EAQ Chapter 27 Safety 386
Which policy covers medical expenses for very poor children?
Medicaid
The nurse is caring for a patient with hypertension. Which nursing intervention indicates that the nurse is providing patient-centered care focused on transition and continuity?
Teaching the patient about the administration of medications
The nurse is caring for a patient and finds that the patient is uncomfortable in the hospital. Which intervention is most appropriate to ensure the patient's comfort?
Give adequate privacy to the patient
The incidence of suicidal tendency is highest in which age group?
adolescents
The nurse is reviewing the manufacturer's instructions for restraint application before entering the patient's room. Which step in the nursing process is the nurse demonstrating?
assessment
The caregiver of a patient with terminal illness is receiving respite care. Which type of primary and preventive care service offers this kind of care?
block and parish nursing
The National Quality Forum is collecting information from a health care facility about serious reportable events that have occurred. Which event should be listed as a care-management event?
death due to medication error
Which restraint should the nurse use to prevent nerve injury?
elbow
Primary care activities are focused on:
health promotion
Which is a serious reportable event included in the National Quality Forum List?
immediate postop death
accidents caused by the patient
patient-inherent accident
Which force of magnetism is associated with the component that focuses on structure and processes, and demonstration of positive clinical, workforce, patient, and organizational outcomes?
quality of care
Which patients are at higher risk of motor vehicle accidents according to the Centers for Disease Control and Prevention (CDC)?
16 yr old
Purple bands are given to patients who have:
DNR order
Which statement is true regarding Magnet status recognition for a hospital?
Magnet is a special designation for hospitals that achieve excellence in nursing practice.
A patient has been locked in a poorly ventilated room containing a furnace. Which condition is likely to be observed in the patient after a period of time?
carbon monoxide poisoning
The nurse is training a new mother on the use of the Heimlich maneuver. This intervention lowers the risk of which emergency situation?
choking
According to Edelman and Mandle's strategies of health promotion, which is classified as a passive strategy?
clean water laws
Nurses on a nursing unit are discussing the processes that led up to a near-miss error on the clinical unit. They are outlining strategies that will prevent this in the future. This is an example of nurses working on what issue in the health care system?
client safety
The nurse is presenting information to a management class of nursing students on the topic of groups of in-patient hospital services that have a fixed reimbursement amount, with adjustments made based on case severity and regional costs. The nurse is presenting information to the class on which topic?
diagnosis-related groups
According to Edelman and Mandle, which element is included in passive strategies of health promotion?
enacting public sanitation legislation
Which nursing process step is demonstrated when the nurse performs a visual examination on a patient who becomes too agitated when approached?
evaluation
A community health nurse is explaining the levels of health care to a group of patients. Which service is included in primary health care?
family planning
Which health care services are provided in primary health care facilities?
family planning, prenatal counseling, nutritional counseling
Which health conditions are likely to be observed in people working in cold conditions? Select all that apply
frostbite hypothermia
The nurse works in a community health center. What program might the nurse be responsible for at the community health center?
health ed
The nurse works in a primary health care center. For which service might the nurse be responsible in this health care setup?
health screening
A patient has leukemia and is in the terminal stage. The patient has opted for a service that provides palliative care at home. Which service has the patient selected?
hospice
Primary care focuses on:
improving health outcomes for the entire population
A patient has accidently consumed kerosene. Which nursing intervention would further complicate the patient's condition?
inducing vomiting
Which group is at highest risk for lead poisoning?
infants
Which restraint is banned due to the risk of fatal injuries?
jacket restraint
A patient is diagnosed with pneumonia, and during data collection, the nurse finds that the patient is economically disadvantaged. Which type of health care plan would be beneficial for the patient's treatment?
medicaid
When the nurse uses information and technology to communicate, locate and use knowledge, reduce and eliminate errors, and help make decisions, in which area is the nurse is working?
nursing informatics
The nurse is teaching a group of nursing assistive personnel about the types of fire extinguishers. Which type of fire can be extinguished using a type A fire extinguisher?
