safety

Question 1

Discuss the National Patient Safety Goals and their relationship to the national safety standards.

Answer 1

a set of goals and guidelines that help ensure patients receive safe care.

Question 2

what are the safety considerations in the provision of client care

Answer 2

communication
infection control
medication errors
patient perspective
environmental safety
personal safety

Question 3

Discuss personal and environmental factors that create a potential for injury.

Answer 3

age, physical fitness level, health conditions, fatigue, impaired vision or hearing, lack of awareness, risky behaviors, poor decision-making, and inadequate training, while environmental factors include hazardous work conditions, slippery surfaces, poorly designed equipment, clutter, extreme weather, inadequate lighting, noise levels, and distractions, all of which can increase the likelihood of an accident or injury occurring.

Question 4

Describe strategies that can assist in reducing risk of client injury.

Answer 4

improving balance and strength
making areas safer
education

Question 5

A nurse discovers a small fire in a client’s room. After removing the client to safety, which of the following actions should the nurse take next?

Answer 5

activate the fire alarm

Question 6

A nurse is caring for a client who is experiencing a seizure. Which of the following actions should the nurse take?

Answer 6

record the time and length of the seizure

Question 7

A nurse is assisting with teaching a class about events that require an occurrence report. Which of the following events should the nurse include?

Answer 7

a client’s visitor falls in the hallway
a client develops an unexpected reaction to a medication
a client’s dentures are lost

Question 8

A nurse is caring for a client who is at risk for suicide. Which of the following actions should the nurse take?

Answer 8

place on round the clock surveillance
remove objects from the room that the client could harm themself with
search items brought into the room by any visitor
screen the client for suicidal ideation

Question 9

A nurse is assisting with teaching a class about warning signs from a co-worker that might indicate future workplace violence. Which of the following behaviors should the nurse include?

Answer 9

frequent reports of not being treated fairly

Question 10

A nurse is assisting with teaching a newly licensed nurse about electrical safety. Which of the following actions by the newly licensed nurse indicates an understanding of the teaching?

Answer 10

the nurse holds onto the plug to unplug a client’s electronic blood pressure machine

Answer 11

blood transfusion incompatibility
wrong site surgery
ineffective insulin storage

Question 12

A nurse is planning to implement the Transforming Care at the Beside plan on a medical-surgical unit. Which of the following interventions should the nurse include in the plan?

Answer 12

use a standardized communication tool

Question 13

A nurse is assisting with teaching a newly licensed nurse about using a lift device to transfer a client. Which of the following actions by the nurse indicates an understanding of the teaching?

Answer 13

lock brakes on the bed
checks minimum weight of lift before
performs a safety check before lifting the client

Question 14

A nurse is preparing a poster about fire safety for a community health fair. The nurse should include on the poster that which of the following components contains needed elements for fire to occur?

Answer 14

oil
oxygen
heat

Question 15

A nurse is assisting with teaching a class about evidence-based protocols established by the CDC to prevent healthcare-associated infections (HAIs). Which of the following infections should the nurse include?

Answer 15

Catheter-associated urinary tract infection
Central line-associated bloodstream infection
Surgical site infection

Question 16

A nurse is preparing to administer medications to a client. Which of the following information should the nurse use to identify the client?

Answer 16

The client’s full name
The client’s date of birth
The client’s telephone number

Question 17

A nurse is preparing to administer a premixed medication to a client. The nurse should check the label for which of the following information

Answer 17

The date the medication was mixed
The dose of the mixed medication
The time the medication was mixed

Question 18

A nurse is assisting with conducting a home hazard assessment for a client who has dementia. Which of the following findings indicates an understanding of home safety?

Answer 18

The edges of stairs are marked with brightly colored tape.

Question 19

A nurse is caring for a client who has a prescription for wrist restraints. Which of the following actions should the nurse take?

Answer 19

remove the restraints with each vital check

Question 20

A nurse is planning to use the identity, situation, background, assessment, recommendation, read back (ISBARR) tool to communicate with a provider about a client. Which of the following information is included in the assessment component of ISBARR?

Answer 20

The client’s laboratory test results

Question 21

A nurse is checking a client’s allergy bracelet before administering a medication and finds the client is allergic to that medication. The nurse does not administer the medication to the client. This is an example of which of the following unexpected events?

Answer 21

near-miss event

Question 22

A nurse is preparing to conduct a fall risk screening on a client. Which of the following variables will the nurse use to evaluate the client?

Answer 22

Fall history
Medical diagnosis
Use of assistive devices
Mental status

Question 23

A nurse is caring for a client who has an indwelling urinary catheter in place. Which of the following actions is the priority for the nurse to take to reduce the client’s risk of developing a healthcare-associated infection?

Answer 23

Perform hand hygiene.

Question 24

A nurse is assisting with emergency care of a client who has been exposed to a chemical toxin. Which of the following actions should the nurse take?

Answer 24

rinse the client’s skin with water

Question 25

The Joint Commission (TJC)

Answer 25

• Established in 1951.
• Evolved as an impartial national
  organization that accredits
  hospitals and other healthcare
  facilities based on their safety
  performance, policy, procedures,
  practice, and outcomes.
• More than 22,000 healthcare
  institutions and programs are
  currently accredited by TJC.

Question 26

national patient safety goals (NPSG)

Answer 26

• Initiated in 2002 by TJC.
• Identify established relevant safety
  practices health care institutions
  should accomplish.
• Newly created and approved
  National Safety Goals are
  endorsed every year based on the
  adverse events and sentinel
  events that have trended nationally
  in healthcare facilities.

Question 27

standards of compliance

Answer 27

• Former National Safety Goals
  that have been routinely
  adopted by healthcare
  professionals and are now
  retired.
• Facilities must continue to
  meet these standards.
• Considered “retired” safety
  goals.

Question 28

6 of the standards of compliance

Answer 28

• Medical error prevention
• Verification of qualifications and competency of
  healthcare staff
• Rights and education of clients
• Infection control
• Management of medications
• Emergency preparedness

Question 29

patient safety event

Answer 29

an unexpected event or circumstance that occurs without injury to the patient

Question 30

responsibility

Answer 30

• Administration, risk management,
  and nurse leaders should advocate
  that all team members report
  unexpected events and near
  misses

Question 31

barriers to events and near miss reporting

Answer 31

• Fear of repercussions or backlash to the reporting individual or the team.
• Lack of time to write the report.
• Unclear facility policies and standards.
• Bullying.
• Insufficient education and training.
• Lack of understanding of the roles and responsibilities of team members.
• Favoritism and influence of some employees.