Chapter 26: safety, Security, and Emergency Preparedness

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UNIT VI: Actions Basic to Nursing Care Chapter 26: safety, Security, and Emergency Preparedness
Alexandra Bozan
Quiz by Alexandra Bozan, updated more than 1 year ago
Alexandra Bozan
Created by Alexandra Bozan over 6 years ago
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Resource summary

Question 1

Question
[blank_start]Drug[blank_end] and/or [blank_start]alcohol[blank_end] [blank_start]abuse[blank_end] are concerns for young and middle-aged adults employed in stressful work environments.
Answer
  • Drug
  • alcohol
  • abuse

Question 2

Question
Older adults experiencing [blank_start]altered[blank_end] [blank_start]balance[blank_end] or [blank_start]decline[blank_end] in [blank_start]cognitive[blank_end] abilities are increasingly vulnerable to [blank_start]falls[blank_end] and [blank_start]episodes[blank_end] of [blank_start]confusion[blank_end].
Answer
  • altered
  • balance
  • decline
  • cognitive
  • falls
  • episodes
  • confusion

Question 3

Question
Any limitation in mobility is potentially unsafe.
Answer
  • True
  • False

Question 4

Question
Nursing assessments include [blank_start]identifying[blank_end] and [blank_start]recognizing[blank_end] potentially threatening circumstances caused by a lack of knowledge regarding [blank_start]safety[blank_end] and [blank_start]security[blank_end] [blank_start]precautions[blank_end].
Answer
  • identifying
  • recognizing
  • safety
  • security
  • precautions

Question 5

Question
Many patients who fall have a [blank_start]primary[blank_end] or [blank_start]secondary[blank_end] [blank_start]diagnosis[blank_end] of [blank_start]cardiovascular[blank_end] [blank_start]disease[blank_end] such as a [blank_start]stroke[blank_end].
Answer
  • primary
  • secondary
  • diagnosis
  • cardiovascular
  • disease
  • stroke

Question 6

Question
A patient with a history of accidents is likely to have another one.
Answer
  • True
  • False

Question 7

Question
Assessment of the environment includes an awareness of [blank_start]risk[blank_end] [blank_start]factors[blank_end] in both the [blank_start]home[blank_end] and the [blank_start]health[blank_end] [blank_start]care[blank_end] [blank_start]agency[blank_end], with the focus on the patient's [blank_start]developmental[blank_end] [blank_start]level[blank_end] and [blank_start]health[blank_end] [blank_start]status[blank_end].
Answer
  • risk
  • factors
  • home
  • health
  • care
  • agency
  • developmental
  • level
  • health
  • status

Question 8

Question
Continuous surveillance for environmental hazards is not crucial.
Answer
  • True
  • False

Question 9

Question
[blank_start]Family[blank_end] [blank_start]members[blank_end] are an invaluable resource in assessing a patient's risk for a fall.
Answer
  • Family
  • members

Question 10

Question
Nurses are responsible for [blank_start]identifying[blank_end] [blank_start]patients[blank_end] who are at high risk for falls, [blank_start]documenting[blank_end] pertinent [blank_start]assessments[blank_end] on the chart, [blank_start]planning[blank_end] appropriate [blank_start]interventions[blank_end] to ensure their [blank_start]safety[blank_end].
Answer
  • identifying
  • patients
  • documenting
  • planning
  • interventions
  • assessments
  • safety

Question 11

Question
Some health care experts suggest that fall risk assessment should be considered the [blank_start]sixth[blank_end] [blank_start]vital[blank_end] [blank_start]sign[blank_end].
Answer
  • sixth
  • vital
  • sign

Question 12

Question
Adults who are [blank_start]developmentally[blank_end] [blank_start]disabled[blank_end] or who are experiencing [blank_start]dementia[blank_end] or [blank_start]delirium[blank_end] frequently need the same safety measures as those for [blank_start]children[blank_end].
Answer
  • developmentally
  • disabled
  • dementia
  • delirium
  • children

Question 13

Question
[blank_start]Alcohol[blank_end] use among teenagers is more common than that of [blank_start]tobacco[blank_end] or [blank_start]illicit[blank_end] [blank_start]drugs[blank_end].
Answer
  • Alcohol
  • tobacco
  • illicit
  • drugs