paper, cloth, wood
As part of a quality training program, the nurse prepares a report on patient management. According to the National Database of Nursing Quality Indicators (NDNQI), what indicators of quality nursing should the nurse include in the report?
patient falls, hospital-acquired infections, patients developing pressure ulcers
The nurse is reviewing the reports of four patients scheduled for different programs. According to the chart, which patient requires secondary acute care?
patient scheduled for radiologic procedures such as CT scan
Which patient should be provided with a yellow wristband according to American Hospital Association (AHA)?
patient with risk of falls
Which safety precaution should be followed by a patient infected with hepatitis A?
practicing hand hygiene
The nurse is employed in a health care setting and is responsible for immunizations. In which health care setting is the nurse working?
preventive care
A patient's caregiver wants to know if there are support services that would give him some time off from caregiving. Which services can the nurse suggest?
respite care
required when a patient receives short-term treatment for an urgent medical condition or during recovery from surgery
secondary acute care
Which mnemonic should a patient follow if his or her clothing or skin is burning?
stop, drop, roll
A patient is shifted to a tertiary care center for further management. Which service is a part of tertiary care?
subacute care
focused on treatment of disease and illness; takes place in ICU and subacute care units
tertiary health care
The patient tells the nurse that she is enrolled in a preferred provider organization (PPO) but does not understand what this is. What is the nurse's best explanation of a PPO?
this health plan provides you with a preferred list of physicians, hospitals, and providers from which you can choose.
The registered nurse is teaching a nursing student about caring for a patient with postural hypotension. Which statement made by the nursing student indicates effective learning?
'I will choose a low bed for the patient to practice dangling.'
Which patients are at high risk of hypothermia?
-patients who have angina -homeless patients -patients who have taken drug OD
The registered nurse (RN) is teaching a nursing student about procedure-related accidents. Which statements made by the nursing student indicates a need for further teaching?
Accidents are caused mainly due to misuse of equipment.'
Which nursing activity is found in a tertiary health care environment?
Admitting a patient following open heart surgery to the cardiovascular intensive care unit
The nurse is learning about rehabilitation services that are provided to patients in different settings. Which actions should the nurse perform as a part of rehabilitation services?
-physical therapy -speech therapy -drug dependence counseling
mnemonic applied for correct usage of fire extinguisher
PASS
Managed Care Organizations (MCOs) are important components of the health care system. What are the services provided by MCOs?
-preventive services -treatment services
A state nurse's association is evaluating nursing-sensitive outcomes at a nursing unit level of a hospital. What will be considered nursing quality indicators during evaluation?
-restraint prevalence -number of patient falls -nursing hours per patient
Which parameters are included in the Resident Assessment Instrument/Minimum Data Set (RAI/MDS) protocol?
-schizophrenia -fracture of femur -urinary incontinence
A professor is teaching a group of nursing students about patient-inherent accidents. Which are examples of patient-inherent accidents in the hospital setting?
-self inflicted cuts -pinching fingers in drawers -ingestion of foreign substance
Which option is an example of the principle of patient-centered care that is focused on continuity and transition?
The nurse teaches the patient how to change the wound dressing at home.
The nurse works in a long-term care unit. Which rules of performance should the nurse keep in mind?
-sharing of knowledge -individualization of care -transparency with patient
Which population does Medicaid cover?
-very poor children -low income individuals with disabilities & low income pregnant women
The nurse is learning about the effects of globalization of health care on nursing. Which factors should the nurse evaluate while considering globalization and increased worldwide communication?
-well informed healthcare customers -preference for accessible HCP -increasing demand for quality by health care consumers
Which options are examples of the principle of patient-centered care that are focused on respect, values, preferences, and expressed needs?
-working with the family to bring in ethnic foods that patient prefers -pulling curtain around patient's bed before changing wound dressing on patient's leg -allowing patient to ask questions/express concern about surgery
The nurse is teaching the parent of a young child about car safety. Which statement by the parent indicates effective learning?
'I should place my 3-month old child in the back seat with a rear-facing convertible seat.'
The registered nurse (RN) is teaching a nursing student about safety for equipment-related accidents. Which statement by the nursing student indicates the need for further learning?
