Which intervention demonstrates an attempt by nursing staff to meet the goals identified by the Joint Commission as National Patient Safety Goals? Select all that apply.

Correct Answer: A

Rationale: The correct answer is A because verifying patient identity using both name and date of birth before drawing blood aligns with the Joint Commission's National Patient Safety Goals to accurately identify patients. This intervention helps prevent errors such as mislabeling samples and administering treatments to the wrong patient. Sitting with a patient diagnosed with an eating disorder during meals (B) may support patient care but does not directly address patient safety goals. Administering the Beck Scale (C) and performing a medication history assessment (D) are important assessments but do not specifically address patient identification, which is a key safety concern.

Correct Answer: B

Rationale: The correct answer is B: Censor the patient's thoughts or words. This is because a family member in the interpreter role may unintentionally filter or alter the patient's words or emotions to protect the family or maintain harmony. This could lead to crucial information being missed or misinterpreted by the healthcare provider. In a sensitive situation like a mental health assessment, it is important for the interpreter to accurately convey the patient's true thoughts and feelings without bias or censorship. A: Be too close to accurately capture the meaning of the patient's mood - While this could be a potential concern, the main issue with a family member as an interpreter lies in the risk of censorship. C: Avoid interpretation - This would defeat the purpose of having an interpreter present in the first place. D: Leave out unsavory details - While this could also be a risk, the primary concern is the potential censorship of the patient's thoughts or words.

Correct Answer: B

Rationale: The correct answer is B because it highlights the importance of checking for congruence between verbal and nonverbal communication to validate responses. This demonstrates an understanding of the complexity of communication and the need to consider both verbal and nonverbal cues. Choice A is incorrect because it only recognizes the difference between verbal and nonverbal communication without discussing the importance of congruence. Choice C is incorrect as it assumes a direct correlation between a specific nonverbal cue (slumping in the chair) and a patient's emotional state. Choice D is incorrect as it oversimplifies the understanding of communication by stating that verbal communication is easier to understand than nonverbal communication.

Correct Answer: D

Rationale: The correct answer is D: Asking 'why' questions. This is not considered therapeutic as it can come across as confrontational or judgmental, potentially making the patient defensive. Restating, encouraging description of perception, and summarizing are all therapeutic techniques that demonstrate active listening, empathy, and understanding without putting the patient on the spot or making them feel interrogated. Asking 'why' questions can make the patient feel pressured to justify their feelings or actions, which can hinder open communication and trust in the patient-provider relationship.

Correct Answer: C

Rationale: Rationale: During a cardiac arrest, the body will produce a large amount of epinephrine. Epinephrine is released by the adrenal glands in response to stress and helps to increase heart rate and blood flow to vital organs, aiding in the body's fight-or-flight response to the emergency. This hormone plays a crucial role in maintaining blood pressure and oxygen delivery during a cardiac arrest. Summary of Incorrect Choices: A: Carbon dioxide is not produced in large amounts during a cardiac arrest. B: Growth hormone is not directly involved in the body's immediate response to a cardiac arrest. D: Aldosterone is a hormone that primarily regulates electrolyte balance and blood pressure, but it is not the main hormone released during a cardiac arrest emergency.