which of the following best describes the concept of just culture in a healthcare organization

ATI RN

ATI Leadership Proctored Exam

1. Which of the following best describes the concept of just culture in a healthcare organization?

A. A culture of blaming individuals for mistakes
B. A culture of encouraging reporting and learning from errors
C. A culture of punishing individuals for errors
D. A culture of ignoring errors

Correct answer: B

Rationale: Just culture in a healthcare organization promotes a blame-free environment where individuals are encouraged to report errors and focus on learning from them to improve patient safety and quality of care. Choice A is incorrect as just culture does not involve blaming individuals. Choice C is incorrect as it goes against the principles of just culture by advocating for punishment rather than learning. Choice D is incorrect as just culture aims to address errors constructively rather than ignore them.

2. When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?

A. Communicate the blood glucose level and insulin dose to the circulating nurse in surgery.
B. Discuss the reason for the use of insulin therapy during the immediate postoperative period.
C. Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery.
D. Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.

Correct answer: C

Rationale: The correct answer is C because the administration of prescribed lispro (Humalog) insulin before transporting the patient to surgery is a task that can be safely delegated to a licensed practical/vocational nurse (LPN/LVN). This action is within the scope of practice of an LPN/LVN and does not require independent nursing judgment. Choices A and B involve communicating and discussing important medical information, which are higher-level nursing actions typically performed by registered nurses. Choice D involves planning strategies to manage blood glucose levels postoperatively, which requires critical thinking and assessment skills usually performed by a registered nurse.

3. What is the primary goal of a clinical nurse leader (CNL)?

A. To manage the nursing staff
B. To coordinate patient care
C. To improve patient outcomes
D. To implement evidence-based practices

Correct answer: C

Rationale: The primary goal of a clinical nurse leader (CNL) is to improve patient outcomes by overseeing patient care delivery, coordinating with healthcare team members, and ensuring quality care. While managing nursing staff (choice A) and implementing evidence-based practices (choice D) are important aspects of a CNL's role, the ultimate focus is on enhancing patient outcomes. Coordinating patient care (choice B) is part of the CNL's responsibilities but not the primary goal.

4. Which of the following is an example of a sentinel event?

A. A patient fall with no injury
B. A medication error that results in no harm
C. A patient suicide while in a healthcare facility
D. A near miss incident

Correct answer: C

Rationale: The correct answer is C, a patient suicide while in a healthcare facility. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury. Choices A, B, and D do not meet the criteria for sentinel events as described by The Joint Commission, as they do not involve death or serious harm to the patient.