Chapter 26 Safety, Security, and Emergency Preparedness

Chapter 26  Safety, Security, and Emergency Preparedness

Complete Chapter Questions And Answers
 

Sample Questions

1.
The clinical nurse educator at a long-term care facility is responsible for organizing and carrying out staff education sessions. Which of the following topics for staff education is most likely to benefit the greatest number of residents?
A)
Educating nurses on how to prevent falls
B)
Reviewing safe medication administration
C)
Educating nurses on how to prevent wandering by confused residents
D)
Reviewing resuscitation for cardiac and respiratory arrest
Ans:
A

Feedback:

Falls remain the leading cause of death among older adult Americans. Education that aims to reduce the incidence of falls is likely to be of more benefit than measures that address medication administration, prevention of wandering, or resuscitation procedures, even though such topics may be of importance.

2.
Which of the following measures should nurses implement in a hospital setting in order to identify intimate partner violence (IPV)?
A)
Routine screening of newly admitted clients
B)
Focused physical assessment for IPV for all new clients
C)
Involvement of a social worker in the admission assessment of all new female clients
D)
Review of the definition and legal repercussions of IPV with all new female clients
Ans:
A

Feedback:

Practices related to the identification of IPV vary, but it is generally agreed that a simple screening tool can be an effective strategy. A focused physical assessment and the involvement of social work are not warranted for all clients. A review of the definition and repercussions of IPV is likely not as effective as a simple and direct screening tool.

3.
A nurse is admitting a client to a geriatric medicine unit following the client’s recent diagnosis of acute renal failure. Which of the following nursing actions is most likely to reduce the client’s chance of experiencing a fall while on the unit?
A)
Orient the client to the room and environment thoroughly upon admission.
B)
Provide the client with a bedpan to reduce the need to transfer to a commode or washroom.
C)
Administer pain medications sparingly in order to minimize cognitive or musculoskeletal side effects.
D)
Place the client in a shared room with a client who is stable and oriented.
Ans:
A

Feedback:

A person who is familiar with his or her surroundings is less likely to experience an accidental injury. As part of the hospital admission routine, it is important to orient the client to the safety features and equipment in the room. A bedpan should not be used for the sole reason of reducing the risk of falls, and pain medication should be provided in doses sufficient to treat the client’s pain. A client should never be charged with supervising the safety of another client.

4.
Which of the following clients is most likely to face an increased risk of falls due to his or her medication regimen?
A)
A female client age 77 years who has received a benzodiazepine to minimize her anxiety
B)
A male client age 79 years whose recent high blood pressure has required a PRN dose of an angiotensin-converting enzyme (ACE) inhibitor
C)
A woman age 81 years who has required a blood transfusion to treat a gastrointestinal bleed
D)
A man 90 years of age whose venous ulcer has required the administration of intravenous antibiotics
Ans:
A

Feedback:

While all drugs carry some risk of adverse effects, the use of benzodiazepines and antiepileptics are more predicative of falls than are other drug families.

5.
A girl age 4 years has been admitted to the emergency department after accidently ingesting a cleaning product. Which of the following treatments is most likely appropriate in the immediate treatment of the girl’s poisoning?
A)
Administration of activated charcoal
B)
Inducing vomiting
C)
Gastric lavage
D)
Intravenous rehydration
Ans:
A

Feedback:

Activated charcoal is the most common treatment for many poisonings and is more effective and safe than induced vomiting or gastric lavage. Rehydration is likely necessary, but this does not actively treat the girl’s poisoning.