N400 (E3) Ch 27: Safety, Security, and Emergency Preparedness

Safety Plan for Victims of Domestic Abuse

-A place to stay -An escape route -A person you can call in a crisis -A signal to a neighbor to call for help -Keys for the house and car -Secure copies of important papers -A packed bag -Additional addresses and phone numbers

Maintaining Emergency Preparedness

-Addressing biological threats -Addressing chemical threats -Addressing radiation threats -Addressing cyber terror -Preparing for mass trauma terrorism -Identifying disaster resources -Addressing psychological aspects of disasters

Procedure-Related Accidents/Possible Errors

-Administering medications or intravenous solutions -Transferring a patient -Changing a dressing -Applying external heat to a patient's extremity

Factors That Contribute to Falls

-Age >65 -History of falls -Impaired vision or balance -Altered gait or posture, impaired mobility -Medication regimen -Postural hypotension -Slowed reaction time; weakness, frailty (*dementia, stroke) -Confusion or disorientation -Unfamiliar environment

Safety Considerations for Neonates

-Avoid behaviors that might harm the fetus. -Never leave the infant unattended. -Use crib rails. -Monitor setting for objects that are choking hazards. -Use car seats properly.

Safety Considerations for Toddlers/Preschoolers

-Childproof home environment. -Prevent poisoning. -Be alert to manifestations of child maltreatment or abuse. -Use car seats properly.

Chemicals Used for Mass Destruction

-Choking/lung/pulmonary agents -Blood agents -Vesicants/blister agents -Nerve agents -Incapacitating agents

Risk Factor Assessments

-Falls -Fires -Poisoning -Suffocation and choking -Firearm injuries

Safety Considerations for School-Aged Children

-Help to avoid activities that are potentially dangerous. -Provide interventions for safety at home, school, and neighborhood. -Teach bicycle safety. -Teach about child abduction. -Wear seatbelts.

Patient Outcomes for Safety

-Identify real and potential unsafe environmental situations. -Implement safety measures in the environment. -Use available resources for safety information. -Incorporate accident prevention practices into ADLs. -Remain free of injury.

Physiologic Hazards Associated With Restraints

-Increased possibility of serious injury due to fall -Skin breakdown -Contractures -Incontinence -Depression -Delirium -Anxiety -Aspiration and respiratory difficulties -Death

Health Teaching in the Schools

-Monitor the child's use of the Internet. -Get involved in school activities and ask pertinent questions. -Volunteer for safety committees that include staff and parents. -Ensure that the school's emergency preparedness plan is current.

Safety Event Reports

-Must be completed after any accident or incident in a health care facility that compromises safety -Describes the circumstances of the accident or incident -Details the patient's response to the examination and treatment of the patient after the incident -Completed by the nurse immediately after the incident -Is not part of the medical record and should not be mentioned in documentation

Indications of a Concussion

-Physical: headache, vomiting, problems with balance, fatigue, dazed or stunned appearance -Cognitive: mentally foggy, difficulty concentrating and remembering, confusion, forgets recent activities -Emotional: irritability, nervousness, very emotional behavior -Sleep: drowsiness, difficulty falling asleep, sleeping more or less than usual

Safety Considerations for Older Adults

-Prevent accidents. -Orient person to surroundings (avoid falls). -Maintain vehicle in working order, schedule eye exams, and keep noise at a minimum. -Promote safe environment at home (avoid fires). -Use medication trays (avoid poisoning).

RACE stands for

-R: Rescue anyone in immediate danger. -A: Activate the fire code and notify appropriate person. -C: Confine the fire by closing doors and windows. -E: Evacuate patients and other people to safe area.

Safety Consideration for Adults

-Remind them of effects of stress on lifestyle and health. -Counsel about unsafe health habits (reliance on drugs and alcohol). -Counsel about domestic violence.

Safety Considerations for Adolescents

-Teach safe driving skills and avoiding distracted driving. -Teach avoidance of tobacco and alcohol. -Teach risk of infection with body piercing and tattoos -Teach about guns and violence. -Discuss dangers associated with the Internet.

Components of Nursing Hx Regarding Safety

1. Assess for history of falls or accidents. 2. Note assistive devices. 3. Be alert to history of drug or alcohol abuse. 4. Obtain knowledge of family support systems and home environment.

Components of Physical Examination Regarding Safety

1. Assess mobility status. 2. Assess ability to communicate. 3. Assess level of awareness or orientation. 4. Assess sensory perception. 5. Identify potential safety hazards. 6. Recognize manifestations of domestic violence or neglect.

