Nurse Aide Chapter 11

Fill in the blanks: What kinds of threats are considered workplace violence? A. ____________ B. ____________ C. ____________

A. phone calls B. threatening oral, written, body language C. harassment of any nature

Matching: Match each safety measure with the risk of injury it prevents Be sure that residents smoke only in smoking areas A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

A. Burns

Matching: Match each safety measure with the risk of injury it prevents Do not let the person use an electric blanket A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

A. Burns

Fill in the blanks: What factors related to age make older persons more at risk for accidents? A. ____________ strength B. Poor balance makes it hard to avoid ___________ C. Less sensitive to ___________ and ____________

A. Decreased strength B. Poor balance makes it hard to avoid falls C. Less sensitive to heat and cold

Fill in the blanks: How does impaired smell and touch increase accident risks? A. Person may not detect _________ or __________ odors B. Person has problems sensing _________ and ________ C. Decreased sense of __________

A. Person may not detect smoke or gas odors B. Person has problems sensing heat and cold C. Decreased sense of pain

Fill in the blanks: Warning labels on hazardous substances identify: A. ________________ B. _______________ C. _______________ D. __________________ E. __________________

A. Physical and health hazards B. Precaution measures C. What PPE to wear D. How to use the substance safely E. Storage and disposal information

Fill in the blanks: Color-coded wristbands are used to promote the person's safety and prevent harm. Explain what these colors mean: A. Red __________ B. Yellow__________ C. Purple _________ D. Pink _____________

A. Red means allergy alert B. Yellow means fall risk C. Purple means DNR D. Pink means limb alert

If you are shocked by electric equipment, you should... A. Report it at once B. Try to see what is wrong with the equipment C. Make sure it has a ground prong D. Test the equipment in a different outlet

A. Report it at once

If a resident is receiving oxygen, he or she is at special risk for... A. burns B. suffocation C. poisoning D. electrical shock

A. burns

If a fire occurs, what should you do first? A. rescue people in immediate danger B. sound the nearest fire alarm and call the switchboard operator C. close doors and windows to confine the fire D. use a fire extinguisher on a small fire that has not spread to a larger area

A. rescue people in immediate danger

______________ requires a hazard communication program so that employees know how to handle hazardous substances. A. Omnibus Budget Reconciliation Act of 1987 (OBRA) B. Occupational Safety and Health Administration (OSHA) C. Joint Commission on Accreditation of Healthcare Organizations (JCAHO) D. Safety Data Sheet (SDS)

B. Occupational Safety and Health Administration (OSHA)

A example of a health hazard caused by chemicals would be... A. a burn from an explosion B. damage to the kidneys, nervous system, lungs, skin, eyes, or mucous membranes C. using oxygen in a room D. an ungrounded electrical plug

B. damage to the kidneys, nervous system, lungs, skin, eyes, or mucous membranes

To protect the person from harm you need to... A. use restraints B. follow the person's care plan C. limit mobility D. Lock all doors

B. follow the person's care plan

Risk management involves... A. training the staff to understand SDSs B. identifying and controlling risks and safety hazards C. firing employees who have accidents D. hiring security staff to prevent injuries

B. identifying and controlling risks and safety hazards

Which of these could NOT be used as a weapon by an aggressive person? A. your jewelry or scarf B. long hair that is worn up and off the collar C. keys, scissors, or other items D. tools or items left by maintenance staff

B. long hair that is worn up and off the collar

When a severe foreign body airway obstruction occurs and the person is conscious, you should first... A. place the person in bed and go for help B. perform abdominal thrusts until the object is expelled C. do a finger sweep to remove the object D. ask the person to cough to expel the object

B. perform abdominal thrusts until the object is expelled

When using a fire extinguisher, the "P" in the word PASS means... A. pull the fire alarm B. pull the safety pin C. rescue person in immediate danger D. push the handle or lever down

B. pull the safety pin

Burns from smoking can be prevented if... A. smoking is allowed when the person is in bed B. residents are allowed to smoke only in smoking areas C. no smoking is allowed D. smoking materials are kept at each person's bedside

