Sherpath: Safety Promotion and Injury Prevention (exam 1)

The Joint Commission reevaluates National Patient Safety Goals every ________ months.

12

Nurses are professionally accountable for __________ Quality and Safety Education for Nurses competencies.

6

Which question would the nurse ask a teenager related to a unique risk factor for this age group? a. "Do you text while driving?" b. "Do you know how to swim?" c. "Do you work in a dangerous environment?" d. "Does your home contain furniture with sharp corners?"

a. "Do you text while driving?"

A nurse in which situations needs to immediately enact precautions to minimize self-exposure to radiation? Select all that apply. a. Assisting a patient with agitation during a radiographic procedure b. Working in a special procedure area where radiation is delivered c. Caring for a patient receiving radioactive iodine treatment d. Talking with a patient who is receiving a dual-energy x-ray absorptiometry (DEXA) scan e. Helping a patient who had radiation therapy last week eat

a. Assisting a patient with agitation during a radiographic procedure b. Working in a special procedure area where radiation is delivered c. Caring for a patient receiving radioactive iodine treatment

The nurse recognizes that poisoning symptoms can resemble symptoms of which other disorders? Select all that apply. a. Brain attack b. Seizure c. Alcohol intoxication d. Hypoglycemia e. Delirium f. Strep throat

a. Brain attack b. Seizure c. Alcohol intoxication d. Hypoglycemia e. Delirium

Which group would the nurse identify as having the highest risk for drowning? a. Children between 1 and 4 years of age b. Children between 5 and 10 years of age c. Adults who do not use approved life jackets d. Teenagers who are under the influence of alcohol

a. Children between 1 and 4 years of age

Which safety risks would the nurse include when teaching the parents of an 18-month-old about safety precautions? Select all that apply. a. Choking on grapes b. Drowning in swimming pools c. Strangulation from blind cords d. Dehydration from sitting in a hot car e. Accidental ingestion of medication f. Head or neck injury related to trampoline use

a. Choking on grapes b. Drowning in swimming pools c. Strangulation from blind cords d. Dehydration from sitting in a hot car e. Accidental ingestion of medication

Which negative outcomes resulting from the use of physical restraints would the nurse identify? Select all that apply. a. Death b. Diarrhea c. Fractures d. Incontinence e. Reduced bone mass

a. Death c. Fractures d. Incontinence e. Reduced bone mass

Which teachings would the nurse provide when teaching a group of assistive personnel about methicillin-resistant Staphylococcus aureus (MRSA) and infection control? Select all that apply. a. It may lead to sepsis. b. It is resistant to common antibiotics. c. It is associated with infections of the skin. d. It generally affects the patients in the hospital who are the weakest or sickest. e. It commonly enters the body through invasive procedures.

a. It may lead to sepsis. b. It is resistant to common antibiotics. c. It is associated with infections of the skin.

When teaching a group of new parents about feeding their children, which food safety information would the nurse provide? Select all that apply. a. Monitor food expiration dates closely. b. Cook food to the appropriate temperature. c. Store leftover food in its original can. d. Avoid raw meat that is light red in color. e. Always cook pork for a longer amount of time than beef.

a. Monitor food expiration dates closely. b. Cook food to the appropriate temperature.

The nurse is preparing to discuss medication administration with a family. Which teachings would the nurse provide? Select all that apply. a. Never take larger or more frequent doses of medications. b. Do not refer to medication as "candy" when speaking to children. c. Read over directions in direct light, and follow all directions on medication labels. d. Dispose of used needles in the trash to avoid needlestick injuries. e. Contact the health care provider if you have any questions about dosing.

a. Never take larger or more frequent doses of medications. b. Do not refer to medication as "candy" when speaking to children. c. Read over directions in direct light, and follow all directions on medication labels. e. Contact the health care provider if you have any questions about dosing.

Which statement describes the main goal of the Quality and Safety Education for Nurses (QSEN) project? a. Prepare future nurses to advance quality and safety. b. Allocate resources for safety program implementation. c. Minimize the risk for harm to older adult patients by injury. d. Assist nurses to educate patients about safety concerns.

a. Prepare future nurses to advance quality and safety.

In which ways is the nurse accountable for enhancing patient safety in the health care setting? Select all that apply. a. Provide fall risk assessments. b. Implement restraints only as a last measure. c. Prevent medication errors. d. Minimize or eliminate radiation exposure. e. Prevent procedural errors. f. Use safety precautions in the nurse's home environment.

a. Provide fall risk assessments. b. Implement restraints only as a last measure. c. Prevent medication errors. d. Minimize or eliminate radiation exposure. e. Prevent procedural errors.

Which external/environmental factors would the nurse identify as affecting an individual's safety? Select all that apply. a. Residing in a high-crime area b. Living with an abusive, alcoholic individual c. Developmentally performing below one's age level d. Being diagnosed with a disease at a very young age e. Being an older adult over the age of 65

a. Residing in a high-crime area b. Living with an abusive, alcoholic individual

Which organization places a focus on patient safety when evaluating health care agencies for accreditation? a. The Joint Commission. b. World Health Organization c. Centers for Disease Control and Prevention d. National Institutes of Health

a. The Joint Commission

Which teaching points will the nurse include when teaching a community group about injuries? Select all that apply. a. Unintentional injuries are unplanned incidents. b. Unintentional injuries typically result from deliberate acts of violence. c. Unintentional injuries do not account for many deaths within the United States. d. The risk factors for intentional injuries are better understood than those of unintentional injuries. e. Intentional injuries include events such as falls, drownings, and fire-associated injuries.

