Quiz
Chapter 26: safety, Security, and Emergency Preparedness
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Questions in this quiz (44)
1[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.
- ADrug
- Balcohol
- Cabuse
2Older 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].
- Aaltered
- Bbalance
- Cdecline
- Dcognitive
- Efalls
- Fepisodes
- Gconfusion
3Any limitation in mobility is potentially unsafe.
- ATrue
- BFalse
4Nursing 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].
- Aidentifying
- Brecognizing
- Csafety
- Dsecurity
- Eprecautions
5Many 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].
- Aprimary
- Bsecondary
- Cdiagnosis
- Dcardiovascular
- Edisease
- Fstroke
6A patient with a history of accidents is likely to have another one.
- ATrue
- BFalse
7Assessment 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].
- Arisk
- Bfactors
- Chome
- Dhealth
- Ecare
- Fagency
- Gdevelopmental
- Hlevel
- Ihealth
- Jstatus
8Continuous surveillance for environmental hazards is not crucial.
- ATrue
- BFalse
9[blank_start]Family[blank_end] [blank_start]members[blank_end] are an invaluable resource in assessing a patient's risk for a fall.
- AFamily
- Bmembers
10Nurses 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].
- Aidentifying
- Bpatients
- Cdocumenting
- Dplanning
- Einterventions
- Fassessments
- Gsafety
11Some 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].
- Asixth
- Bvital
- Csign
12Adults 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].
- Adevelopmentally
- Bdisabled
- Cdementia
- Ddelirium
- Echildren
13[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].
- AAlcohol
- Btobacco
- Cillicit
- Ddrugs
14In 90% of the reported cases, a [blank_start]family[blank_end] [blank_start]member[blank_end] is the one who abused the older adult.
- Afamily
- Bmember
15The 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.
- Afalls
- Bnever
- Cevent
16[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.
- APhysical
- Brestraints
17A side rail is not considered a restraint if the patient requests that it be raised.
- ATrue
- BFalse
18The [blank_start]least[blank_end] restrictive restraint should be the first option.
- Aleast
19The [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.
- Apatient's
- Bfamily
20Restraints 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.
- Aorder
- Bphysician
- Ctype
- Dof
- Erestraint
- Fjustification
- Gcriteria
- Hfor
- Iremoval
- JPRN
21In 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.
- Aemergency
- Bimmediately
22Constant re-evaluation of the need for the restraint is vital.
- ATrue
- BFalse
23Parents should call the poison control center immediately before attempting any [blank_start]home[blank_end] [blank_start]remedy[blank_end].
- Ahome
- Bremedy
24The 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?
- AA patient who is older than 60
- BA patient who has already fallen twice
- CA patient who is taking antibiotics
- DA patient who experiences postural hypotension
- EA patient who is experiencing nausea from chemotherapy
- FA 70 year old patient who is transferred to long-term-care
25A school nurse is teaching parents about home safety and fires. What information would be accurate to include in the teaching plan?
- A60% of US fire deaths occur in the home
- BMost fatal fires occur when people are cooking
- CMost people who die in fires die of smoke inhalation
- DOver 1/3 of fire deaths occur in a home without a smoke detector
- EFires are more likely to occur in homes w/out electricity or gas
- FMore fires occur in homes occupied by single parents
26A nurse is assessing the following children. Which child would the nurse identify as having the greatest risk for choking and suffocating?
- AA toddler playing w/his 9 year old brother's construction set
- BA 4 year old eating yogurt for lunch
- Can infant covered w/a small blanket and asleep in the crib
- Da 3 year old drinking a glass of juice
27A 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?
- Ainduce vomiting and call the PCP
- Bperform stomach lavage and call the poison control center
- Cgive activated charcoal orally and call the physician
- Ddilute the poison with milk and call the primary care provider
28A 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?
- ABooster seats should be used for children until they are 4'9" tall and weigh between 80 and 100 pounds
- BMost US states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle
- CInfants 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
- DChildren older than 6 years may be restrained using a car seat belt in the back seat
29A 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?
