Patient Safety & Activity and Exercise

Question 1

Nurses must follow __________ strategies for recognizing harm and risks

Answer 1

organizational

Question 2

what does ANA stand for

Answer 2

American Nurses Association

Question 3

what does CDC stand for

Answer 3

Centers for Disease Control and Prevention

Question 4

what does OSHA stand for

Answer 4

Occupational Safety and Health Administration

Question 5

what does the CMS stand for

Answer 5

Centers for Medicine and Medicaid Services

Question 6

list the Hierarchy of Controls from most to least effective

Answer 6

Elimination
Substitution
Engineering Controls
Administrative Controls
PPE

Question 7

list the implemented safety protocols

Answer 7

Patient Identification Procedures
Fall Prevention
Safe Medication Administration
Sharps Injury Prevention
Safe Patient Handling
Workplace Violence Prevention

Question 8

an older adult dies from a fall in the USA every what?

Answer 8

20 minutes

Question 9

an older adult falls every ________ every day

Answer 9

second

Question 10

__________ older adults reported a fall in 2014

Answer 10

1 in 4

Question 11

what does NPSG stand for

Answer 11

National Patient Safety Goals

Question 12

what are the NPSG’s

Answer 12

Patient Identification
Report/Communicate
Administer Meds Cautiously
Infection Prevention
Suicide Risk Detection
Eliminate Surgery Errors

Question 13

an unexpected patient/resident occurrence that results in, or could result in, death or serious harm to the patient/resident

Answer 13

Sentinel Events

Question 14

list factors affecting safety

Answer 14

Age and Development
Lifestyle
Mobility and Health Status
Emotional State
Ability to Communicate
Safety Awareness
Environmental Factors

Question 15

Vulnerable to physical damage due to environmental conditions interacting with the individual’s adaptive and defensive resources, which may compromise health

Answer 15

Risk for Injury

Question 16

Absence or deficiency of cognitive information related to a specific topic

Answer 16

Deficient Knowledge

Question 17

A pattern of cognitive information related to a specific topic, or its acquisition which can be strengthened

Answer 17

Readiness for Enhanced Knowledge

Question 18

single temporary event that consists of uncontrolled electrical neuronal discharge of the brain that interrupts normal brain function

Answer 18

Seizure

Question 19

If seizure occurs, list things you should do

Answer 19

Remain with the client and call for assistance.

Do not restrain the client

If the client is not in bed, assist the client to the floor and protect the client’s head by holding it in your lap or on a pillow

Loosen any clothing around the neck and chest.

Turn the client to a lateral position if possible

Question 20

exercise pattern refers to a person’s routine of exercise, leisure, and recreation

Answer 20

Activity

Question 21

the ability to move freely, easily, rhythmically. and purposefully in the environment

Answer 21

Mobility

Question 22

what does ADL stand for

Answer 22

Activities of daily living

Question 23

a type of physical activity defined as a planned structured, repetitive bodily movement done to improve or maintain one or more components of physical fitness

Answer 23

Exercise

Question 24

the bones and cartilage that protect our organs and allow us to move are called

Answer 24

Skeletal system

Question 25

provides functions for the body through: contraction, motion, maintenance of posture, heat production

Answer 25

Muscular System

Question 26

the nerve impulses stimulate muscles to contract

Answer 26

Nervous System

Question 27

is the efficient use of the body as a machine and as a mean of locomotion, correct body mechanics lead to health promotion and illness prevention

Answer 27

Body Mechanics

Question 28

bring body parts into position in a manner that promotes optimal balance and maximal body function whether the client is standing, sitting, or lying down

Answer 28

Alignment and Posture

Question 29

are the functional units of the musculoskeletal system

Answer 29

Joints

Question 30

maximum movement that is possible for that joint

Answer 30

Range of motion

Question 31

term used to describe awareness of posture, movement, and changes in equilibrium and knowledge