Question 14

Question
In 90% of the reported cases, a [blank_start]family[blank_end] [blank_start]member[blank_end] is the one who abused the older adult.
Answer
  • family
  • member

Question 15

Question
The Centers for Medicare and Medicaid services have identified [blank_start]falls[blank_end] as a "[blank_start]never[blank_end] [blank_start]event[blank_end]" because they are preventable and should never occur.
Answer
  • falls
  • never
  • event

Question 16

Question
[blank_start]Physical[blank_end] [blank_start]restraints[blank_end] increase the possibility of serious injury due to a fall, they do not prevent falls.
Answer
  • Physical
  • restraints

Question 17

Question
A side rail is not considered a restraint if the patient requests that it be raised.
Answer
  • True
  • False

Question 18

Question
The [blank_start]least[blank_end] restrictive restraint should be the first option.
Answer
  • least

Question 19

Question
The [blank_start]patient's[blank_end] [blank_start]family[blank_end] must be consulted and involved in the plan of care before applying restraints in a long-term care setting.
Answer
  • patient's
  • family

Question 20

Question
Restraints require an [blank_start]order[blank_end] from a [blank_start]physician[blank_end] or a licensed independent practitioner. It should include the [blank_start]type[blank_end] [blank_start]of[blank_end] [blank_start]restraint[blank_end], [blank_start]justification[blank_end], and [blank_start]criteria[blank_end] [blank_start]for[blank_end] [blank_start]removal[blank_end]. The order must never be written for [blank_start]PRN[blank_end] use.
Answer
  • order
  • physician
  • type
  • of
  • restraint
  • justification
  • criteria
  • for
  • removal
  • PRN

Question 21

Question
In an [blank_start]emergency[blank_end], the physical restraint can be applied, but an order from a physician or LIP must be obtained [blank_start]immediately[blank_end] or w/in a few minutes.
Answer
  • emergency
  • immediately

Question 22

Question
Constant re-evaluation of the need for the restraint is vital.
Answer
  • True
  • False

Question 23

Question
Parents should call the poison control center immediately before attempting any [blank_start]home[blank_end] [blank_start]remedy[blank_end].
Answer
  • home
  • remedy

Question 24

Question
The nurse caring for patients in a long-term care facility knows that there are factors that place certain patients at a higher risk for falls. Which patient would the nurse consider to be in this category?
Answer
  • A patient who is older than 60
  • A patient who has already fallen twice
  • A patient who is taking antibiotics
  • A patient who experiences postural hypotension
  • A patient who is experiencing nausea from chemotherapy
  • A 70 year old patient who is transferred to long-term-care

Question 25

Question
A school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan?
Answer
  • 60% of US fire deaths occur in the home
  • Most fatal fires occur when people are cooking
  • Most people who die in fires die of smoke inhalation
  • Over 1/3 of fire deaths occur in a home without a smoke detector
  • Fires are more likely to occur in homes w/out electricity or gas
  • More fires occur in homes occupied by single parents

Question 26

Question
A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating?
Answer
  • A toddler playing w/his 9 year old brother's construction set
  • A 4 year old eating yogurt for lunch
  • an infant covered w/a small blanket and asleep in the crib
  • a 3 year old drinking a glass of juice

Question 27

Question
A nurse working in a busy emergency department is caring for a teenage patient who presents with a burning pain in his mouth, edema of the lips, vomiting, and hemoptysis. The teen admits that he was playing a dare game with friends and was forced to swallow a drain opener preparation. What would be the nurse's priority intervention?
Answer
  • induce vomiting and call the PCP
  • perform stomach lavage and call the poison control center
  • give activated charcoal orally and call the physician
  • dilute the poison with milk and call the primary care provider

Question 28

Question
A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. Which information is accurate and should be included in the teaching plan?
Answer
  • Booster seats should be used for children until they are 4'9" tall and weigh between 80 and 100 pounds
  • Most US states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle
  • Infants and toddlers up to 2 years of age (or up to the maximum height and weight for the seat) should be in a front-facing seat
  • Children older than 6 years may be restrained using a car seat belt in the back seat

