chapter 23 test bank

The facility is conducting an educational seminar for newly employed nurses. The program addresses the reporting of sentinel events. Which of the following occurrences qualify for this criteria? Select all that apply. -A patient reports plans to file a complaint concerning the amount of time it took for a nurse to respond to a call light. -A patient's baby is misidentified and receives breast milk from another mother. -A patient experiences a reaction to a unit of blood, resulting in itching and hives. -A patient faints during ambulation with the nurse, resulting in a concussion. -The nurse administers a lethal dosage of medication in error.

-A patient's baby is misidentified and receives breast milk from another mother. -A patient faints during ambulation with the nurse, resulting in a concussion. -The nurse administers a lethal dosage of medication in error.

After identifying a medication error, the nurse completes an incident report. The nurse correctly recognizes which of the following about the use of these documents? Select all that apply. -The incident report should be placed with the patient's medical records. -Incident reports provide a clear, concise recording of the situation that can be provided to the patient's legal representative in the event of a lawsuit. -The incident report should include factual information about the incident. -The nurse should include their own personal perception about the cause of the incident in the report. -Completion of the incident report should be noted in the nurse's notes.

-Incident reports provide a clear, concise recording of the situation that can be provided to the patient's legal representative in the event of a lawsuit. -The incident report should include factual information about the incident.

The health department is reviewing community health initiatives for the year. During the summer, health department focuses infection control activities on which of the following programs? -Administering immunizations -Administering free antibiotics -Using pesticides for mosquitoes -Delivering fans to elderly residents

-Using pesticides for mosquitoes

The nurse is assessing the patient's sensory input. Which of the following assessments should be included? Select all that apply. -Assessment of sensitivity to touch -Assessment of sensitivity of sharp to dull stimulation -Assessment of ability to maintain balance -Assessment of pupil sensitivity to light changes -Assessment of ability to recall information

-assessment of sensitivity to touch -assessment of sensitivity of sharp to dull stimulation -assessment of ability to maintain balance

The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which of the following are included in this initiative? Select all that apply. -Patient-centered care -Teamwork and collaboration -Establishment of clinical career ladders -Development of multidisciplinary committees to review patient satisfaction -Quality improvement (QI)

-patient centered cae -teamwork and collaboration -quality improvement

The nurse is assessing a patient's mental health competence and decision-making ability. What activities will best provide the needed information to the nurse? -Ask the patient to read and discuss a passage from a pamphlet. -Ask the patient "what if" questions to determine level of thought organization. -Ask the patient to review his medical health history to assess for the level of organization of his thought processes. -Discuss with the patient's family any concerns about his mental stability.

Ask the patient "what if" questions to determine level of thought organization.

The facility risk management team is preparing an inservice to nursing staff members. The presentation will highlight risk factor increase related directly to the type of patientele on a nursing unit. The presenter will correctly explain that which of the following risks is increased for female nurses who work on an oncology care unit? -back injuries -blood borne pathogens -adverse reproduction -neurologic disorders

adverse reproduction

In large metropolitan areas, patients who suffer from asthma will be affected by -air pollution -noise pollution -radiation -asbestos contamination

air pollution

The nurse is discussing car safety with the mother of a 6-year-old child. The child's mother questions the need for the use of special car seats for her child. What information can be provided to her? -"Car seats are only recommended until children are 3 years old." -"At the age of 6 your child should be using a booster seat." -"Car seats are recommended until children are at least 10 years old." -"Your child will be safe in the car using the provided shoulder harness and lap belts."

at the age of 6 your child should be using a booster seat

What national organization determined that unintentional injuries were the fifth-leading cause of all deaths in the United States?