B. residents are allowed to smoke only in smoking areas

If there is a disaster, you.... A. are expected to go to your nursing center immediately B. should follow procedures for the nursing center C. should stay away or leave to get out of the way D. may go home to check on your family

B. should follow procedures for the nursing center

When you are filling out valuables list or envelope, which of these would be the best description? A. "a diamond in a gold setting" B. "a one- carat diamond in 14k gold setting" C. "a white stone in a yellow setting" D. "a white diamond- like stone in gold- like setting"

C. "a white stone in a yellow setting"

A person's risk of accidents increases because of... A. Obesity B. poor diet C. Age D. Carelessness

C. Age

Matching: Match each safety measure with the risk of injury it prevents Keep soap and shampoo in a safe place A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

C. Poisoning

Where will you find information about a hazardous substance? A. the nurse B. the care plan C. SDS (safety data sheet) D. the doctor's orders

C. SDS (safety data sheet)

An electrical shock is especially dangerous because it can... A. start a fire B. damage equipment C. affect the heart and cause death D. violate OBRA regulations

C. affect the heart and cause death

A _________ is a state of being unaware of one's surrounding's and being unable to react or respond to people, places, or things.

Coma

Why is workplace violence a big concern in health care? A. nurses and nursing assistants have the most contact with residents and families B. acutely disturbed and violent persons may seek health care C. agency pharmacies are a source of drugs and therefore a target for robberies D. all of the above

D. all of the above

Matching: Match each safety measure with the risk of injury it prevents Keep matches away from confused and disoriented persons A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

D. fire

Matching: Match each safety measure with the risk of injury it prevents Do not let the person stand on the footplates of a wheelchair A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

F. wheelchair safety

An ______________ is any event that has harmed or could harm a resident, staff member, or visitor.

Incident

Fill in the blanks: When using a fire extinguisher, what does the word PASS stand for?

P- pull the safety pin A- aim low S- squeeze the lever S- sweep back and forth

_______________ means loss of muscle function, loss of sensation, or loss of both muscle function and sensation.

Paralysis

______________ is paralysis in the legs and lower trunk

Paraplegia

Fill in the blanks: Forceful _____________ can remove the object causing a mild airway obstruction

coughing

Abbreviations: EMS

emergency medical services

Abbreviations: FBAO

foreign body airway obstruction

Abbreviations: ID

identification

Indicate the related safety measure from textbook Box 11.4, Safety Measures to Prevent Equipment Accidents, and Box 11.5, Wheelchair and Stretcher Safety The nursing assistant moves an electrical cord that is lying across a heat vent. ______________

keep electrical cords away from heating vents and other heat sources

Fill in the blanks: If a person is receiving oxygen therapy, ___________ signs are placed on the door and near the bed.

no smoking

Matching: Match each safety measure with the risk of injury it prevents Do not allow smoking near oxygen tanks or concentrators A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

A. burns

Fill in the blanks: What information is required on an incident report? A. _________________ B. ________________ C. _______________ D. ______________ E. _____________ F. _______________

A. names of those involved B. date and time of accident/error C. location of accident/error D. a complete description of what happened E. names of witnesses F. any other requested information

People with dementia are at risk of injury because they... A. no longer know what is safe and what is dangerous B. are in a coma C. have problems sensing heat and cold D. have poor vision

A. no longer know what is safe and what is dangerous

Which of these would be effective in dealing with an agitated or aggressive person? A. stand away from the person at a safe distance so he cannot hit or kick you B. close the door to keep the person away from others C. sit quietly with the person in her room. Hold her hand to calm her D. tell the person that his behavior is unacceptable

A. stand away from the person at a safe distance so he cannot hit or kick you

What should be done if a label is missing from a hazardous substance? A. take the container to the nurse B. return the container to the cupboard or shelf C. use the substance as usual D. leave the container where you found it and go for help

