Deck 18: Safety, Security, and Emergency Preparedness

Question 1

What generalization can be made about safety in patient care?

A) Healthcare providers exclude safety as a patient need.
B) Although safety is a basic human need, it is provided by self-care.
C) Safety is an important need, but not as important as self-actualization.
D) Safety is a paramount concern underlying all nursing care.

Answer 1

D

Question 2

A nurse making a home visit for a patient living in a high-crime area observes that the apartment building does not have outside lighting. Why is this an important assessment?

A) It will make the patient less able to go to social gatherings.
B) Assessment includes risk factors in the home.
C) Although important, this assessment is irrelevant to care.
D) Nurses in home healthcare are not concerned with safety.

Answer 2

B

Question 3

Which of the following are examples of developmental risk factors? Select all that apply.

A) A toddler is allowed to crawl in a house that has not been childproofed.
B) A machinist works in an environment that exposes him to loud noises.
C) A sales executive worries that he won't make his yearly sales quota.
D) An elderly woman in a long-term healthcare facility is at high risk for falls.
E) A 42-year-old woman is unable to move her left side following a stroke.
F) A teenager has difficulty ambulating following multiple fractures from a MVA.

Answer 3

A, D

Question 4

A confused elderly woman who keeps attempting to remove tubes from her surgical incision is placed in wrist restraints. Which of the following diagnoses would be appropriate for this patient?

A) Risk for Contamination
B) Risk for Trauma
C) Risk for Falls
D) Risk for Disuse Syndrome

Question 5

Which set of terms best describes first-aid care?

A) long-term, chronic illness
B) professional, hospital
C) immediate, temporary
D) skilled, complex

Question 6

A nurse is conducting a prenatal class for expectant parents. What is one topic that should be addressed to promote safety in the developing fetus?

A) alcohol consumption and smoking
B) infant hygiene and feeding
C) the stages of labor with possible complications
D) the role of the father in proper prenatal care

Question 7

A nurse is teaching parents about Internet safety for their children. Which of the following are recommended guidelines for Internet use? Select all that apply.

A) Keep identifying information posted on the Web sites.
B) Use filtering software to block objectionable information.
C) Investigate any public chat rooms used by the children.
D) Emphasize that everything read online is usually true.
E) Be alert for downloaded files with suffixes that indicate images or pictures.
F) Consider locating the computer in a central location in the house.

Question 8

A nurse specializes in caring for victims of domestic violence. Which of the following statements accurately describes domestic violence in the United States? Select all that apply.

A) Studies indicate that each year, more than 2,000,000 adults in the United States are victims of intimate partner violence.
B) Intimate partner violence is domestic violence or battering between two people who are married.
C) More than 85% of those abused in intimate partner violence are women.
D) Many men who batter their spouses also batter their children.
E) There is no evidence linking childhood sexual abuse to adult physical symptoms or substance abuse.
F) Nurses are advised to suggest other resources for the victims of violence instead of providing their own counseling.

Question 9

A nurse has conducted a timed "get up and go" test to assess an older adult's risk for a fall. The patient completes the test in 30 seconds. Based on the finding, what will the nurse do?

A) Continue with the plan of care for this fully mobile patient.
B) Document the time of the test and observe the patient.
C) Develop a care plan for Impaired Physical Mobility.
D) Maintain the patient on bedrest to prevent falling.

Question 10

An elderly woman in a long-term care facility has fallen and sustained several injuries. Which of her injuries would be the most serious fall-related injury?

A) fractured hip
B) fractured ulna
C) lacerated lip
D) thigh contusion

Question 11

The nurse is following the Joint Commission's national patient safety goals when giving medications. Based on these goals, how can the nurse improve the accuracy of patient identification?

A) Use two patient identifiers (neither to be the room number).
B) Use two patient identifiers (one may be the room number).
C) Check the patient's armband three times.
D) Say to the patient "are you Mrs. Jones?"

Question 12

If an individual has smallpox, how would it most likely be spread?

A) fecal-oral route
B) direct contact
C) contaminated items
D) by birds

Question 13

Which of the following is an example of a natural disaster?

A) toxic spill
B) war
C) terrorist event
D) earthquake

Question 14

When should a healthcare facility determine how to deliver care if an emergency or disaster occurs?

A) as soon as the disaster is announced publicly
B) when it is officially informed that a disaster has occurred
C) after the first disaster has been experienced
D) in advance of a possible emergency or disaster