How do the Joint Commission's 2010 National Patient Safety Goals ...

[karen]

How do the Joint Commission's 2010 National Patient Safety Goals improve the effectiveness of communication among caregivers?
 
  1. Annually review a list of look-alike/sound-alike drugs used in the organization.
   2. Conduct a verification process to confirm the correct procedure.
   3. Develop written procedures for managing the critical results of tests and diagnostic procedures.
   1. Use the client's room number as an identifier.

Question 2

A client told the nurse that even though his wife died 3 years ago, he continues to have dinner with her every Saturday night. He includes a table setting for her and prepares their usual steak dinner.
 
  He also lights a candle for her each week marking the time of her death. Which of the following nursing diagnoses will the nurse select during planning of care? 1. Death Anxiety
   2. Risk for Bereavement
   3. Ineffective Coping
   4. Complicated Grieving

[debra928]

Answer to Question 1

3. Develop written procedures for managing the critical results of tests and diagnostic procedures.

Rationale:
Developing written procedures is one of the ways the National Patient Safety Goals improve the effectiveness of communication among caregivers. Using the client's room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.

Answer to Question 2

4. Complicated Grieving

Rationale:
The client exhibits complicated grieving through ritualistic behaviors, and his grieving has not come to the point of resolution after 3 years. Death anxiety is anxiety associated with the anticipation of death. The client is able to perform tasks to care for himself, but he has gone beyond ineffective coping to the dysfunctional. Bereavement is a state of loss that is transient and is not a nursing diagnosis.

[karen]

TY

[debra928]

You're welcome