Deck 33: Safety

Question 1

Nurses assess clients at risk for injury by using data from a nursing history and physical examination. Two specific tools to assess additional risks include ________ and ________.

Answer 1

risk assessment tool; home hazard appraisal

Question 2

How might national safety directions in Australia (e.g. the Australian Commission on Safety and Quality in Health Care's National Safety and Quality Framework (2013b)) improve the safety and quality of care provided?

A) Enforcing standards in health literacy.
B) Coordinating quality improvement activities.
C) Providing confidential performance reports.
D) Updating the number of nursing homes.

Answer 2

Coordinating quality improvement activities.

Question 3

Bioterrorism has become another threat to security worldwide. Which of the following agents is of concern to human safety?

A) Flu.
B) Cancer.
C) Tuberculosis.
D) Smallpox.

Answer 3

Smallpox.

Question 4

Name three factors that affect people's ability to protect themselves from injury.
1. ________
2. ________
3. ________

Question 5

Which of the following would the nurse identify as a safety hazard in the infant?

A) Drowning.
B) Pedestrian accidents.
C) Alcohol consumption.
D) Suffocation in the bassinet.

Question 6

Plumbism is a risk for children exposed to:

A) sewerage outlets.
B) specific fruits.
C) lead paint chips.
D) too much fat.

Question 7

The mother of a 2-year-old expresses concern to the nurse that her child continually climbs out of the cot at home. The nurse advises the mother that she should:

A) remove all objects from around the cot.
B) omit the afternoon nap.
C) restrain the child if he gets up more than once.
D) obtain a low bed when the child begins to climb.

Question 8

Which of the following interventions is used to prevent falls in a health care agency?

A) Display the phone number to the nurses' station.
B) Read label directions.
C) Keep the environment tidy.
D) Keep electrical cords under the bed.

Question 9

Which of the following nursing diagnoses would the nurse expect to find on the care plan of a client prone to falls?

A) Risk for Injury.
B) Risk for Disuse Syndrome.
C) Risk for Suffocation.
D) Deficient Knowledge.

Question 10

While eating in a restaurant, a nurse notices that a customer at the next table begins to clutch his throat while eating a steak. Which of the following responses would the nurse perform first?

A) Perform the Heimlich manoeuvre.
B) Attempt to give five back blows.
C) Encourage coughing.
D) Start chest compressions.

Question 11

Which of the following desired outcomes/goals would be appropriate for an older adult client in preventing injury?

A) The client will demonstrate an understanding of all limitations.
B) The client will make uninformed choices when addressing health issues.
C) The client will identify and minimise environmental hazards.
D) The client will take his medication as desired.

Question 12

Which of the following are methods of assessing clients at risk for injury?

A) Cognitive awareness.
B) Mobility and health status.
C) Nursing history.
D) Physical examination.

Question 13

Which of the following safety hazards would be taken into consideration in planning care for an older adult client?

A) Poisoning.
B) Burns.
C) Suffocation.
D) Drowning.

Question 14

Which of the following steps help to promote a safety from falls for the older person?

A) Keep clutter to a minimum in the client's room.
B) Have the client wear terry cloth slippers.
C) Provide adequate lighting.
D) Turn off alarms to reduce noise.

Question 15

Which of the following interventions would help prevent falls in the older adult client?

A) Place socks on feet.
B) Check vision every five years.
C) Turn the light on after getting out of bed.
D) Exercise regularly.

Question 16

A nurse has just commenced work at a health care facility and is told that she has to undergo an orientation session for manual handling and relevant policies. This is required because of the:

A) Nursing and Midwifery Board legislation.
B) Australian Health Practitioners Regulation Authority.
C) Australian Safety Council regulations.
D) Workplace Health and Safety legislation.

Question 17

Prior to going on the first clinical practicum, the student nurse needs to identify factors that increase the risk of human error. Which of the following would be of primary concern for this student?

A) Being late for a shift.
B) Stress.
C) Workplace design.
D) Capacity for doing a single task at a time.

Question 18

The nurse's major goal for a client who is at risk for injury is to:

A) assess the client's mental status.
B) keep the client dependent on the staff for all care.
C) minimise factors that may cause injury.
D) make all choices for the client.

Question 19

Which of the following strategies would contribute to maintaining safety in the home?

A) Keep plants in the home.
B) Remove labels from containers and refill for recycling.
C) Use overloaded outlets when necessary.
D) Always pull a plug at the plug-in from the wall outlet.

Question 20

Which of the following safety hazards affects a developing foetus?

A) Bicycle rides.
B) Recreational activities.
C) Banging into objects.
D) X-rays.

Question 21

An 86-year-old client with Alzheimer's disease continually tries to get out of bed at night. Which alternative safety measure would the staff choose to use with this client?

A) Explain all procedures and treatments.
B) Place a bed safety monitoring device on the bed.
C) Use relaxation techniques.
D) Orient the client to her surroundings.

Question 22

There is a very confused client on the unit and she is wandering. Which of the following alternatives to using a restraint would be chosen to use with this client?

A) Pull up all the side rails on the bed.
B) Assign this client to the closest room near the nurses' station.
C) Place a rocking chair in her room.
D) Wedge pillows against the side rails on the bed.

Question 23

The nurse is providing education to a client's carer in regard to the use of a chair exit safety device. The nurse instructs the carer to:

A) monitor the client's movements and fall rate.
B) test the device is working twice a day.
C) turn the volume down so it doesn't wake the client up.
D) leave the client alone when it is in use.

Question 24

When applying restraints on a client, the nurse would secure a doctor's order and:

A) tie the restraint with a square knot.
B) assess the restraints every 10 minutes.
C) pad bony prominences.
D) secure the restraint to the side rail.

Question 25

Explain the purpose of the pictured restraint.

Question 26

Which of the following nursing interventions is appropriate when a client has a seizure?

A) Insert a tongue blade into the client's mouth.
B) Turn the client to the supine position if possible.
C) Loosen any clothing around the neck and chest.
D) Restrain the client.