Question 29

Question
A nurse working with adolescents in a juvenile detention center teaches parents about behaviors that place adolescents at high risk for injury. Which statements accurately describe these risks?
Answer
  • Each year underage drinking claims the lives of approximately 5,000 individuals under the age of 21
  • Approximately 1 in 3 high school students reported using some type of tobacco product
  • The CDC lists motor vehicle accidents as the number one cause of death for adolescents
  • Marijuana use among teenagers has been on the increase and the abuse of prescription medication and OTC drugs has remained at a high level
  • Homicides rates for adolescents are high, and youths aged 10-19 years committed almost 500 suicides using firearms
  • As many as 30% of children are bullied during their school years and cyber bullying is even more damaging to children

Question 30

Question
When describing safety issues and related mortality to a local senior citizens group, what would the nurse identify as the leading cause of hospital admissions for trauma in older adults?
Answer
  • fires
  • exposure to temperature extremes
  • intimate partner violence
  • falls

Question 31

Question
What consideration should the nurse keep in mind regarding the use of side rails for a confused patient?
Answer
  • They prevent confused patients from wandering
  • A history of a previous all form a bed with raised side rails is insignificant
  • Alternative measures are ineffective to prevent wandering
  • A person of small stature is at increased risk for injury from entrapment

Question 32

Question
When a fire occurs in a patient's room, what would be the nurse's priority?
Answer
  • rescue the patient
  • extinguish the fire
  • sound the alarm
  • run for help

Question 33

Question
When completing a safety event report, the nurse should
Answer
  • include suggestions on how to prevent the incident form recurring
  • provide minimal info about the incident
  • discuss the details w/the patient before documenting them
  • objectively describe the incident in detail

Question 34

Question
When discussing emergency preparedness with a group of first responders, what information would be important to include about preparation for a terrorist attack?
Answer
  • PSD can be expected in most survivors of a terrorist attack
  • The FDA has collaborated w/drug companies to create stockpiles of emergency drugs
  • Even small doses of radiation results in bone marrow depression and cancer
  • Blast lung injury is a serious consequences following detonation of an explosive device

Question 35

Question
An older resident who is disoriented likes to wander the halls of his long-term care facility. Which action would be most appropriate for the nurse to use as an alternative to restraints?
Answer
  • sitting him in a geriatric chair near the nurses's station
  • using the sheets to secure him snugly in his bed
  • keeping the bed in the high position
  • identifying his door with his picture and a balloon

Question 36

Question
The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used?
Answer
  • The nurse positions a patient in a supine position prior to applying wrist restraints
  • The nurse ensures that two fingers can be inserted between the restraint and patient's ankle
  • The nurse applies a cloth restraint to the left hand of a patient w/an IV catheter in the right wrist
  • The nurse ties an elbow restraint to the raised side rail of a patient's bed

Question 37

Question
A nurse orients an older patient to the safety features in her hospital room. What is a priority component of this admission routine?
Answer
  • Explain how to use the telephone
  • Introduce the patient to her roommate
  • Review the hospital policy on visiting hours
  • Explain how to operate the call bell

Question 38

Question
A nurse responds to the call bell and finds another nurse evacuating the client from the room. Which of the following actions should the nurse take?
Answer
  • extinguish fire
  • confine fire
  • pull the fire alarm lever
  • evacuate the unit

Question 39

Question
A nurse is providing instructions to the mother of a toddler regarding the prevention of burn injuries in the toddler. Which of the following instructions is of the highest priority to provide to the mother?
Answer
  • Keep coffee cups on the counter above the child's reach
  • Cool hot liquids before giving them to the child
  • Teach the toddler about fire safety
  • Instruct the toddler about the consequences of burns

Question 40

Question
A nurse is caring for a client who is receiving an intravenous therapy through an IV pump. Which of the following interventions should the nurse implement to ensure electrical safety?
Answer
  • Tape the electrical cord of the pump to the floor
  • Run the electrical cord of the pump under the carpet
  • Use an extension cord to provide freedom of movement
  • Obtain a 3-prong grounded plug adapter

Question 41

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

Question 42

Question
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 what type of terrorism?
Answer
  • Bioterrorism
  • Chemical terrorrism
  • Nuclear terrorism
  • Mass trauma terrorism

Question 43

Question
The nurse caring for a client with small pox would anticipate this client being on which type of precautions?
Answer
  • Contact
  • Surgical
  • Standard
  • Medical
  • Respiratory

Question 44

Question
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?
Answer
  • Attempt to extinguish the fire
  • Rescue anyone who is in immediate danger
  • Activate the fire alarm on the unit
  • Evacuate clients and staff
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