A father brings his 18-month-old child to the pediatric clinic ...

[Awilson837]

A father brings his 18-month-old child to the pediatric clinic for a well-baby checkup. The father tells the nurse that he is concerned because his child's legs are bowed. Which response by the nurse is appropriate?
 
  a. Your child will most likely require physical therapy.
  b. You should consider having your child seen by an orthopedic surgeon.
  c. This is a normal finding in children for 1 year after they begin walking.
  d. Your child is walking fine, so you don't need to worry.

Question 2

The nurse understands that which of the following organizational factors have been shown to contribute to errors and safety problems in healthcare? Select all that apply.
 
  a. Inadequate financial resources
  b. Inadequate training of personnel
  c. Inadequate staffing in the organization
  d. Staff reluctance to speak up about risks and errors

[Toya9913]

Answer to Question 1

C
Genu varum, or bowlegs, is a normal finding in children for 1 year after they begin walking and the bones of the legs become more ossified with development and weight-bearing. However, assessment over time is important to be sure the gait and positioning develop normally. The nurse should allay the father's concerns by providing him with this information. The child shows no signs, in the scenario, that physical therapy is needed. It is not appropriate for the nurse to recommend an orthopedic surgeon; physician referrals are given by the physician or advanced practice nurse when appropriate. Your child is walking fine . . . is condescending and does not appropriately address the father's concerns.

Answer to Question 2

B, C, D
Organizational factors that have been shown to contribute to errors and to safety problems in healthcare include poor design, maintenance failures, unworkable procedures, shortfalls in training, less than adequate tools and equipment, and inadequate staffing. Disruptive behaviors, intimidation in the workplace, and a culture of disrespect among healthcare professionals have also been reported as significant barriers to patient safety. It is clear that such cultures need to be repaired, and many healthcare organizations are working to address disrespectful behavior, staff reluctance to speak up about risks and errors, and blatant disregard of expressed concerns. Inadequate financial resources are not cited as a reason for healthcare agency safety problems and errors.

[Awilson837]

Excellent

[JaynaD87]

TYSM