Chapter 32 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

Chapter 32 Kozier And Erbs Fundamentals of Nursing 10th Edition by Berman Snyder

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Question 1

Type: MCSA

The nurse is planning care for an older client. Which safety hazard should the nurse take into consideration when planning this care?

1. Burns
2. Drowning
3. Poisoning
4. Suffocation

Correct Answer: 1

Rationale 1: Falls, burns, and pedestrian and motor vehicle crashes are safety hazards in older adults.

Rationale 2: Drowning and poisoning are seen in the toddler-age client.

Rationale 3: Drowning and poisoning are seen in the toddler-age client.

Rationale 4: Suffocation is a hazard in newborns and infants.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4. Identify common potential hazards throughout the life span.

MNL Learning Outcome: 4.1.3. Implement safety measures throughout the life span.

Page Number: 641

 

Question 2

Type: MCSA

The nurse is preparing materials to instruct the parents of a newborn. What should the nurse identify as a safety hazard in an infant?

1. Exposure to alcohol consumption
2. Drowning
3. Pedestrian accidents
4. Suffocation in the crib

Correct Answer: 4

Rationale 1: Exposure to alcohol consumption is a safety hazard to a fetus.

Rationale 2: Drowning is a safety hazard in toddlers and preschoolers.

Rationale 3: Pedestrian accidents are safety hazards in the older adult.

Rationale 4: Suffocation in the crib is a safety hazard for both newborns and infants.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Planning

Learning Outcome: 4. Identify common potential hazards throughout the life span.

MNL Learning Outcome: 4.1.3. Implement safety measures throughout the life span.

Page Number: 641

 

Question 3

Type: MCSA

The nurse is reviewing safety hazards with a pregnant client. What should the nurse include when instructing this client about safety and the developing fetus?

1. Banging into objects
2. Bicycle rides
3. Recreational activities
4. X-rays

Correct Answer: 4

Rationale 1: Banging into objects is what a toddler would be likely to do, not an expectant mother.

Rationale 2: Bicycle rides and recreational activities would be good for the developing fetus; the mother should stay as active as possible during the pregnancy. Physical activity promotes good health.

Rationale 3: Physical activity promotes good health.

Rationale 4: Exposure to x-rays in the first trimester could cause harm to the developing fetus.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Health Promotion and Maintenance

Client Need Sub:

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 4. Identify common potential hazards throughout the life span.

MNL Learning Outcome: 4.1.3. Implement safety measures throughout the life span.

Page Number: 641

 

Question 4

Type: MCSA

The nurse would like to improve communication among caregivers. How should the nurse use the Joint Commission 2013 National Patient Safety Goals to achieve this objective?

1. Review a list of look-alike/sound-alike drugs used in the organization.
2. Use a verification process to confirm the correct procedure.
3. Report critical results of tests and diagnostic procedures on a timely basis..
4. Use the client’s room number as an identifier.

Correct Answer: 3

Rationale 1: Annually reviewing a list of look-alike/sound-alike drugs is used to improve the safety of use of medication in an organization, not to improve communication.

Rationale 2: Using a verification process to confirm that the correct procedure for the correct client is to be performed is another way to improve the accuracy of client identification.

Rationale 3: Reporting critical results of tests and diagnostic procedures on a timely basis is one way the National Patient Safety Goals improve the communication among caregivers.

Rationale 4: Using the client’s room number as an identifier is a passive technique that would improve the accuracy of client identification.

Global Rationale:

 

Cognitive Level: Applying

Client Need: Safe and Effective Care Environment

Client Need Sub: Safety and Infection Control

QSEN Competencies: I.A. 1.  Integrate understanding of multiple dimensions of patient centered care

AACN Essentials Competencies: IX. 8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan

NLN Competencies: Quality and Safety; Practice; Use technologies that contribute to safety

Nursing/Integrated Concepts: Nursing Process: Implementation

Learning Outcome: 3. Discuss the National Patient Safety Goals.

MNL Learning Outcome: 4.2.2. Implement strategies for the maintenance of safety in the health care facility.

Page Number: 645