Chapter 25: Safety

Chapter 25: Safety

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. The increase focus in nursing on patient safety has resulted in a project funded by the Robert Wood Johnson Foundation called:

ANS:  C

QSEN, or the Quality and Safety Education for Nurses, was funded by the RWJ to focus on preparing nurses of the future with the knowledge, skills and attitudes to advance quality and safety on the job. MSDS are material safety data sheets, OSHA is the Occupational Safety and Health Agency, and ADA is the Americans with Disability Act.

DIF:    Remembering                                 REF:   p. 461             TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care   NOT:  Concepts: Safety

2. Individual factors affecting safety include those that are related to the functioning of body systems and those that are directly associated with a person’s particular lifestyle. Changes in which body system affect overall mobility increasing the propensity of falling?

ANS:  D

Impairments in the musculoskeletal system can impact mobility through restrictions of range of motion and strength, increasing the chances of falling. Changes to the neurologic system can impair cognitive functioning, changes to the hepatic system can affect mental status and changes to the cardiopulmonary system can affect activity tolerance.

DIF:    Understanding                                 REF:   pp. 461-462    TOP:   Assessment

MSC:  NCLEX Client Needs Category: Safe and Effective Care   NOT:  Concepts: Safety

3. The nurse is visiting a patient with cardiac disease who has been experiencing increased episodes of shortness of breath when she tries to exercise. The nurse is concerned that her decrease in activity may lead to:

ANS:  A

Inactivity in patients with cardiopulmonary disease can lead to an unsafe drop in blood pressure with position changes, or orthostatic hypotension. The patient already has heart disease so there is no further risk. Loss of short-term memory is not related to the shortness of breath. The lack of activity is not likely to worsen the shortness of breath; improving activity level may help things eventually.

DIF:    Applying        REF:   pp. 461-462    TOP:   Assessment

MSC:  NCLEX Client Needs Category: Safe and Effective Care   NOT:  Concepts: Safety

4. Conversations about safe sexual practices, including the consequences of unprotected sex such as pregnancy and sexually transmitted infections, are important to begin in what patient population?

ANS:  C

Sexual curiosity and experimentation occur in the adolescent patient population. Conversations about safe sexual practices, including the consequences of unprotected sex, such as pregnancy and sexually transmitted infections, are important. These conversations are also important for adults and older adults but are handled differently in context with their age-related needs. School-aged children may be too young depending on their age and their environment. The nurse must use judgment on when to have the conversation.

DIF:    Understanding                                 REF:   p. 463             TOP:   Implementation

MSC:  NCLEX Client Needs Category: Safe and Effective Care   NOT:  Concepts: Safety