Ch.28 Safety, Security & Emergency Preparedness

Question 1

What is the A in the fall prevention strategy?

Answer 1

Assess what can cause patients to fall.

Question 2

What does the D stand for in the fall prevention strategy?

Answer 2

Diagnosis.

Question 3

What is the P in the fall prevention strategy?

Answer 3

Plan how to prevent falls.

Question 4

What does the I represent in the fall prevention strategy?

Answer 4

Implement socks, bracelet, alarms, signs.

Question 5

What does the E stand for in the fall prevention strategy?

Answer 5

Evaluate & reevaluate.

Question 6

What medications increase the risk of falls?

Answer 6

BP meds, opioids, pain meds, sleeping pills, antiarthritics, psych/seizure meds, ambien, polypharmacy, post-op anesthesia (takes 24hrs).

Question 7

What should be done in case of patient falls?

Answer 7

Assess, report to charge nurse, provider, doctor, nurse manager, nurse, tech, conduct root cause analysis, and file an incident report.

Question 8

Which patient populations are vulnerable to injury?

Answer 8

Geriatric patients and those with diabetes or chronic illnesses.

Question 9

What are the types of restraints?

Answer 9

Wrist restraints, elbow restraints (for old people or children), mummy restraints (for babies), and soma bed (not good for PTSD).

Question 10

What are common causes of errors in hospitals?

Answer 10

Administering medications or intravenous solutions, transferring a patient, changing a dressing, applying external heat to a patient extremity.

Question 11

What is the most common cause of injuries in hospitals?

Answer 11

Falls.

Question 12

What does RACE stand for in emergency preparedness?

Answer 12

R - Rescue anyone in immediate danger, A - Activate the fire code & notify appropriate person, C - Confine fire by closing doors & windows, E - Evacuate patients & other people to safe area.

Question 13

What should be addressed in emergency preparedness?

Answer 13

Biological threats, chemical threats, radiation threats, cyber terror, mass trauma terrorism, pandemic preparation, identifying disaster resources, and psychological aspects of disasters.

Question 14

What is the nurse’s responsibility in child abuse cases?

Answer 14

Report within 12 hours, call DCF, and recognize signs & symptoms (bruising, healed broken bones, abnormal bed wetting, flinching, avoid eye contact).

Question 15

What should a nurse do for an abusive partner situation?

Answer 15

Involve social worker for an escape plan, pack a go bag, ensure safety for pets, and conduct routine screening for safety.

Question 16

What is the role of stress on attention span?

Answer 16

Narrow/decreases attention span and the ability to learn/listen decreases.

Question 17

True or False: Among older adults, fires are the leading cause of injury fatality.
A. True
B. False

Answer 17

Answer: B. False

Rationale: Among adults older, falls are the leading cause of injury fatality.

Question 18

True or False: A nurse whose behavior is reasonable and prudent and similar to the behavior that would be expected of another nurse in similar circumstances is still likely to be found liable if a patient falls.
A. True
B. False

Answer 18

Answer: B. False

Rationale: A nurse whose behavior is reasonable and prudent and similar to the behavior that would be expected of another nurse in similar circumstances is unlikely to be found liable if a patient falls, even if injury occurs.

Question 19

True or False: A side rail is considered a restraint even if the patient asks for it to be raised to assist in getting into and out of bed.
A. True
B. False

Answer 19

Answer: B. False
Rationale: A side rail is not considered a restraint if the patient requests that it be raised to aid in getting in or out of bed. Some patients may request that side rails be used at night while they sleep so that they may feel more secure. The patient must be able to raise and lower the side rail on one’s own.

Question 20

Which action is a priority emphasized in the RACE acronym guide to fire safety?
A. Run to the nearest fire alarm.
B. Act in a calm manner to prevent panic.
C. Confine the fire by opening doors and windows.
D. Evacuate patients and other people to a safe area.

Answer 20

Answer: D. Evacuate patients and other people to a safe area

Question 21

True or False: A healthcare facility should determine its disaster-preparedness plan in advance of a possible emergency or disaster.

Answer 21

True
● Emergency preparedness, in advance, is essential because it allows all employees to have a set role and plan. Being prepared is also important for the sympathetic nervous system response (fight or flight)