Patient Safety and Advocacy Flashcards
7 cards from real ANM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Patient Safety and Advocacy flashcards as text
A nurse manager notices staff are frequently skipping the timeout procedure before surgical procedures. What is the most appropriate first action?
Answer: Conduct a staff education session on the purpose and importance of the surgical timeout
Education helps staff understand the rationale behind safety protocols, increasing compliance and reducing surgical errors.
Which of the following best describes the role of a patient advocate in a clinical setting?
Answer: Supporting and promoting patients' rights, preferences, and informed decision-making
Patient advocacy centers on protecting patient rights and ensuring their values guide care decisions.
A patient refuses a blood transfusion on religious grounds despite a life-threatening hemoglobin level. The nurse manager should:
Answer: Document the refusal and ensure an informed refusal form is signed after confirming decision-making capacity
Competent adult patients have the right to refuse treatment; the nurse manager must document the informed refusal and respect autonomy.
What does the chain of command in patient safety refer to?
Answer: A structured escalation process used when safety concerns are not addressed at the immediate level
The chain of command is a formal escalation pathway nurses use when patient safety issues are not resolved by the immediate supervisor.
An ANM is reviewing a near-miss event where a patient almost received the wrong medication. The BEST action is to:
Answer: Conduct a root cause analysis to identify system-level factors contributing to the near-miss
Root cause analysis focuses on system-level fixes rather than individual blame, which is the foundation of a just culture and safety improvement.
Which safety initiative is specifically designed to reduce catheter-associated urinary tract infections (CAUTIs)?
Answer: CAUTI prevention bundle including daily necessity review and aseptic technique
CAUTI prevention bundles include daily review of catheter necessity, proper insertion technique, and maintenance protocols.
A confused elderly patient repeatedly tries to climb out of bed. After least-restrictive interventions have failed, the nurse manager authorizes a physical restraint. Which action is required?
Answer: Obtain a physician order, document the clinical justification, and reassess at defined intervals
Restraint use requires a physician order, clear clinical documentation, and regular reassessment to ensure safety and explore alternatives.