Focus of Safety Assessments

1. The person 2. The environment 3. Specific risk factors

Factors Affecting Safety

1.Developmental considerations 2. Lifestyle 3. Mobility 4. Sensory perception 5. Knowledge 6. Ability to communicate 7. Physical health state 8. Psychosocial state

Which item would alert the home care nurse to a safety hazard threatening a young child? Three blankets in a crib A gated stairway Padded child safety seat Dangling blind cords

Dangling blind cords

A caregiver of a toddler has called the poison control nurse to report that the child licked a small amount of petroleum jelly. The caregiver states that the toddler is sitting on the floor, watching a cartoon, and playing with a toy. Which information will the poison control nurse provide? Call 911. Induce vomiting. Administer a laxative. Dilute with water or milk.

Dilute with water or milk.

A nurse responds to the call bell and finds another nurse evacuating the client from the room, which has caught fire. Which action should the nurse take? Evacuate the unit. Pull the fire alarm lever. Confine the fire. Extinguish the fire.

Pull the fire alarm lever.

An older adult client has developed diabetic neuropathy. What would be the most important education intervention for the client and family? Obtain a carbon monoxide detector in the home. Reduce the temperature on the water heater. Keep the environment warmer in winter. Increase the amount of ventilation in the house.

Reduce the temperature on the water heater.

Which factor is related to the highest proportion of falls in long-term care settings? Toileting Agitation Polypharmacy Impaired sleep patterns

Toileting

Which safety tip could the nurse give to parents to help decrease the risk of the leading cause of injury or death in children 1 to 4 years of age? a. "Always provide close supervision for young children when they are in or around pools and bathtubs." b. "Never smoke in the bed in the house when young children are present." c. "Store medications in a locked area to prevent children from getting into them." d. "Never keep firearms in the home with young children."

a. "Always provide close supervision for young children when they are in or around pools and bathtubs."

Which nurse would be at the highest risk of causing a hazardous situation? a. A nurse who has worked 32 hours of overtime this week b. A nurse who has placed a client in the bed with three side rails up c. A nurse who is transferred to another unit to assist with care d. A nurse who is administering medications to four clients

a. A nurse who has worked 32 hours of overtime this week

The nurse overhears an older adult client's son talking to her in a very aggressive and violent way. When the nurse walks into the room, the son changes and speaks kindly to his mother and the health care providers. What should the nurse do about this observation? a. Ask to examine the client alone in order to speak to her privately. b. Document the observed behaviors in the client's chart. c. Nothing, as it is none of the nurse's concern. d. Report the suspicions to the authorities.

a. Ask to examine the client alone in order to speak to her privately.

The older adult client is moving to another apartment. The nurse should encourage the client's family to take which action to reduce the older adult's risk of falling in the new home? a. Clear clutter in the walkways of the new home. b. Change the older adult's routine. c. Take walks outside. d. Use the stairs in the new home.

a. Clear clutter in the walkways of the new home.

The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? Select all that apply. a. Client-centered care b. Teamwork and collaboration c. Establishment of clinical career ladders d. Revamping the licensing requirements for foreign-educated nurses e. Quality improvement (QI)

a. Client-centered care b. Teamwork and collaboration nurses e. Quality improvement (QI)

The nurse is able to help promote safety and prevent injury by identifying which factors that have a direct impact on client safety? Select all that apply. a. Communication ability b. Community population c. Developmental level d. Mobility e. Type of health care facility

a. Communication ability c. Developmental level d. Mobility

A child is playing soccer and is involved in a head-to-head collision with another player. Which assessment findings should the nurse be alert to that may indicate a concussion? Select all that apply. a. Drowsiness b. Fever c. Headache d. Increased thirst e. Vomiting

a. Drowsiness c. Headache e. Vomiting

A resident of a nursing home keeps trying to get out of bed to use the bathroom, despite having a urinary catheter in place. Which intervention will best preserve this client's safety and could be used as an alternative to restraints? a. Investigate the possibility of discontinuing his or her catheter. b. Limit the resident's fluid intake in order to reduce his or her urge to void. c. Collaborate with the resident's health care provider to have his or her diuretics discontinued. d. Increase the resident's physical activity to reduce evening restlessness.

a. Investigate the possibility of discontinuing his or her catheter.

