Module 51 Safety

Module 51   Safety

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

The Concept of Safety

1) The nurse is caring for a client who is prone to falls. Which nursing diagnosis would be most appropriate for this client?

1. A) Risk for Injury
2. B) Risk for Suffocation
3. C) Deficient Knowledge
4. D) Risk for Disuse Syndrome

Answer:  A

Explanation:

1. A) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
2. B) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
3. C) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.
4. D) Risk for Injury is a state in which the individual is at risk as a result of environmental conditions such as a fall. Deficient Knowledge deals with injury prevention. Risk for Disuse Syndrome is a deterioration of a body system as the result of prescribed or unavoidable musculoskeletal inactivity. Risk for Suffocation occurs when inadequate air is available for inhalation.

Page Ref: 2695

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Planning

Learning Outcome:  2. Identify appropriate nursing diagnoses for the client with potential risks for injury.

2) A nurse manager is assessing the hospital environment in order to decrease the risk for client falls. Which is the best intervention to decrease the risk of client falls?

1. A) Keep the call button within reach at all times.
2. B) Read label directions.
3. C) Keep electrical cords under the bed.
4. D) Clean the environment of clutter.

Answer:  D

Explanation:

1. A) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.
2. B) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.
3. C) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.
4. D) Keeping the environment tidy and free of clutter will go a long way in preventing falls. The call button should always be within reach of the client, but is not the best way to prevent falls. Electrical cords should be used only if necessary, and the maintenance department can help if any of them present a hazard. Reading label directions will prevent the wrong use of substances given to the client but would not directly prevent falls.

Page Ref: 2703-2704

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  3. Describe nursing interventions to reduce the client’s risk of injury.

3) A client in the intensive care unit is combative and pulling at the endotracheal tube, which must remain in place. After applying soft hand restraints to protect the client’s airway, which action should the nurse take next?

1. A) Notify the physician.
2. B) Notify the family of the need for restraints.
3. C) Reassess the need for the restraints in 8 hours.
4. D) Document the application of restraints in the chart.

Answer:  A

Explanation:

1. A) According to the law, the physician must see the client and write an order within 1 hour of application of restraints. The nurse would apply the restraints to protect the airway and then immediately notify the physician. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the physician. Most agencies require reassessment of need every 1-2 hours.
2. B) According to the law, the physician must see the client and write an order within 1 hour of application of restraints. The nurse would apply the restraints to protect the airway and then immediately notify the physician. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the physician. Most agencies require reassessment of need every 1-2 hours.
3. C) According to the law, the physician must see the client and write an order within 1 hour of application of restraints. The nurse would apply the restraints to protect the airway and then immediately notify the physician. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the physician. Most agencies require reassessment of need every 1-2 hours.
4. D) According to the law, the physician must see the client and write an order within 1 hour of application of restraints. The nurse would apply the restraints to protect the airway and then immediately notify the physician. The nurse would notify the family if present, but that is not the legal priority. The nurse would document the use of restraints as soon as possible after notifying the physician. Most agencies require reassessment of need every 1-2 hours.

Page Ref: 2704

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  4. Describe the indications for and legal implications of the use of chemical and physical restraints.

4) A client asks the nurse if the staff members make many mistakes because there are so many posters and signs about safety on the walls. What should the nurse respond to this client?

1. A) “We want the public to know we are trying to be safe.”
2. B) “Clinic staff members require frequent reminders about client safety.”
3. C) “National safety goals focus on the individual making the error.”
4. D) “National safety goals seek prevention of injury.”

Answer:  D

Explanation:

1. A) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.
2. B) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.
3. C) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.
4. D) National Patient Safety Goals are focused on solutions to safety issues and prevention of further injuries. Instead of focusing on the individual who made the error, the goals focus on finding ways to prevent that error from happening again. The staff members should not need to be reminded about safety, as safety should be the culture of health care. Healthcare agencies want the public to know about their safety promotions, but that is not the goal of the program.

Page Ref: 2701

Cognitive Level:  Applying

Client Need:  Safe and Effective Care Environment

Nursing Process:  Implementation

Learning Outcome:  5. Explain the purpose of National Patient Safety Goals.

5) Several nurses are discussing the Joint Commission’s 2013 National Patient Safety Goals during a staff meeting. Which goal improves the effectiveness of communication among caregivers?

1. A) Conduct a verification process to confirm the correct procedure.
2. B) Transmit test results in a timely manner to the appropriate staff member.
3. C) Review a list of look-alike/sound-alike drugs used in the organization.
4. D) Use the client’s room number as an identifier.

Answer:  B

Explanation:

1. A) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client’s room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.
2. B) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client’s room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.
3. C) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client’s room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.
4. D) Transmitting test results in a timely manner to the appropriate staff member improves the effectiveness of communication among caregivers. Using the client’s room number as an identifier is a passive technique that would not improve the accuracy of client identification. Conducting a verification process to confirm that the correct procedure for the correct client is to be performed is a way of improving the accuracy of client identification. Annually reviewing a list of look-alike/sound-alike drugs is done to improve the safety of use of medication in an organization, not to improve effective communication.

Page Ref: 2701

Cognitive Level:  Analyzing

Client Need:  Safe and Effective Care Environment

Nursing Process:  Assessment

Learning Outcome:  5. Explain the purpose of National Patient Safety Goals.