A nurse who realized that his colleagues weren't consistently following up on patient results reported the problem to the clinic leadership right away. Which response would be most consistent with a culture of safety?

a) Transferring the nurse to another clinic
b) Writing a letter of commendation for his file
c) Thanking the nurse and asking him to keep quiet about it
d) Placing the item on the agenda for the leadership meeting next year
b) Writing a letter of commendation for his file

In multiple sclerosis, the immune system destroys the substance that coats and protects nerve fibers in the brain and spinal cord. this causes inflammation and injury to the nerves, and the axons don't conduct impulses as well.

A35-year-old woman comes to the ed complaining of chest pressure. she has had such episodes intermittently over the last 5 years, usually when sleeping, but over the last year she has had more frequent severe symptoms that are occasionally associated with severe migraine headaches. the pain is midsternal and is described as pressure that extends as a band around her chest. the ed physician is initially dubious that the pain is cardiac in origin, because the woman has no coronary disease risk factors. an ecg, however, shows 2mm st-segment elevation and inverted t waves in leads v1 through v5 and 1mm st-segment depression in leads ii, iii, and avf. before the cardiologist arrives in the ed, the patient's ecg has returned to normal. this repeat normal ecg is obtained after the administration of aspirin, nitroglycerin, morphine, and oxygen. which of the following is most likely for these findings? - diffuse intimal thickening with focal areas of atherosclerotic narrowing - intermittent thrombus formation and lysis in the left anterior descending artery - intermittent thrombus formation and lysis in the right coronary artery - plaque rupture and thrombus formation in the left anterior descending artery - transiently increased coronary vascular tone in the right coronary artery

Which action encourages homophobia? tolerating others’ opinions welcoming someone into a group respecting others' differences accepting inappropriate terminology