A. take the container to the nurse

Identifying the person is most important because... A. you must give the right care to the right person B. visitors may ask for your help to find someone C. you need to call the person by the right name D. you will have to give care to 2 people if you give it to the wrong person first

A. you must give the right care to the right person

An ______________ is a blood thinning medication

Anti-coagulant

Matching: Match each safety measure with the risk of injury it prevents Move all residents from the area if you smell gas or smoke A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

B. suffocation

Matching: Match each safety measure with the risk of injury it prevents Report loose teeth or dentures to the nurse A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

B. suffocation

Which of these is a reliable way to identify the person? A. look at the name above the bed B. use the person's ID bracelet given by the center C. ask the person's roommate to identify him or her D. just call the person by na,e

B. use the person's ID bracelet given by the center

Fill in the blanks: When identifying a person, why is just calling the name not enough?

Because confused, disoriented, drowsy, hard of hearing people may answer to any name

Fill in the blanks: If a person is reviving oxygen therapy, why are wool blankets and synthetic fabrics removed from the room? ____________________

Because it causes static electricity

Wheelchair brakes are locked when... A. transporting the person B. taking a wheelchair up or down stairs C. a person is transferring to or from the wheelchair D. storing the wheelchair

C. a person is transferring to or from the wheelchair

Which of these would NOT be reported as an accident or error? A. forgetting to give care B. giving the wrong care C. assisting a co-worker to give care D. losing a resident's dentures

C. assisting a co-worker to give care

Medications can be a risk factor for accidents because side effects can... A. affect hearing B. reduce ability to sense heat and cold C. cause loss of balance or lack of coordination D. cause hemiplegia

C. cause loss of balance or lack of coordination

if evacuating is necessary, residents who are... A. closest to the outside door are rescued first B. able to walk are rescued last C. closest to the fire are taken out first D. helpless are rescued last

C. closest to the fire are taken out first

A person receiving oxygen should wear... A. fireproof clothing B. disposable clothing C. cotton gown or pjs D. clothing made with wool or synthetic fabrics

C. cotton gown or pjs

When you are cleaning up a hazardous substance, you should... A. work from dirty areas to clean areas using circular motions B. wear personal protective equipment when instructed to do so by the nurse C. dispose of hazardous waste in sealed bags or containers D. use paper towels and discard them in the regular trash

C. dispose of hazardous waste in sealed bags or containers

Suffocation can be caused by... A. cutting food into small, bite-sized pieces B. making sure dentures fit properly and are in place C. giving oral food and fluids to a person with a feeding tube D. checking the care plan for swallowing problems

C. giving oral food and fluids to a person with a feeding tube

An electrical appliance owned by the resident cannot be used if it... A. has a three-pronged plug B. is connected directly to a wall outlet C. has not been checked by the maintenance staff D. the cord is in good repair

C. has not been checked by the maintenance staff

Where would you find the Safety Data Sheet (SDSs) for hazardous materials? A. attached to the substance B. in the administrator's office C. in a binder at a certain place on each nursing unit D. in the patient's chart

C. in a binder at a certain place on each nursing unit

If a person clutches the throat and is unable to speak, he or she has a... A. sore throat B. dangerous level of carbon monoxide C. severe airway obstruction D. mild airway obstruction

C. severe airway obstruction

It is most important to store personal care items according to center policy because... A. this keeps the person's unit tidy B. everyone will be able to find the items C. these items can cause harm when swallowed D. it maintains privacy for the resident

C. these items can cause harm when swallowed

Fill in the blanks: _________________ is a gas produced by the burning of fuel

Carbon Monoxide

Fill in the blanks: What does RACE mean when a fire occurs?

