38. Hindsight bias causes observers of an accident to: a. Blame everyone who was in the area when the accident happened. b. Greatly exaggerate what the involved individual should have been able to foresee before the accident. c. Accept unworkable conditions as normal and to be expected. d. Attribute bad outcomes to personal inadequacies or criminal behavior. 39. The authority gradient affects patient safety when clinicians: a. Do not question the decisions of supervisors or leaders. b. Routinely take shortcuts to get the job done. c. Assume someone else will handle the problem. d. Engage in reckless behavior. 40. Root cause analysis is a structured process that: a. Looks to quickly identify the persons responsible for an error. b. Seeks to identify both what happened and why it happened. c. Is optional for organizations accredited by The Joint Commission. d. Is a dated process and not used by organizations investigating errors. 41. A high reliability organizations (HRO) is defined as: a. An organization that fails to take steps to address medical errors. b. A partner organization with The Joint Commission. c. A complex organization that engages in high-risk activities but experiences few catastrophes. d. An organization with very reliable providers. 42. Full disclosure is best defined as: a. A practice that produced malpractice lawsuits. b. The full release of a patient’s medical records to the media following a high-profile medical error. c. A plan of corrective action following a medical error. d. Full and complete communication that a provider discloses after a medical error. 43. The most frequently reported sentinel event in behavioral health settings is: a. Suicide in inpatient psychiatric units. b. Misdiagnosed psychiatric conditions. c. Medication error or mismanagement. d. The same as the most prevalent sentinel event reported in medical settings. 44. The 2014 Behavioral Health Care National Patient Safety Goal to improve assessment of suicide risk: a. Is intended for hospitalized patients only and does not involve discharge protocols. b. Is designed to increase the number of patients admitted. c. A goal was not identified for 2014. d. Involves correctly identifying high-risk suicidal patients, including during admission and after discharge.
45. Research has identified that 80% of suicide victims had: a. Contact with primary care within one year of their suicide. b. A lapse in taking their prescribed medication. c. Adequate adaptation and good social support. d. Never gone to primary care. 46. Clinicians who are involved in medical errors are: a. Either reckless or bored with their jobs. b. Incompetent and should always lose their licenses. c. Considered second victims of medical mistakes. d. Confident they will never commit another medical error. 47. Victims of medical error tend to: a. Experience frequent images or thoughts of the event that are triggered by nonspecific occurrences. b. Benefit from psychodynamic psychotherapy but not from cognitive-behavioral therapy or social support. c. Want to avoid other individuals who have experienced similar trauma because it reminds them of the adverse event. d. Recover in the long run if the healthcare organization responds as if nothing has happened. 48. Researchers have expressed concern that The Joint Commission does not emphasize official policy or language that: a. Addresses trauma-informed care or safety culture. b. Addresses inpatient psychiatric admission procedures. c. Investigates its internal procedures. d. Emphasizes the importance of field visits to facilities. 49. Critics have argued that behavioral health organizations have been slow to incorporate: a. Trauma-informed care principles. b. Better hygiene on acute units. c. More parking at facilities for visiting family members. d. Enhanced entertainment and streaming services within the units. 50. Victims of medical error and their families experience: a. Different symptoms than other trauma victims. b. Feelings of betrayal, distrust, isolation, and vulnerability. c. Anger when the facility generates a substantial bill for treatment. d. Little or no residual stress or symptoms after the events.
Course Code: PCUS03KC
Page 67
Book Code: PCUS1525
EliteLearning.com/Counselor
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