A nurse working in a long-term care facility institutes interventions to prevent falls in the older adult population. Which intervention would be an appropriate alternative to the use of restraints for ensuring client safety and preventing falls? a. Involve family members in the client's care. b. Allow the client to use the bathroom independently. c. Keep the client sedated with tranquilizers. d. Maintain a high bed position so the client will not attempt to get out unassisted.

a. Involve family members in the client's care.

A client in a long-term care facility has become increasingly unsteady. The nurses are worried that the client will climb out of bed and fall. Which measure would be a priority recommendation for this client? a. Placing the client in a bed with a bed alarm b. Providing a bed that is elevated from the floor c. Raising all the side rails of the bed d. Using restraints on the client to prevent a fall

a. Placing the client in a bed with a bed alarm

An older adult client with an unsteady gait has been experiencing urinary urgency after being diagnosed with a urinary tract infection. What is the nurse's best action for reducing the client's risk of falls? a. Provide a bedside commode and ensure adequate lighting. b. Obtain an order for insertion of an indwelling urinary catheter. c. Limit the client's fluid intake during the evening. d. Accompany the client to the bathroom every 4 hours around the clock.

a. Provide a bedside commode and ensure adequate lighting.

There is a fire in the trashcan in the client's room. What is the nurse's first priority? a. Remove the client from the room. b. Pull the alarm and alert appropriate personnel. c. Close all doors and windows. d. Extinguish fire.

a. Remove the client from the room.

The nurse is completing a situational assessment. Which findings would cause the nurse concern? Select all that apply. a. The client is wearing the oxygen around the neck. b. There is spilled water on the floor. c. The IV is not infusing at the correct rate. d. The skin is a bluish-color. e. The client's television is turned off.

a. The client is wearing the oxygen around the neck. b. There is spilled water on the floor. c. The IV is not infusing at the correct rate. d. The skin is a bluish-color.

Root cause analysis is being performed after a client who was supposed to be on falls precautions fell while trying to walk to the toilet. Which finding of the investigation would be considered to be a latent error? a. The documentation forms on the unit have no specified location where falls precautions should be noted. b. The client's primary nurse went on a scheduled break without reporting off to a colleague. c. The nurse manager mistakenly admitted the client into a room far out of site of the nurses' station. d. An unlicensed assistive personnel (UAP) on the unit admitted to ignoring the client's call light before the client fell.

a. The documentation forms on the unit have no specified location where falls precautions should be noted.

A nurse is preparing to file a safety event report after a client experienced a fall. Which statement is correct regarding the filing of a safety event report? a. The nurse should record the incident in the client's medical record and fill out a safety event report separately. b. The nurse should include a note on the client's chart that mentions the report. c. The nurse should await results of the x-ray before filing the report. d. The nurse should make a copy of the safety event report and place it in the client's medical record.

a. The nurse should record the incident in the client's medical record and fill out a safety event report separately.

A 14-year-old boy is in the clinic for his well-child exam. When the client asks his mother if she has any questions for the practitioner, she states "He sleeps so much. I am worried about how lazy he is." What does the nurse know to be true about sleep in adolescents? a. Trying to balance too many activities can result in sleep deprivation. b. Increased sleep is the result of boredom. c. Adolescents require less sleep than adults; this is clearly an underlying medical concern. d. Increased sleep guarantees adolescents will behave in a safe manner.

a. Trying to balance too many activities can result in sleep deprivation.

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

a. have a meeting place outside the home.

The nurse is caring for a client with Alzheimer's disease. A family member states, "I am afraid I will go to bed one night, and the next morning my loved one will be missing from wandering off." What is the appropriate nursing response? a. "Clients with Alzheimer's disease often wander." b. "Consider the Alzheimer's Association 'Safe Return' program." c. "Adjust sleeping schedules so that you can monitor your loved one as they sleep." d. "I know, my parent has Alzheimer's disease and I worry about that too."

b. "Consider the Alzheimer's Association 'Safe Return' program."

The poison control nurse receives a call from the parent of a 2-year-old child. The parent states, "I just took a quick shower, and when I finished, I walked into the kitchen and found my child with an open bottle of household cleaner." What is the poison control nurse's appropriate response? a. "Did you leave the household chemical in reach of your child?" b. "Is your child breathing at this time?" c. "You should not have left your child alone while you showered." d. "Induce vomiting and call 911 right away."

b. "Is your child breathing at this time?"

A nurse is teaching a community group about bicycle safety. Which statement should be included when creating a teaching plan regarding bicycle safety? a. "Any helmet is appropriate for bicycle riding because all children should wear helmets when riding." b. "Parents are effective role models for children when they also wear helmets while riding." c. "The chin strap on the helmet should be adjusted to fit loosely so that it does not choke the child." d. "Young children secured in a bicycle passenger seat do not have to wear a helmet."

b. "Parents are effective role models for children when they also wear helmets while riding."