a. Unintentional injuries are unplanned incidents. d. The risk factors for intentional injuries are better understood than those of unintentional injuries

Which skills would the nurse need to demonstrate according to the Quality and Safety Education for Nurses (QSEN) safety competency? Select all that apply. a. Uses national patient safety resources b. Blames others when a near-miss occurs c. Analyzes errors to design system improvement d. Relies on memory to provide quality patient care e. Communicates observations and concerns about hazards

a. Uses national patient safety resources c. Analyzes errors to design system improvement e. Communicates observations and concerns about hazards

Which individuals are more likely to be involved in an intentional injury? Select all that apply. a. A young female with a history of falling b. An adolescent female with severe depression c. A young adult male with a history of violence d. An older adult male diagnosed with dementia e. A middle-aged female who was abused as a child

b. An adolescent female with severe depression c. A young adult male with a history of violence e. A middle-aged female who was abused as a child

Which environmental risk would the nurse identify as often leading to falls? a. Pollution b. Inadequate lighting c. Poor lifting techniques d. Communicable diseases

b. Inadequate lighting

When teaching a community group about individual safety, which factors would the nurse include? Select all that apply. a. Workplace b. Physical age c. Developmental level d. Neighborhood environment e. Participation in school activities

b. Physical age c. Developmental level

Which teaching would the nurse provide to a patient who asks how to best prepare fruits and vegetables to eat? a. Disinfect with an organic household cleaner. b. Rinse under running water. c. Use a small amount of dish detergent. d. Wash in solution made with 1 gallon of water and 1 teaspoon of bleach.

b. Rinse under running water

Which types of footwear would the nurse recommend to a patient who plans to use a riding lawn mower regularly this summer? Select all that apply. a. Sneakers b. Velcro, nonslip shoes c. Shoes with sturdy laces d. Sandals, as the feet are away from blades e. Rubber boots

b. Velcro, nonslip shoes c. Shoes with sturdy laces

Which items would the nurse identify as an example of a physical restraint? Select all that apply. a. Ankle bracelet b. Wrist cuffs c. Safety jacket d. Four raised side rails e. Medication

b. Wrist cuffs c. Safety jacket d. Four raised side rails e. Medication

The nurse is talking with a new graduate nurse about medication administration errors. Which statement from the new graduate nurse shows a need for further education? a. "Confusion between sound-alike or similarly spelled drug names causes many medication errors." b. "Many medication errors occur during transfers from nurse to nurse across units and across settings." c. "Because drugs are delivered through an automated dispensing system, the risk for medication errors is low." d. "Nurses may miscalculate the number of tablets for a medication dose because of a patient's intravenous (IV) pump alarm beeping."

c. "Because drugs are delivered through an automated dispensing system, the risk for medication errors is low."

A patient who is intubated and confused continues to try to pull out the endotracheal tube. When all other measures to divert the patient's attention fail, the nurse applies soft wrist restraints, under the health care provider's order, to protect the patient's airway. Which assessment finding alerts the nurse to reapply the restraint? a. Fingertips warm to the touch b. Capillary refill at 2 seconds in both hands c. Reduced attempts at pulling the endotracheal tube d. Impeded pulse on wrists

d. Impeded pulse on wrists

Which guidelines regarding the use of abbreviations in documentation would the nurse follow? Select all that apply. a. Use MS for MSO4 and MgSO4. b. Use of QD, QOD, and qd are discouraged. c. Documentation of "5 mg" is acceptable. d. Using "unit" as a form of measurement is appropriate. e. For doses under 1, use a leading zero (e.g., 0.5 mg).

c. Documentation of "5 mg" is acceptable. d. Using "unit" as a form of measurement is appropriate. e. For doses under 1, use a leading zero (e.g., 0.5 mg).

Which Quality and Safety Education for Nurses competency does the nurse observe when questioning the approach to routine care? a. Patient-centered care b. Quality improvement c. Evidence-based practice d. Informatics

c. Evidence-based practice

Which factor is most likely the result of an impaired renal system? a. Alteration of senses b. Orthostatic hypotension c. Impaired excretion of medications d. Disruption of the body's protective barrier

c. Impaired excretion of medications

Which "rights" are considered to be the "Original 5" rights of medication administration? a. The right drug, dose, time, patient, label b. The right drug, dose, agency, patient, route c. The right drug, dose, time, patient, route d. The right drug, manufacturer, time, patient, route

c. The right drug, dose, time, patient, route

Which nursing attitude is needed to increase patient safety? a. Supports care for patients that differs from care desired for self b. Recognizes the patient's personal beliefs c. Values own role in preventing errors d. Appreciates the nurse's role in providing pain relief

c. Values own role in preventing errors

The nurse has taught a neighborhood group about home safety. Which patient statement demonstrates a need for further teaching? a. "Proper safety gear should be used when operating power tools." b. "Weather should be taken into consideration when riding a bicycle." c. "Risk for injuries can be minimized through education programs for skating and bicycling." d. "I will store my gun and ammunition together in a locked case."

d. "I will store my gun and ammunition together in a locked case."

Which national organization categorizes injuries as intentional or unintentional? a. The Joint Commission (TJC) b. Quality and Safety Education for Nurses (QSEN) c. Agency for Healthcare Research and Quality (AHRQ) d. National Center for Health Statistics (NCHS)

d. National Center for Health Statistics (NCHS)

A 50-year-old construction worker arrives at the hospital reporting stomach cramps and vomiting for several days. He smokes a pack of cigarettes daily and lives near a landfill. Which external/environmental factor would the nurse identify that likely has affected the patient's safety? a. Age b. Developmental level c. Lifestyle behaviors d. Place of residence

d. Place of residence