Chapter 25: safety

Question 1

Unintentional injuries result from

Answer 1

incidents such as falls, motor vehicle crashes, poisonings, drownings, fire-associated injuries, suffocation by ingested objects, and firearms.

Question 2

Intentional injuries typically result from

Answer 2

deliberate acts of violence or abuse and often have fatal consequences such as suicide and homicide.

Question 3

The Joint Commission (TJC),

Answer 3

an independent, not-for-profit group in the United States that accredits hospitals and other health care–related agencies.

Question 4

Recent National Patient Safety Goals include:

Answer 4

Identify patients correctly.
Improve staff communication.
Use medicines safely.
Use alarms safely.
Prevent infection.
Identify patient safety risks.
Prevent mistakes in surgery.

Question 5

The risk for injury is based on many _____ and _____ factors.

Answer 5

internal, external

Question 6

individual factors

Answer 6

• body system integrity

- lifespan

Question 7

environmental factors

Answer 7

• pollution
• lighting
• communicable diseases
  work space hazards

Question 8

Johns Hopkins Hospital Fall Assessment Tool

Answer 8

Seven-item tool, used nationally and internationally in hospitals, can be completed quickly and easily, includes fall prevention intervention guidelines

Question 9

Morse Fall Scale

Answer 9

Six-item fall risk assessment tool, widely used nationally and internationally since the late 1980s in acute care and long-term care settings

Question 10

Hendrich II Fall Risk Model

Answer 10

Eight-factor assessment model, well established and used widely in acute care settings to assess the fall risk of patients

Question 11

The most common nursing diagnoses directly associated with safety concerns include:

Answer 11

Risk for injury
Risk for falls 
Risk for poisoning
Risk for infection
Risk for aspiration

Question 12

What is RACE an acronym for?

Answer 12

the fire emergency response used by many health care facilities. The letters stand for:

Question 13

R: Rescue

Answer 13

all patients in immediate danger, and move them to safe areas.

Question 14

A: Activate

Answer 14

the manual-pull station or fire alarm, and have someone call 911.

Question 15

C: Contain

Answer 15

the fire by closing doors, confining the fire, and preventing the spread of smoke.

Question 16

E: Extinguish

Answer 16

the fire if possible after all patients are removed from the area.

Question 17

Some interventions for falls include:

Answer 17

Keeping a call light within patient’s reach
Keeping frequently used items close to the patient
Making hourly rounds to check on patients
Keeping patients who are at a high risk for falling in rooms close to the nurse’s station

Question 18

Physical restraints can be applied only with a ____________________ order and only after all reasonable alternatives to restraint use have failed.

Answer 18

physician or health care provider