The nurse has just admitted a client with a latex allergy to the medical-surgical nursing floor. Which is the priority nursing intervention? a. Flag the room door. b. Apply an allergy-alert identification bracelet on the client. c. Notify the interdisciplinary health care team to use nonlatex equipment. d. Teach the client to wear a Medic-Alert bracelet.

b. Apply an allergy-alert identification bracelet on the client.

A nurse is using the DAME acronym to perform fall assessments on older adults in a home health care setting. Which examples of nursing actions follow this guideline? (Select all that apply.) a. D—A nurse decreases the amount of pain killers administered to patients. b. D—A nurse assesses drug and alcohol use of the patients. c. A—A nurse assesses the age-related physiologic status of the patients. d. M—A nurse manages the amount of time patients spend alone. e. M—A nurse reviews patient charts for medical problems affecting falls. f. E—A nurse assesses the energy level of patients prior to scheduling activities.

b. D—A nurse assesses drug and alcohol use of the patients. c. A—A nurse assesses the age-related physiologic status of the patients. e. M—A nurse reviews patient charts for medical problems affecting falls.

A health care provider orders extremity restraints for a confused client who is at risk for injury by pulling out her central venous catheter. What is the nurse's most appropriate action when carrying out this order? a. Apply restraints to the hands or wrists, never to the ankles. b. Ensure that two fingers can be inserted between the restraint and the client's extremity. c. Use a quick-release knot to tie the restraint to the side rail. d. Remove the restraint at least every 4 hours, or according to facility policy.

b. Ensure that two fingers can be inserted between the restraint and the client's extremity.

The nurse is caring for a postoperative client with confusion, a weak and unsteady gait, and a history of falls. The chart has an order for a waist restraint. What is the nurse's best next action? a. Apply the waist restraint over the gown and abdominal dressing. b. Notify the primary care provider and obtain an order for a client sitter. c. Apply bilateral wrist restraints and secure to the bed frame with a quick-release knot. d. Call the out-of-state family and ask if they can take turns watching the client.

b. Notify the primary care provider and obtain an order for a client sitter.

The nurse is caring for an older client who is ordered restraints. What is the priority nursing action? a. Keep arm restraints loose to prevent injury b. Offer the client bathroom privileges and assistance c. Remove the restraints every six hours to prevent skin breakdown d. Secure restraints with paper tape to allow quick removal

b. Offer the client bathroom privileges and assistance

A client who is enrolled in Medicare and who has been recovering in the hospital from a stroke has developed a pressure injury on the coccyx, an event that the Centers for Medicare & Medicaid Services (CMS) has identified as a "never event." The nurse should recognize what implication of this CMS designation? a. The hospital will be fined by CMS because the client developed a pressure injury. b. The hospital must bear any costs incurred for treating the client's injury. c. CMS will bear the hospital's costs if the client chooses to sue the hospital. d. CMS may choose to divert clients to other health care facilities in the future.

b. The hospital must bear any costs incurred for treating the client's injury.

A team of inner city school nurses attends a community conference on child safety during the summer months. What would be the priority health outcome that these nurses would expect to achieve in summer school? a. The students will only swim in the community pool when it hasn't rained for two days. b. The students will demonstrate proper use of safety equipment while playing sports. c. The students will sign up for fall afterschool programs. d. The students will read 400 pages from the summer book list.

b. The students will demonstrate proper use of safety equipment while playing sports.

A nurse is teaching parents about Internet safety for children. Which action(s) is a recommended guideline for Internet use? Select all that apply. a. Keep identifying information posted on the web sites. b. Use filtering software to block objectionable information. c. Investigate any public chat rooms used by the children. d. Emphasize that everything read online is usually true. e. Be alert for downloaded files with suffixes that indicate images or pictures.

b. Use filtering software to block objectionable information. c. Investigate any public chat rooms used by the children. e. Be alert for downloaded files with suffixes that indicate images or pictures.