centers for disease control and preventions

The nurse is preparing to discuss safety with a group of parents of infants. When planning the program, which of the following topics would be most important to include? -The use of skid-proof mats for the bath tub -The use of safety gates at stairwells -Correct placement of booster seats for the car -The use of flame retardant pajamas

correct placement of booster seats for the car

Which of the following items would alert the home care nurse to a safety hazard threatening to a young child? -three blankets in a crib -a gated stairway -padded child safety seat -dangling blind cords

dangling blind cords

The nurse instructs the family of an elderly patient with a visual impairment and decreased mobility that the most common problem for these patients is related to which of the following? -electrical cords -medication errors -falls -aspiration

falls

A patient has presented to the Emergency Department after splashing a chemical in the eyes. When managing the injury, which of the following should be included in the plan of care? -Wash the eyes with a hypertonic solution for at least 30 minutes. -Advise the patient to avoid blinking until after the eyes are irrigated. -Flush the eyes with water for 10 minutes. -Flush the eyes with a cool saline solution for a 10-minute period.

flush the eyes with water for 10 minutes

When educating families on fire safety, it is important to -have a meeting place outside the house -account for all members and then exit -use extension cords to prevent shock -keep a fire extinguisher in a closet

have a meeting place outside the house

The older adult will have an increased risk for developing which of the following? -fire hazards -gun shot wounds -heatstroke -posioning

heatstroke

A child is learning to ride a bicycle. He should be instructed to use which of the following protective devices? -helmet -wrist guard -knee pads -light

helmet

One of the leading causes of death in the United States, particularly in southwestern states, is drowning. How can the nurse assist in lowering this statistic? -Educate children in cardiopulmonary resuscitation -Begin swim lessons with toddlers -Implement drowning-prevention strategies -Require fencing around all pools

implement drowning prevention strategies

Which of the following statements should the nurse include in the teaching plan regarding safety issues that she is preparing for a group of adult patients? -In most age groups, motor vehicle accidents are major causes of death -Suicide is the leading cause of death in adults and adolescents -Occupational safety controls for all workplace hazards -Environmental lead is a primary cause of death in adult patients

in most age groups motor vehicle accidents are major causes of death

When educating parents of preschoolers, what is most important to include in your presentation? -Use wrist guards with rollerblades -Teach preschoolers to tread water -Keep chemicals in a locked cabinet -Strict discipline with potty training

keep chemicals in a locked cabinet

The nurse has committed a medication error. The nurse administered an antibiotic dosage greater than the dosage prescribed. The patient did not experience any adverse effects. What initial action by the nurse is most appropriate? -Report the actions as a sentinel event -Contact the nursing supervisor -Notify the physician -Complete an incident report

notify the patient

The occupational health nurse is planning a safety inservice for a group of clerical workers. Which of the following topics would be most beneficial? -Principles of body alignment -The use of protective clothing -The use of ear plugs -Appropriate storage of combustable cleaning solutions

principles of body alignement

A patient has developed neuropathy as he has aged. What would be the most important teaching intervention for the patient and family? -Provide a comfortable temperature in the home -Reduce the temperature on the water heater -Keep the environment warmer in winter -in high temperatures, have adequate ventilation

reduce the temperature on the water heter

Which of the following safety topics is the most appropriate for the nurse to discuss with mothers of preschoolers? -taking baths alone -bike safety -crossing streets alone -safety zones

safety zones

Which of the following reasons best explains why adolescents behave in an unsafe manner despite knowledge of a particular activity's risk? -past experience -poor judgment -social pressure -normal rebellion

social pressure

A nurse is completing an intake assessment. The nurse notes that an older adult male patient appears to have bruises in varying stages of healing. Which of the following actions by the nurse indicates an understanding of her responsibilities? -The nurse should notify the primary care physician about the bruises. -The nurse should contact the facility's social services department. -The nurse should question the patient about the source of the bruises. -The nurse should request permission from the patient to photograph the bruises.

the nurse should question the patient about the source of the bursies

A nurse instructs a group of parents of preschool-age children that the rules of safe social interaction for this age group are often learned by -trial and error -interaction with parents -interaction with peers -through preschool

trial and error

A group of girls are camping in the woods with camp counselors. They should be instructed to -get adequate amounts of sleep -use the buddy system -eat nutritious foods -run on smooth surfaces

use the buddy system