Chapter 13 Safety

Chapter 13  Safety

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse is caring for a patient who has been hospitalized for a cerebrovascular accident (CVA). While hospitalized, the patient attempted to get up without assistance, and fell, causing a hip fracture. The patient had an open-reduction, internal fixation (ORIF) on her hip 2 days ago. The patient is confused. The nurse’s highest priority when caring for this patient is
A.
Pain.
B.
Safety.
C.
Wound care.
D.
Psychosocial integrity.

____ 2. The nurse is caring for a patient who has been hospitalized for a right-sided cerebrovascular accident (CVA). The patient is impulsive and confused. She has weakness on the left side of her body and requires assistance when ambulating. The nurse’s highest priority when caring for this patient is
A.
Range-of-motion exercises.
B.
Performing a calorie count.
C.
Ordering a social service consult.
D.
Ensuring that the bed alarm is turned on.

____ 3. A national standard for patient safety has been established by the organization that is responsible for evaluating and accrediting health care organizations and programs in the United States. This organization is known as
A.
The Joint Commission.
B.
The State Board of Nursing.
C.
The National League for Nursing.
D.
The American Nurses Association.

____ 4. When supervising a certified nursing assistant (CNA), the nurse intervenes when observing the CNA
A.
Answering a call light promptly.
B.
Instructing a patient to call for assistance.
C.
Rapidly responding to requests for assistance.
D.
Instructing a patient how to press the call button.

____ 5. The nurse is assigned to care for four patients. The nurse determines that the patient who is most at risk for injury from trying to get out of bed is
A.
An 84-year-old patient who has a fecal impaction.
B.
An 8-year-old child who underwent a tonsillectomy.
C.
A 16-year-old adolescent who had an appendectomy.
D.
A 62-year-old patient who had a myocardial infection.

Chapter 13. Safety
Answer Section

MULTIPLE CHOICE

1. ANS: B

Feedback
A
Safety should be foremost in the nurse’s mind when caring for any patient. The question does not mention that the patient is experiencing pain.
B
Safety should be foremost in the nurse’s mind when caring for any patient. Chapter Objective: Describe six factors that contribute to an unsafe environment.
C
Safety should be foremost in the nurse’s mind when caring for any patient.
D
Safety should be foremost in the nurse’s mind when caring for any patient.

PTS: 1 REF: Chapter: 13 | Page: 234 OBJ: Chapter Objective: 13-2
KEY: Content Area: Safety | Integrated Process: Nursing Process/Assessment | Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis

2. ANS: D

Feedback
A
Safety should be foremost in the nurse’s mind when caring for any patient. Range-of-motion exercises are generally appropriate for this type of patient, but they do not address patient safety.
B
Safety should be foremost in the nurse’s mind when caring for any patient. There is no indication in the question that would lead one to believe that the patient requires a calorie count.
C
Safety should be foremost in the nurse’s mind when caring for any patient. While ordering a social service consult is a good idea to facilitate discharge planning, ensuring patient safety is a higher priority.
D
Safety should be foremost in the nurse’s mind when caring for any patient. Ensuring that the bed alarm is turned on helps to ensure patient safety. Chapter Objective: Discuss use of fall assessment rating scales and restraint alternatives in preventing falls.

PTS: 1 REF: Chapter: 13 | Page: 234 OBJ: Chapter Objective: 13-3
KEY: Content Area: Safety | Integrated Process: Nursing Process/Implementation | Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis

3. ANS: A

Feedback
A
A national standard for patient safety has been established by The Joint Commission, the organization responsible for evaluating and accrediting health care organizations and programs in the United States. Chapter Objective: Explain areas addressed by the National Patient Safety Goals.
B
A national standard for patient safety has been established by The Joint Commission, the organization responsible for evaluating and accrediting health care organizations and programs in the United States.
C
A national standard for patient safety has been established by The Joint Commission, the organization responsible for evaluating and accrediting health care organizations and programs in the United States.
D
A national standard for patient safety has been established by The Joint Commission, the organization responsible for evaluating and accrediting health care organizations and programs in the United States.

PTS: 1 REF: Chapter: 13 | Page: 234 OBJ: Chapter Objective: 13-1
KEY: Content Area: Safety | Integrated Process: Teaching and Learning | Client Need: Safe and Effective Care Environment | Cognitive Level: Comprehension

4. ANS: B

Feedback
A
It is imperative that call lights be answered promptly and that assistance is quickly available to maintain a safe environment for patients.
B
Patients with English as a second language may not grasp safety instructions. When one tells the patient to call for the nurse before getting up, the instruction may be unclear. Call on the telephone? Shout out? One must be sure that the instructions are specific: “Press this button and tell us that you need to get up. Someone will come to help you.” Chapter Objective: Describe six factors that contribute to an unsafe environment.
C
It is imperative that call lights be answered promptly and that assistance is quickly available to maintain a safe environment for patients.
D
Patients with English as a second language may not grasp safety instructions. When one tells the patient to call for the nurse before getting up, the instruction may be unclear. Call on the telephone? Shout out? One must be sure that the instructions are specific: “Press this button and tell us that you need to get up. Someone will come to help you.”

PTS: 1 REF: Chapter: 13 | Page: 235 OBJ: Chapter Objective: 13-2
KEY: Content Area: Safety | Integrated Process: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis

5. ANS: A

Feedback
A
Researchers have found that older, frail adults who experience confusion, pain, fecal impaction, and urinary retention are at highest risk for entrapment because they are more likely than others to move around in bed or try to get out of bed. Chapter Objective: Describe six factors that contribute to an unsafe environment.
B
Researchers have found that older, frail adults who experience confusion, pain, fecal impaction, and urinary retention are at highest risk for entrapment because they are more likely than others to move around in bed or try to get out of bed.
C
Researchers have found that older, frail adults who experience confusion, pain, fecal impaction, and urinary retention are at highest risk for entrapment because they are more likely than others to move around in bed or try to get out of bed.
D
Researchers have found that older, frail adults who experience confusion, pain, fecal impaction, and urinary retention are at highest risk for entrapment because they are more likely than others to move around in bed or try to get out of bed.

PTS: 1 REF: Chapter: 13 | Page: 235 OBJ: Chapter Objective: 13-2
KEY: Content Area: Safety | Integrated Process: Caring | Client Need: Safe and Effective Care Environment | Cognitive Level: Analysis