The nurse is caring for a client who has been repetitively pulling at IV lines and the urinary catheter. After other methods of diverting the client's behaviors fail, the health care provider orders chemical restraints. Which treatment does the nurse anticipate? a. application of devices that reduce the client's ability to move arms b. administration of an antipsychotic agent to alter the client's behavior c. asking the unlicensed assistive personnel (UAP) to sit with the client d. articulating the reason for use of a physical restrictive device to the client's spouse

b. administration of an antipsychotic agent to alter the client's behavior

The nurse recognizes that assessment for sensory-perceptual alterations is a priority for which client? a. a 12-year-old male who sprained his wrist skateboarding b. an 84-year-old male with four recent driving violations c. a 42-year-old female who is a single mom with a sick child home from school d. a 16-year-old pregnant female who has morning sickness

b. an 84-year-old male with four recent driving violations

A 17-year-old is brought to the emergency department with a head injury. The nurse knows that adolescents are vulnerable to injuries related to: a. falls from beds. b. automobile accidents. c. play-related injuries. d. falls from staircases.

b. automobile accidents.

The occupational health nurse is planning a safety in-service for a group of clerical workers. Which topic would be most beneficial? a. the use of protective clothing b. principles of body alignment the use of ear plugs c. appropriate storage of d. combustible cleaning solutions

b. principles of body alignment

A large health care organization has committed to promoting a just culture when adverse events and near misses take place. Which question will guide the organization's response when a nurse commits an error? a. "How have other organizations responded to nurses in events like this?" b. "Have the client and the family been informed about this?" c. "How did the nurse's actions contribute to this error?" d. "What is the organization's legal liability in this matter?"

c. "How did the nurse's actions contribute to this error?"

A nurse visits an older adult client at home and assesses the safety of the client's environment. Multiple small rugs are located in the home. Which statement by the nurse is appropriate when addressing the client's safety? a. "Your home needs to be a safe environment as older adults have a tendency to fall." b. "I think you should replace your small rugs with skid-resistant rugs on the floor." c. "I am concerned that the small rugs in your home can be a tripping hazard." d. "You need to remove the small rugs from your house or you will fall."

c. "I am concerned that the small rugs in your home can be a tripping hazard."

Which statement by a client would indicate that a nurse had successfully implemented an educational strategy to prevent injury in the home? a. "I turn off the outside lights and lock the doors every night." b. "I place my phone next to my bed during the night for emergencies." c. "I have removed all throw rugs on the floor." d. "I have taken a CPR and first aid class."

c. "I have removed all throw rugs on the floor."

A school-age child is admitted to the emergency room with a possible concussion following a collision when playing football. After the collision, the parents state that he was "knocked out" for a few minutes before recognizing his surroundings. What is the priority assessment when the nurse first sees the client? a. Assessment of head b. circumference c. Assessment of vital signs and respiratory status d. Evaluation of all of his cranial nerves e. Initiation of a peripheral intravenous (IV) line for fluid administration

c. Assessment of vital signs and respiratory status

When educating parents about the safety of preschool-aged children, which is most important for the nurse to include in the presentation? a. Safety equipment should be used during sports activities to decrease fear. b. Weapons should be kept in a closet to prevent access by children. c. At home chemicals should be kept in a locked cabinet. d. Teach children to greet unfamiliar animals to make friends.

c. At home chemicals should be kept in a locked cabinet.

What is the primary role of the nurse in the care of clients who experience domestic violence? a. Calling the police b. Identifying health education and counseling measures for the family c. Providing prompt recognition of the potential or actual threat to safety d. Serving as a witness in court

c. Providing prompt recognition of the potential or actual threat to safety

The nurse has completed a comprehensive assessment of a client who has been admitted to the hospital experiencing acute withdrawal from alcohol. What nursing diagnosis would provide the clearest justification for the use of physical restraints during this client's care? a. Impaired Bed Mobility Related to Muscle Wasting b. Noncompliance Related to Medication Regimen c. Risk for Injury Related to Agitation d. Chronic Confusion Related to Long-Standing Alcohol Use

c. Risk for Injury Related to Agitation

The nurse is caring for a young child in the hospital who is being discharged home with his grandmother, who has guardianship. When performing a risk assessment, the nurse identifies that his grandmother has one other adult living with her to help with the child, because the grandmother has congestive heart failure and diabetes mellitus. In addition, the financial situation is poor and she cannot afford to buy safety devices to safety-proof the house. What nursing diagnosis is most appropriate for this child based on these findings? a. Risk for Contamination related to flaking or peeling of paint b. Risk for Injury related to substance use c. Risk for Poisoning related to medications in unlocked cabinets d. Risk for Suffocation related to child left unattended in the bathtub

c. Risk for Poisoning related to medications in unlocked cabinets

The nurse is creating a plan of care for the older adult who has multiple medications and a difficult time reading medication labels due to poor eyesight. What is the most appropriate nursing diagnosis to include in this client's plan of care? a. Risk for Falls related to immobility b. Risk for Injury related to substance use c. Risk for Poisoning related to poor eyesight and the inability to read medication labels d. Altered Sensory Perception related to decreased visual acuity

c. Risk for Poisoning related to poor eyesight and the inability to read medication labels

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

c. The nurse should question the client about the source of the bruises.

