NMC CBT Patient Safety and Risk Assessment 2

Question 1

What is the primary purpose of the NHS incident reporting system?

Accepted Answer

To collect data on patient safety incidents to identify trends and develop solutions

Answer

To identify and discipline staff who make errors

Answer

To determine financial liability for negligence claims

Answer

To create records for the coroner

Question 2

Which validated tool is commonly used for falls risk assessment in UK hospitals?

Accepted Answer

STRATIFY (St Thomas's Risk Assessment Tool in Falling Elderly Inpatients)

Answer

Waterlow score

Answer

MUST screening tool

Answer

VIP score

Question 3

Which four harms does the NHS Safety Thermometer measure?

Accepted Answer

Pressure ulcers, falls, catheter-associated UTIs, and VTE

Answer

Falls, medication errors, surgical complications, infections

Answer

Cardiac arrests, drug errors, wrong site surgery, complaints

Answer

Hospital-acquired pneumonia, pressure ulcers, falls, readmissions

Question 4

How should a nurse manage a hazard identified in the clinical environment using risk assessment?

Accepted Answer

Identify the hazard, assess who might be harmed, evaluate risk, implement controls, and record findings

Answer

Remove the hazard immediately without documentation

Answer

Report to the HSE directly

Answer

Close the ward until removed

Question 5

What does the 'Swiss Cheese Model' (James Reason) illustrate about patient safety?

Accepted Answer

Accidents occur when multiple defence layers have aligned failures, allowing a hazard through all barriers

Answer

Accidents are always caused by a single human error

Answer

Only organisational failures cause patient harm

Answer

Technology failures are the primary cause

Question 6

A patient has a DNACPR form. Which statement is correct?

Accepted Answer

DNACPR applies only to CPR — all other appropriate treatment continues

Answer

DNACPR means no treatment should be given

Answer

DNACPR can only be decided by the patient

Answer

DNACPR decisions never need review