ANM Patient Safety and Advocacy 2

Question 1

A nurse manager notices staff are frequently skipping the timeout procedure before surgical procedures. What is the most appropriate first action?

Accepted Answer

Conduct a staff education session on the purpose and importance of the surgical timeout

Answer

Immediately report all staff to administration

Answer

Revise the timeout policy without staff input

Answer

Accept the practice if no adverse events have occurred

Question 2

Which of the following best describes the role of a patient advocate in a clinical setting?

Accepted Answer

Supporting and promoting patients' rights, preferences, and informed decision-making

Answer

Ensuring patients comply with physician orders

Answer

Limiting family involvement to protect patient privacy

Answer

Prioritizing cost-effective care over patient preferences

Question 3

A patient refuses a blood transfusion on religious grounds despite a life-threatening hemoglobin level. The nurse manager should:

Accepted Answer

Document the refusal and ensure an informed refusal form is signed after confirming decision-making capacity

Answer

Override the refusal to save the patient's life

Answer

Convince the patient to accept treatment by withholding other care

Answer

Transfer the patient to another facility without discussion

Question 4

What does the chain of command in patient safety refer to?

Accepted Answer

A structured escalation process used when safety concerns are not addressed at the immediate level

Answer

The hierarchy for disciplinary actions against staff

Answer

The order in which patients receive care based on severity

Answer

Administrative reporting structure for budget approvals

Question 5

An ANM is reviewing a near-miss event where a patient almost received the wrong medication. The BEST action is to:

Accepted Answer

Conduct a root cause analysis to identify system-level factors contributing to the near-miss

Answer

Reprimand the nurse involved to prevent recurrence

Answer

File the incident report and take no further action

Answer

Increase the nursing workload to improve attentiveness

Question 6

Which safety initiative is specifically designed to reduce catheter-associated urinary tract infections (CAUTIs)?

Accepted Answer

CAUTI prevention bundle including daily necessity review and aseptic technique

Answer

SBAR communication protocol

Answer

Central line bundle

Answer

Rapid response team activation

Question 7

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?

Accepted Answer

Obtain a physician order, document the clinical justification, and reassess at defined intervals

Answer

No further documentation is needed once the restraint is applied

Answer

Notify the family only after 24 hours

Answer

Maintain the restraint continuously until discharge