R- rescue A- alarm C- confine E- extinguish

When moving a person on a stretcher, it is correct to... A. use safety straps or side rails only when the person is confused B. unlock the stretcher before transferring the person C. leave the person alone if he or she is alert D. stand at the head of the stretcher. Your co-worker stands at the foot

D. stand at the head of the stretcher. Your co-worker stands at the foot

The loss of cognitive and social function caused by changes in the brain is_________________

Dementia

A _______________ is a sudden catastrophic event in which many people are injured and killed and property is destroyed

Disaster

Indicate the related safety measure from textbook Box 11.4, Safety Measures to Prevent Equipment Accidents, and Box 11.5, Wheelchair and Stretcher Safety The nursing assistant tells the resident that his shower will be delayed until the storm passes. ____________________

Do not give showers/baths during a storm

Indicate the related safety measure from textbook Box 11.4, Safety Measures to Prevent Equipment Accidents, and Box 11.5, Wheelchair and Stretcher Safety The nursing assistant tells the nurse that she has never used the portable foot bath before. ______________

Do not use an unfamiliar item and ask for help

Matching: Match each safety measure with the risk of injury it prevents Do not give the resident a shower or tub bath when there is an electrical storm A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

E. electrical

Matching: Match each safety measure with the risk of injury it prevents Do not touch a person who is experiencing an electrical shock A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

E. electrical

Matching: Match each safety measure with the risk of injury it prevents Keep electrical items away from water A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

E. electrical

_____________ occurs when electrical current passes through the body

Electrical Shock

Matching: Match each safety measure with the risk of injury it prevents Make sure that casters face forward A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

F. Wheelchair safety

Abbreviations: F

Fahrenheit

Matching: Match each safety measure with the risk of injury it prevents Do not leave the person alone A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

G. Stretcher Safety

Matching: Match each safety measure with the risk of injury it prevents Fasten safety straps when the person is positioned properly A. Burns B. Suffocation C. Poisoning D. Fire E. Electrical F. Wheelchair Safety G. Stretcher Safety

G. stretcher safety

That which carries leaking electricity to the earth and away from an electrical appliance is a _____________

Ground

Anything in the person's setting that may cause injury or illness is a _______________

Hazard

A _____________________ is any chemical in the workplace that can cause harm

Hazardous substance

Paralysis on one side of the body is_____________

Hemiplegia

_______________ is the excessive loss of blood in a short time

Hemorrhage

Fill in the blanks: Before giving care, use the ___________ to identify the person

ID bracelet

Fill in the blanks: The abdominal thrust is not used for every __________ persons or ___________ women.

Obese; pregnant

Abbreviations: OSHA

Occupational Safety and Health Administration

Abbreviations: OBRA

Omnibus Budget Reconciliation Act of 1987

Abbreviations: PASS

Pull the safety pin, aim low, squeeze the lever, sweep back and forth

Paralysis in the arms, legs, and trunk or tetraplegia is called___________

Quadriplegia

Fill in the blanks: Before using a hazardous substance, you check the _____________ for safety information.

SDS

Abbreviations: SDS

Safety Data Sheet

________________ occurs when breathing stops from the lack of oxygen

Suffocation

Another name for quadriplegia is____________

Tetraplegia

Violent acts directed toward persons at work or while on duty is _________

Workplace Violence

Abbreviations: AED

automated external defibrillator

Abbreviations: CPR

cardiopulmonary resuscitation

Abbreviations: C

centigrade

Indicate the related safety measure from textbook Box 11.4, Safety Measures to Prevent Equipment Accidents, and Box 11.5, Wheelchair and Stretcher Safety The nursing assistant dries her hands carefully before plugging in a razor. ________________

do not touch electrical wire if hands are wet

Fill in the blanks: If a ground (three- pronged) plus is not used, it can cause __________ and possible____________

electrical shock ; death

Fill in the blanks: If an incident that has harmed a person occurs, you should ______________ at once.

report it

Abbreviations: RACE

rescue, alarm, contain, extinguish

Indicate the related safety measure from textbook Box 11.4, Safety Measures to Prevent Equipment Accidents, and Box 11.5, Wheelchair and Stretcher Safety An electric fan will not work and the staff member follows the correct procedure to have it replaced. ________________

show a broken/ damaged item to nurse. Follow center's and nurse instructions for discarding/sending it for repair