nurse is caring for a client with a peripherally inserted central catheter (PICC). Which action by the nurse places the nurse at risk for a potential malpractice suit?
Using the PICC while waiting for verification of placement by x-ray
A clinical education specialist is often responsible for observing staff nurses to ensure competency with regard to initiation of intravenous therapy. When observing staff nurses for competency, what should be the primary focus of the educator?
Essential, mandatory aspects of performance
During a hospital orientation, a newly hired nurse learns that infectious wasted must be incinerated as mandated by the Environmental Protection Agency (EPA). The nurse understands that the main focus of the EPA is on:
A perioperative nurse is preparing clients for surgery. When preparing clients for surgical procedures, the nurse utilizes risk management strategies to reduce the incidence of error and enhance client safety. Which risk management tool would be considered a proactive strategy?
A staff nurse is serving on a hospital's quality-assurance task force. On which quality-assurance models is the task force most likely to focus? (select all)
- continuous quality improvement
- standards of practice
- performance improvement
When nurses provide care to clients, nursing actions are governed by established standards of nursing care as well as both state and federal laws. Which sources of law? (select all)
- State Nurse Practice Acts
While caring for a client, a nurse administers an incorrect dose of medication, causing the client to become ill. The nurse reports the incident to the nurse manager on the unit. The nurse manager then notifies risk management. Which risk management strategies should be utilized by the nurse in this situation? (select all)
- Professional liability insurance
- unusual occurance reports
A nurse who is caring for clients understands that he/she should provide care that meets at least the minimum standards of practice for nursing. Which phrase regarding standards of practice is most accurate?
Standards of practice focus on the care provider and define needed activities and behaviors
A nurse is assigned to work on an inpatient vascular access team. The hospital has a competency-based performance program to ensure competent practive. What are the three key components of a competency-based program?
Competency statement, criteria for learning, and evaluation
Which of the following describes the benchmarking process?
Comparing your unit's data on phlebitis rates to that of other organizations to identify improvement opportunities.
A tool used to report sentinel events would be a
Unusual occurence report
To differentiate between standard of care and standard of practice would be defined as
Activities and behaviors of the practitioner needed to achieve patient outcomes
A nurse walks into a patients room and finds the IV solution container dry. The bag of 1000 mL of 5% dextrose and 0.9% sodium chloride had been hung 1 hr earlier. The nurse informs the charge nurse and the physician that this has occurred. The nurse is instructed to complete an unusual occurence report. The report allows the analysis of adverse patient of adverse patient events by:
Evaluating the quality of care and the potential risks for injury to the patient
Characteristics of performance improvement (doing the right thing well) include which of the following? (select all)
- Availability of a needed test
- Documenting the quality of care received
- Timeliness with which the test, procedure, and treatment are provided
- Continuity of the services provided
The definition of a tort is:
A private wrong, by act or omission, that can result in a civil action by the harmed person
The major purpose of evidence-based practice in infusion therapy is:
To provide clinically competent care
Which of the following organizations develops clinical practice guidelines (select all)
- Infusion nurses society
- American Nurses association
The assessment phase of the nursing process related to infusion therapy would include which of the following (select all)
- Physical assessment
- Review of laboratory data
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