The health department is reviewing community health initiatives for the year. During the summer, the health department focuses infection control implementation activities on which program? a. administering influenza immunizations b. administering free antibiotics c. using pesticides for mosquitoes d. delivering fans to older adult residents

c. using pesticides for mosquitoes

What is the most important safety concept that a nurse should include in the teaching plan for a family with a newborn infant in the household? a. Educate about, and be aware of, signs of risky behaviors. b. Include safeguards to prevent falls in the home. c. Teach seat belt safety. d. Avoid stuffed animals and blankets in the crib.

d. Avoid stuffed animals and blankets in the crib.

The unlicensed assistive personnel (UAP) tells the nurse that a client is very confused and trying to get out of bed without assistance. What is the appropriate action by the nurse? a. Contact the physician for a restraint order. b. Administer the client's sedative as ordered. c. Put up all four side rails on the bed. d. Initiate use of a bed alarm.

d. Initiate use of a bed alarm.

The nurse is caring for a school-age child and notices a variety of circular burns on the back and legs in various stages of healing. What action should the nurse take related to this suspicion? a. Inform the parent that abuse is suspected. b. Because the nurse is not sure, observation of the parents behavior will be done. c. Call the police. d. Notify the National Abuse Hotline.

d. Notify the National Abuse Hotline.

The nurse is teaching the caregiver of an adolescent child about safety. Which teaching will the nurse include? a. Supervise your child on the changing table. b. Place all household cleaners out of reach. c. Buy protective sporting equipment. d. Peer pressure causes children of this age to take risks.

d. Peer pressure causes children of this age to take risks.

A client who was receiving care on a psychiatric unit died by suicide at a time when nurses are known to have been handing off to nurses on the next shift. What is a responsibility of the organization when responding to this sentinel event? a. Inform local health care institutions about the event to promote safety. b. Change the institution's policies regarding supervision of clients. c. Appropriately discipline the nurses who were participating in the shift change. d. Report the event to the Joint Commission.

d. Report the event to the Joint Commission.

A nurse smells smoke and subsequently discovers a fire in a garbage can in a common area on the hospital unit. What is the nurse's priority action in this situation? a. Evacuate clients and staff. b. Activate the fire alarm on the unit. c. Attempt to extinguish the fire. d. Rescue anyone who is in immediate danger.

d. Rescue anyone who is in immediate danger.

A nurse is preparing discharge education for a client with a newborn baby. What is the highest priority item that must be included in the education plan? a. Lock all cabinets that contain cleaning supplies. b. Keep all pots and pans in lower cabinets. c. Give warm bottles of formula to the baby. d. Restrain the baby in a car seat.

d. Restrain the baby in a car seat.

A father asks the nurse who is caring for his 13-year-old daughter why his daughter could be performing poorly in school lately, and why she is distancing herself from friends and family. Which of these possibilities would the nurse consider as the priority risk? a. She has lost interest in academics because she has a boyfriend now. b. She may be beginning her menses. c. She may be developing nutritional deficiencies from poor dietary habits. d. She may be the victim of cyber-bullying.

d. She may be the victim of cyber-bullying.

A client went missing from a long-term care facility and an emergency code was called. After a search of 1 hour, the client was discovered in a utility room that should have been inaccessible. When responding to this event, staff should: a. complete an incident report to determine who was primarily responsible for the event. b. document strategies in the client's health record for preventing future incidents. c. fill out an incident report, with the goal of preventing a similar event in the future. d. hold a facility-wide meeting to identify strategies for making improvements to the safety of residents.

d. hold a facility-wide meeting to identify strategies for making improvements to the safety of residents.

During a course on terrorism, a group of emergency room nurses learns about terrorists who use bombs or other explosives to inflict injury on numerous people and cause multiple fatalities. This is an example of: mass trauma terrorism. chemical terrorism. bioterrorism. nuclear terrorism.

mass trauma terrorism.

QSEN Goal

meet the challenge of preparing future nurses who will have the knowledge, skills and attitudes (KSAs) necessary to continuously improve the quality and safety of the healthcare systems within which they work.