- AEach year underage drinking claims the lives of approximately 5,000 individuals under the age of 21
- BApproximately 1 in 3 high school students reported using some type of tobacco product
- CThe CDC lists motor vehicle accidents as the number one cause of death for adolescents
- DMarijuana use among teenagers has been on the increase and the abuse of prescription medication and OTC drugs has remained at a high level
- EHomicides rates for adolescents are high, and youths aged 10-19 years committed almost 500 suicides using firearms
- FAs many as 30% of children are bullied during their school years and cyber bullying is even more damaging to children
30When 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?
- Afires
- Bexposure to temperature extremes
- Cintimate partner violence
- Dfalls
31What consideration should the nurse keep in mind regarding the use of side rails for a confused patient?
- AThey prevent confused patients from wandering
- BA history of a previous all form a bed with raised side rails is insignificant
- CAlternative measures are ineffective to prevent wandering
- DA person of small stature is at increased risk for injury from entrapment
32When a fire occurs in a patient's room, what would be the nurse's priority?
- Arescue the patient
- Bextinguish the fire
- Csound the alarm
- Drun for help
33When completing a safety event report, the nurse should
- Ainclude suggestions on how to prevent the incident form recurring
- Bprovide minimal info about the incident
- Cdiscuss the details w/the patient before documenting them
- Dobjectively describe the incident in detail
34When discussing emergency preparedness with a group of first responders, what information would be important to include about preparation for a terrorist attack?
- APSD can be expected in most survivors of a terrorist attack
- BThe FDA has collaborated w/drug companies to create stockpiles of emergency drugs
- CEven small doses of radiation results in bone marrow depression and cancer
- DBlast lung injury is a serious consequences following detonation of an explosive device
35An 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?
- Asitting him in a geriatric chair near the nurses's station
- Busing the sheets to secure him snugly in his bed
- Ckeeping the bed in the high position
- Didentifying his door with his picture and a balloon
36The Joint Commission issues guidelines regarding the use of restraints. In which case is a restraint properly used?
- AThe nurse positions a patient in a supine position prior to applying wrist restraints
- BThe nurse ensures that two fingers can be inserted between the restraint and patient's ankle
- CThe nurse applies a cloth restraint to the left hand of a patient w/an IV catheter in the right wrist
- DThe nurse ties an elbow restraint to the raised side rail of a patient's bed
37A nurse orients an older patient to the safety features in her hospital room. What is a priority component of this admission routine?
- AExplain how to use the telephone
- BIntroduce the patient to her roommate
- CReview the hospital policy on visiting hours
- DExplain how to operate the call bell
38A 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?
- Aextinguish fire
- Bconfine fire
- Cpull the fire alarm lever
- Devacuate the unit
39A 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?
- AKeep coffee cups on the counter above the child's reach
- BCool hot liquids before giving them to the child
- CTeach the toddler about fire safety
- DInstruct the toddler about the consequences of burns
40A 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?
- ATape the electrical cord of the pump to the floor
- BRun the electrical cord of the pump under the carpet
- CUse an extension cord to provide freedom of movement
- DObtain a 3-prong grounded plug adapter
41a 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?
- AThe nurse should record the incident in the client's medical record and fill out a safety event report separately.
- BThe nurse should await the results of an x-ray before filing the report
- CThe nurse should make a copy of the safety event report and place it in the client's medical record
- DThe nurse should include a note on the client's chart that mentions the report
42During 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?
- ABioterrorism
- BChemical terrorrism
- CNuclear terrorism
- DMass trauma terrorism
43The nurse caring for a client with small pox would anticipate this client being on which type of precautions?
- AContact
- BSurgical
- CStandard
- DMedical
- ERespiratory
44A 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?
- AAttempt to extinguish the fire
- BRescue anyone who is in immediate danger
- CActivate the fire alarm on the unit
- DEvacuate clients and staff
Information
- Description
- UNIT VI: Actions Basic to Nursing Care Chapter 26: safety, Security, and Emergency Preparedness
- Author
- Alexandra Bozan
- Language
- English
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