Chapter 11

Question 1

coma

Answer 1

prolonged state of unconciousness

Question 2

dementia

Answer 2

loss of cognitive and social function because of changes in brain

Question 3

disaster

Answer 3

harmful event that can affect the agency / patient / residency population / community / larger demographic

Question 4

elopement

Answer 4

patient / resident leaves agency without staff knowledge

Question 5

hazard

Answer 5

anything in person’s setting that could cause injury / illness

Question 6

hazardous chemical

Answer 6

any chemical that is a physical / health hazard

Question 7

incident

Answer 7

event that harmed / could harm a patient, resident, visitor , staff member

Question 8

paralysis

Answer 8

loss of muscle function

Question 9

poison

Answer 9

substances harmful to the body when ingested, inhaled, injected, absorbed through the skin

Question 10

suffocation

Answer 10

breathing stops from lack of oxygen; asphyxia

Question 11

unconcious

Answer 11

unaware of one’s setting and being unable to react / respond to people, places, things

Question 12

workplace violence

Answer 12

violent acts (assault / threat of assault) directed to working person

Question 13

safety is what ?

Answer 13

a basic need

Question 14

preventing accidents / injuries should not limit what ?

Answer 14

the person’s mobility / independence

Question 15

8 safety accident risk factors

Answer 15

1) lack of awareness
2) agitated / aggressive behavior
3) vision loss
4) hearing loss
5) impaired smell / touch
6) impaired mobility
7) drugs
8) age

Question 16

1) lack of awareness

Answer 16

confused / disoriented persons may not understand their surroundings / people around them

Question 17

2) agitated / aggressive behavior

Answer 17

pain, confusion, decreased awareness, fear can cause such behavior

Question 18

3) vision loss

Answer 18

can fall / trip / can be poisoned due to being unable to read

Question 19

4) hearing loss

Answer 19

unable to hear alarms / approaching transporting devices; unaware to move to safety

Question 20

5) impaired smell / touch

Answer 20

cannot detect smoke / gas and at higher risk for burns; unaware of injury

Question 21

6) impaired mobility

Answer 21

person unable to move to safety

Question 22

7) drugs

Answer 22

reduce awareness; can cause confusion, drowsiness, disorientation and poor coordination

Question 23

8) age

Answer 23

children and older persons at increased risk

Question 24

ID bracelet includes

Answer 24

name, ID number, room / bed number, DOB and DR.

Question 25

how to check identity of person ?

Answer 25

reference ID bracelet to person's assignment sheet; full name AND DOB (first name not enough)

Question 26

what do you do if people are annoyed with getting IDed ?

Answer 26

explain that checking identity is important to give the correct care and thank them for understanding

Question 27

why are older persons at higher risk for burns ?

Answer 27

decreased skin thickness, decreased sensitivity to heat, slowed reaction, decreased mobility, communication problems, confusion, dementia

Question 28

foreign body that can obstruct airway

Answer 28

choking / foreign-body airway obstruction (FBAO)

Question 29

choking most often occurs during ?

Answer 29

eating

Question 30

mild (partial) airway obstrution

Answer 30

stay with the person and encourage the to keeps voughing

Question 31

severe (complete) air way obstruction

Answer 31

cough poor quality / unable to make no noise and appear cyanotic

Question 32

cyanotic

Answer 32

poor is blueish skin

Question 33

universal sign of choking

Answer 33

clutching the throat

Question 34

heimlich / abdominal thrusts

Answer 34

quick / upwards thrusts to the abdomen

Question 35

what must be done when you assisted a person who was choking ?

Answer 35

report and record what happened, what you did and the persons response

Question 36

abdominal / heimlich maneuver for a pregnant lady ?

Answer 36

quick thrusts to the middle of the sternum

Question 37

electrical shock

Answer 37

electrical current passes through the body and burns the skin, muscles, nerves, other tissue; can affect the heart and cause death

Question 38

warning signs of a faulty electrical item include

Answer 38

1) shocks 2) loss of power / power surge 3) dimming / flicker lights 4) sparks 5) sizzling / buzzing sound 6) burning odor 7) loose plugs

Question 39

what kind of plugs ?

Answer 39

3 pronged plugs, avoid using extension cords

Question 40

bed power cord is plugged into where ?

Answer 40

directly into wall outlet

Question 41

only use an electrical item when ?

Answer 41

it has been approved by maintenance staff

Question 42

what occurs when electrical items are unplugged when still on ?

Answer 42

sparks fly

Question 43

why avoid giving showers / tub baths during storms ?

Answer 43

lightning can travel through pipes

Question 44

health hazards can cause ?

Answer 44

1) cause cancer 2) affect blood cell formation / function 3) damage organs 4) cause birth / fertility problems

Question 45

workplace hazards are ?

Answer 45

1) equipment containing latex 2) thermometers / BP equipment containing mercury 3) cleaners / disinfectants 4) substances with removed / damaged label 5) unattended chemical containers

Question 46

safety data sheet (SDS) / material safety data sheet (MSDS) contain ?

Answer 46

1) name / common name 2) hazards about chemical 3) chemical ingredients 4) emergency measures 5) fire-fighting measures 6) accidental release measures 7) safe-handling / storage measures 8) personal protection measures

Question 47

check the SDS / MSDS when ?

Answer 47

before using / cleaning / disposing a hazardous chemical

Question 48

R.A.C.E.

Answer 48

rescue, alarm, confine, extinguish, in-case of a fire

Question 49

P.A.S.S.

Answer 49

pull, aim low, squeeze lever, sweep, when using fire extinguisher

Question 50

why is the nursing team most at risk for workplace violence ?

Answer 50

they are in constant contact with patients, residents and visitors

Question 51

point of color-coded wristbands

Answer 51

communicate an alert / warning red = allergy yellow = falling risk purple = do not resuscitate (DNR)

Question 52

how are personal belongings handled ?

Answer 52

a personal belonging list signed by nurse and patient/resident is made to describe each item; count money with person / put money and jewelry in envelopes with person's name on it (HAVE A WITNESS)

Question 53

where are incident reports reported to ?

Answer 53

risk management committee who keep record of incidents to look for patterns and trends