'I will make regular safety checks of equipment.'
Which statement made by the nurse is an example of applying the principle of patient-centered care while focusing on alleviating the patient's fear and anxiety?
'Let's talk about the concerns that you have about going home.'
A patient is on Medicare, a national health insurance program of the United States. What care costs are covered by part A of Medicare?
-basic medical care costs -basic surgical care costs -basic psychiatric care costs
What are the changes observed upon exposure to severe heat?
-changes in electrolyte balance -rise in core body temp
A patient is being discharged from the hospital following a surgical procedure. What is the role of the nurse in discharge planning?
-develop plan for further care -ensure smooth transition from hospital to another health care level -anticipate and identify patient needs
The nurse works in a nursing home. Of which are common causes of death in the elderly population that the nurse should be aware?
-falls -hypothermia -heat stroke
The nurse understands that the health care system has many challenges. What are the current challenges facing leaders in health care?
-improving access to health care -providing high quality care -reducing the cost of health care
The nurse is developing a discharge plan for a patient. What should the nurse include in the discharge plan?
-necessary rehabilitation techniques -counseling regarding nutrition/diet -correct and effective use of meds
The nurse is explaining Medicare to a patient. Which statement about Medicare is true?
A monthly deduction is taken from the payroll of all working people
The nurse is caring for a patient in the home and is checking for hazards. Which assessment made by the nurse is priority?
Assessing the adequacy of light
Which activity performed by the nurse is related to maintaining competency in nursing practice?
Earning certification in a specialty area
A patient wants to know about the State Children's Health Insurance Program (SCHIP). What does the nurse tell this patient?
It provides health insurance to children who are not poor enough to be covered by Medicaid
A patient who is diagnosed with diabetes mellitus is discharged to home. The primary health care provider asks the patient to continue the follow-up in a nurse-managed clinic. What could be one reason for referring the patient to the nurse-managed clinic?
It provides management of chronic illness.
A patient who works in a coal mine is referred to an occupational health center. Which services are provided to ensure the safety of the patient?
It provides services for health promotion, and accident and illness prevention.
During a health campaign, the nurse is educating a group of older patients about Medicare. Which statement describes part B of this plan?
It provides voluntary medical insurance.
A patient is brought to the emergency room in an unconscious state. On taking the history the nurse finds that the patient had accidentally consumed agricultural pesticides. Which intervention will prevent the potential of aspiration in this patient?
Positioning the patient with head turned
Which event is classified as an environmental event on the National Quality Forum list?
Patient death associated with a fall during care in the health care facility
The nurse is providing restorative care to a patient following an extended hospitalization for an acute illness. Which option is an appropriate goal for restorative care?
Patient will be able to walk 200 feet without shortness of breath
A patient is being provided artificial respiration through ventilators in an intensive care unit. Unfortunately there has been a fire on the unit. What should the nurse do in this situation?
Provide manual respiration through a bag-valve-mask device.
Which option below is an example of the nurse participating in primary care activities?
Providing prenatal teaching on nutrition to a pregnant woman during the first trimester
used to set priorities in case of a fire
RACE
Which nursing activity is involved in evaluation to determine patient safety?
Reassessing the patient for the presence of physical, social, and environmental risks
A patient tells the nurse that she has just received green card status in the United States and does not have much awareness of the health care system in the country. She asks the nurse whether it is best to have minor surgery in an urban hospital or a stand-alone clinic of an individual health care provider. The nurse answers that physicians perform simple surgeries in office surgical suites. It is preferable to go to them for a minor surgery rather than to a large urban hospital. Why does the nurse give this advice to the patient?
The cost of surgeries done in office surgical suites is far less than that in urban hospitals
Which parameter indicates a high quality of nursing care provided in the care unit?
The low rate of hospital-acquired infections
Red bands should be given to patients with
allergies
While evaluating a student nurse's performance, the head nurse finds that the student nurse has identified errors and hazards in care and has designed and tested interventions. What does the head nurse infer from this evaluation?
The student nurse is applying quality improvement.
Which safety precaution should be taken by the patient with muscle weakness while walking?
Wearing rubber-soled shoes