Answer 31

Prioception

Question 32

A person's age and musculoskeletal and nervous system development affect posture, body proportions, body mass, body movements, and reflexes

Answer 32

Growth and Development

Question 33

Limitations to movement may be medically prescribed for some health problems. To promote healing, devices such as casts, braces, splints, and traction are often used to immobilize body parts

Answer 33

Prescribed Limitations

Question 34

the bones become spongy and may gradually deform and fracture easily

Answer 34

osteoporosis

Question 35

muscles losing most of their strength and normal function

Answer 35

atrophy

Question 36

when the muscle fibres are not able to shorten and lengthen

Answer 36

Contractures

Question 37

common result of immobilization. The blood pools in the lower extremities, and central blood pressure drops

Answer 37

Orthostatic hypotension

Question 38

your veins can’t send the blood from your legs back to your heart

Answer 38

Venous stasis

Question 39

the skeletal muscles do not contract sufficiently, and the muscles atrophy, so the skeletal muscles can no longer assist in pumping blood back to the heart against gravity

Answer 39

Venous Vasodilation and stasis

Question 40

when the venous pressure is sufficiently great. Some part of the blood is forced out of the blood vessel into the interstitial spaces surrounding the blood vessel

Answer 40

Dependent Edema

Question 41

The abdominal organs push against the diaphragm, restricting lung movement and making it difficult to expand the lungs fully

Answer 41

Decreased respiratory movement

Question 42

respiratory tract are normally expelled by changing positions or posture and by coughing

Answer 42

Pooling of Respiratory Secretions

Question 43

is the collapse of a lobe or of an entire lung

Answer 43

Atelectasis

Question 44

pooled secretions provide an excellent medium for bacterial growth

Answer 44

Pneumonia

Question 45

loss of appetite occurs because of the decreased metabolic rate and the increased catabolism that accompany immobility

Answer 45

Anorexia

Question 46

list the types of exercises

Answer 46

Isotonic Isometric Isokinetic Aerobic Anaerobic

Question 47

Dynamic Exercise in which the muscle shortens to produce contraction and movement. Are ADLs and active ROM exercises (those initiated by the client)

Answer 47

isotonic

Question 48

Are those in which there is a change in muscle tension but no change in muscle length

Answer 48

ISOMETRIC

Question 49

involve muscle contraction or tension against resistance

Answer 49

Isokinetic

Question 50

an activity during which the amount of oxygen taken into the body is greater than that used to perform the activity

Answer 50

Aerobic

Question 51

involves activity in which the muscles cannot draw out enough oxygen from the bloodstream

Answer 51

Anaerobic

Question 52

When the person remains in bed, gravity impedes the emptying of urine from the kidneys and the urinary bladder, so emptying is not as complete

Answer 52

Urinary stasis

Question 53

which is accumulation of urine the bladder, bladder distention, and occasionally urinary incontinence

Answer 53

Urinary Retention

Question 54

static urine provides an excellent medium for bacterial growth

Answer 54

Urinary infection

Question 55

Related to Bed Rest and Immobility generalized weakness, sedentary lifestyle, and imbalance between oxygen supply and demand

Answer 55

Activity Intolerance

Question 56

decreased strength and endurance, pain, perceptual or cognitive impairment, neuromuscular impairment, musculoskeletal impairment, and depression or severe anxiety

Answer 56

Impaired Physical Mobility related to intolerance to activity

Question 57

Inability to wash body parts, inability to obtain or get to water source, activity intolerance, decreased strength and endurance, pain, and impaired transfer ability

Answer 57

Self Care Deficits Related to Inability

Question 58

related to impaired mobility. Alterations in family and social processes may also result from immobility and inactivity. Disruption in activity and mobility leads to impairment of the ability to perform one's usual social vocational, educational, and family roles

Answer 58

Risk for Falls

Question 59

Self-Esteem can result from

Answer 59

Changes in physical abilities Changes in family responsibilities Lack of knowledge regarding rehabilitation