Ch 27

Question 0

QSEN safety competency for a nurse is defined as…

Answer 0

“Minimizes risk of harm to patients and providers through both system effectiveness and individual performance”

Question 1

Quality and Safety Education for Nurses (QSEN)

Answer 1

Project developed to meet the challenge of preparing future nurses who will have the knowledge, skills, and attitudes necessary to continuously improve the quality and safety of the healthcare systems within which they work

Question 2

Food and Drug Administration

FDA

Answer 2

A federal agency responsible for the enforcement of federal regulations regarding the manufacture, processing, and distribution of foods, drugs, and cosmetics to protect consumers against the sale of impure or dangerous substances

Question 3

Any substance that impairs health or destroys life when ingested, inhaled, or absorbed by the body

Answer 3

Poison

Question 4

Any microorganism capable of producing an illness

Answer 4

Pathogen

Most common means of transmission of pathogens is by the hands

Question 5

Harmful chemical or waste material discharged into the water, soil, or air

Answer 5

Pollutant

Excessive noise is also a form of pollution that presents health risks

Question 6

Any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move his or her arms, legs, body, or head freely

Answer 6

Physical restraint

Question 7

Anxiolytics and sedatives used to manage a patient’s behavior and are not a standard treatment or dosage for the patient’s condition are …

Answer 7

Chemical restraints

Question 8

Aura

Answer 8

Often and bright light, taste, or smell

Some patients report an aura occurring as a type of warning sign before a convulsive episode

Question 9

Tonicity

Answer 9

Rigidity of muscles

Question 10

Hyperexcitation and disorderly discharge of neurons in the brain leading to a sudden, violent, involuntary series of muscle contractions that is paroxysmal and episodic, causing loss of consciousness , falling, tonicity, and clonicity

Answer 10

Seizure

Question 11

Clonicity

Answer 11

Jerking of muscles

Question 12

Grand mal seizure
or
Tonic-clonic seizure

Answer 12

Lasts approx. 2 minutes (no more than 5)

Characterized by a cry and loss of consciousness with falling, tonicity, clonicity, and incontinence

Question 13

During a seizure the patient often experiences…

Answer 13

Shallow breathing
Cyanosis
Loss of bladder/bowel control

Question 14

A postictal phase follows a seizure, during which a patient has…

Answer 14

Amnesia or confusion and falls into a deep sleep

Question 15

Prolonged seizures indicate

Answer 15

Status epilepticus

This condition is a medical emergency and requires intensive monitoring and treatment. It is important to observe patients before during and after the seizure

Question 16

Seizure precautions

Answer 16

Encompass all nursing interventions to protect the patient from dramatic injury, position for privacy and support following the seizure

Question 17

In the community a safe environment means…

Answer 17

Basic needs are achievable, 
physical hazards are reduced,
transmission of pathogens and parasites is reduced, 
pollution is controlled, and 
sanitation is maintained

Question 18

Casey healthcare environment is one that reduces the risk of…

Answer 18

injury (including falls),
Patient inherent accidents,
Procedure-inherent accidents, and
Equipment-related accidents

Question 19

How do you reduce the transmission of pathogens?

Answer 19

Medical and surgical asepsis
Immunization
Adequate food sanitation
Insect and rodent control
Appropriate disposal of human waste

Question 20

Greatest risk for children younger than five years of age

Answer 20

At home accidents that result in severe injury and or death

Question 21

School age children are at risk for injury at…

Answer 21

Home, at school, and while traveling to and from school

Question 22

I don’t listen the right risk for injury from…

Answer 22

Automobile accidents, suicide, and substance abuse

Question 23

Threats to an adult safety are frequently associated with…

Answer 23

Lifestyle habits

Question 24

Risks for injury for older patients are directly related to...

Answer 24

The physiological changes of the aging process

Question 25

When should the nurse use a physical restraint on a patient?

Answer 25

Only as a last resort, when the patients behavior places them or others at risk for injury

Question 26

Immunization

Answer 26

Active immunity by injection of a small amount of attenuated (weakened) or dead organisms or modified toxins(toxoids) from the organism into the body

Question 27

When antibodies produced by other persons or animals are introduced into a person's blood stream for protection against a pathogen it is called what...

Answer 27

Passive immunity

Question 28

Name some individual safety risk factors

Answer 28

Lifestyle-drugs, alcohol, overworking, no sleep, stress, anxiety Impaired mobility Sensory or communication impairment Lack of safety awareness

Question 29

Safety risks in health care settings

Answer 29

Falls Patient-inherent accidents Procedure-related accidents Equipment-related accidents

Question 30

Patient-inherent accidents

Answer 30

Patient is primary reason for the accident Ex: self-inflicted cuts, injuries, burns, ingestion or injection of foreign substances, self-mutilation, etc

Question 31

Procedure-related accident

Answer 31

Caused by healthcare providers and include medication and fluid administration errors, proper application of external devices, and accidents related to improper performance of procedures such as dressing changes or urinary catheter insertion

Question 32

Equipment-related accidents

Answer 32

Result from the malfunction, disrepair, or miss use of equipment or from an electrical hazard

Question 33

Nursing diagnosises for patients with safety risk include the following

Answer 33

``` Risk for falls Impaired home maintenance Risk for injury Deficient knowledge Risk for poisoning Risk for suffocation Risk for trauma ```

Question 34

QSEN recommended skills during implementation involving safe nursing practice during direct care

Answer 34

- demonstrate effective use of technology and standardize practices that support safety and quality - demonstrate effective use of strategies to reduce risk of harm to self or others - use appropriate strategies to reduce reliance on memory(such as checklists)

Question 35

Use of restraints must meet one of the following objectives:

Answer 35

- reduce the risk of patient injury from Falls - prevent interruption of therapy such as traction, IV infusions, nasogastric tube feeding, or Foley catheterization - prevent patients who are confused or combative from removing life-support equipment - reduce the risk of injury to others by the patient