Exam 1 - Potter Ch: 1, 5, 6, & 14

Question 1

List the Types of Precautions:

Answer 1

Standard, Transmission based, Droplet, and Contact

Question 2

What is a Transmission based precaution?

Answer 2

Airborne: use for pts that have illness transmitted by airborne droplet nuclei (

Question 3

How often do negative air pressure rooms exchange air?

Answer 3

6-12 x/hour

Question 4

What are Standard Precautions?

Answer 4

Basic level of infection control & prevention used at all times. Used for every patient. Applies to: blood, bodily fluids, secretions, excretions (except sweat)

Question 5

What is Droplet precaution?

Answer 5

Pts with serious illness transmitted by large particle droplets (> 5 microns). Door may remain open - transmission is limited to close contact (3 ft.) Ex: pertussis, influenza, rhinovirus, Group A Strep

Question 6

What is Contact precaution?

Answer 6

Pts with a serious infection transmitted by direct patient contact. When possible private room should be used. Ok to have door open no need for masks transmission is limited to close contact

Question 7

The nurse is often the first HCW to notice & discover symptoms of infection. Your duty is?

Answer 7

Begin to put in place strategies to prevent the spread of infection to protect yourself & others. Notify MD. Know your hospital’s policies & procedures to address the care of these patients. A dr’s order is NOT required to isolate pt. Contact the Infection Control department.

Question 8

What is the chain of infection?

Answer 8

Infectious agent -> reservoir -> portal of exit -> transmission -> portal of entry -> host susceptibility -> (back to infectious agent)

Question 9

What is the Nurses Role?

Answer 9

Hand hygiene, use of standard precautions, patient education, use of safety devices, cleaning & disinfection practices, removal of unnecessary invasive devices, use of “bundle strategies” for infection prevention, and fit for duty.

Question 10

What is the most effective way to prevent infection?

Answer 10

Hand Hygiene!!!

Question 11

Medical Asepsis is a _________ technique.

Answer 11

Clean

Question 12

Surgical Asepsis is a ________ technique.

Answer 12

Sterile

Question 13

What is the order to apply “donning” PPE?

Answer 13

Gown, mask, goggles, gloves

Question 14

What is the order to remove “doffing” PPE?

Answer 14

Gloves, goggles, gown, mask - (don’t forget to wash hands after everything is removed)

Question 15

To establish malpractice, the plaintiff must prove:

Answer 15

The nurse owed a duty to the patient, the nurse breached that duty, injury occurred because of the breach of duty, damages are accrued as a result of the injury.

Question 16

Documentation as a nurse includes:

Answer 16

Patient assessments & reassessments, interventions, and evaluations

Question 17

Always use objective statements when writing documentation. True or False?

Answer 17

True

Question 18

What situations does a minor have consent for medical treatment?

Answer 18

1. When they are married or they are a parent.
2. Pregnancy (excluding abortions)
3. Venereal disease
4. Drug or substance abuse

Question 19

It is mandatory for health care providers to report:

Answer 19

Abuse (sexual, child, or elder), rape, gunshot wounds, attempted suicide, certain communicable diseases, unsafe or impaired professionals.

Question 20

Ethical Principles?

Answer 20

Autonomy, Justice, Nonmaleficience , Beneficence, Fidelity

Question 21

Autonomy?

Answer 21

Commitment to include patients in decisions

Question 22

Justice

Answer 22

Being fair

Question 23

Nonmaleficience

Answer 23

Avoidance of harm or hurt

Question 24

Beneficence?

Answer 24

Taking positive actions to help others

Question 25

Fidelity?

Answer 25

Agreement to keep promises

Question 26

Deontology?

Answer 26

Defines actions as right or wrong

Question 27

Utilitarianism?

Answer 27

Proposes that the value of something is determined by its usefulness

Question 28

Feminist Ethics?

Answer 28

Focuses on the inequality between people

Question 29

Ethics of Care?

Answer 29

Emphasizes the importance of understanding relationships, especially as they are revealed in personal narratives

Question 30

How to process an ethical dilemma?

Answer 30

1. Ask, “is this an ethical dilemma?” 2. Gather all relevant information 3. Clarify values 4. Verbalize the problem 5. Identify possible courses of action 6. Negotiate a plan 7. Evaluate the plan

Question 31

List the equipment that is part of: Personal Protective Equipment (PPE)

Answer 31

Fluid resistant cover gowns, disposable gloves, makes, eye protection, (and shoe covers in OR)