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Nur 321 Patient safety
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Nur 321 Patient safety
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Nur 321 Patient safetyA generalized tonic-clonic, or grand mal, seizure lasts - ANS-lasts approximately 2
minutes (no longer than 5) and is characterized by a cry and loss of consciousness with
falling, tonicity, clonicity, and incontinence.
A health care provider or family caregiver who becomes exposed to a chemotherapeutic
agent, especially one in liquid form, has an increased risk for - ANS-leukemia, other
cancers, and adverse reproductive outcomes and chromosomal damage
A nurse assessment on a patient's risk for injury should include - ANS-1) the patient's
own perceptions of his or her risk factors,
2) the patient's concerns about being in a health care setting,
3) the patient's knowledge of how to adapt to safety risks, and (4) information about a
patient's previous experience with accidents
A patients environment includes: - ANS-physical and psychosocial factors that influence
or affect the life and survival of that patient.
A person in the community who is experiencing a seizure needs immediate medial
attentions if - ANS-medical attention if he or she has repeated seizures, if a seizure
lasts 5 minutes or longer, if one seizure occurs right after another without the person
regaining consciousness between seizures, if seizures occur closer together than usual
for that person, if breathing is difficult or the person appears to be choking, if the seizure
occurs in water, or if an injury is suspected
A physical restraint is a way of - ANS-purposely limiting or obstructing the freedom of a
person's bodily movement and can be seen as a significant threat by anyone who
comes from a culture of violence.
A restraint does not include: - ANS-devices such as orthopedically prescribed devices,
protective helmets, or methods that involve physically holding a patient to conduct an
examination or test, protecting a patient from falling out of bed or permitting a patient to
participate in activities without risk of physical harm
,Acutely ill patients representing the earliest cases after a covert attack seek care in
_____________________. Patients less ill at the onset of an illness possibly seek care
in ___________________. - ANS-Emergency department
Primary care settings
Adherence to childhood vaccinations is a problem for what type of population -
ANS-Vulnerable population.
Particularly black children were less likely to be fully vaccinated than white or Hispanic
children and children in families with incomes below the poverty level were less likely
than those I n families with incomes at or above the poverty level to receive the
combined series vaccination
Adults require regular vaccinations depending on what? - ANS-age, job, lifestyle, travel,
or health conditions
Adults who develop dementia often suffer from what? - ANS-wandering.
After a restrain is applied, monitor a patient closely. Every _______ for a violent patient
and every ______ for a nonviolent patient? - ANS-After a restraint is applied, monitor a
patient closely (i.e., every 15 minutes for a violent patient and every 2 hours for a
nonviolent patient).
an assessment with a safety focus should include - ANS-a patient's cognitive status,
gait,
lower-body muscle strength and coordination,
balance, and visual status.
An example of a wheelchair characteristic that increases risk for falls is - ANS-having
smaller and harder front wheels that cause a chair to tip when striking uneven terrain
(such as an uneven floor surface moving into an elevator). Tripping over the front foot or
leg rest and leaning over the back of a wheelchair to engage or disengage the wheel
lock are common causes of injury.
Are most infections associated with biological agents transmissible from patient to
patient? - ANS-NO. Most infections associated with biological agents are not
transmissible from patient to patient.
, Assessment tools are available for nurses to predict patients who are likely to act
violently (see agency procedure). If you face a violent situation, use the following tips for
reducing violence - ANS-1. Be nonjudgmental and empathic of the patient's feelings.
• Whatever the patient's problem is, it can be highly important to him or her.
2. Respect personal space.
• Stand 1.5 to 3 feet away from a patient who is escalating. This helps reduce a patient's
anxiety and can help you prevent acting-out behavior.
• If you must enter personal space to provide care, first explain what you are doing and
why.
3. Use nonthreatening nonverbal communication.
• As a patient loses control, he or she does not listen to what you have to say. Instead
the patient reacts to your nonverbal communication (see Chapter 24).
• Keep your voice tone, facial expressions, and movements neutral.
4. Do not overreact.
• Stay calm, rational, and professional. Use positive thoughts, such as "I can manage
this."
5. Focus on feelings.
• Some people cannot identify how they really feel in a situation. Watch and listen
carefully for the patient's real message.
6. Redirect or refocus any challenging questions, such as "Why does it always take so
long for the doctor to see me?" or "Who's going to make me go to that test?"
• Restate your request or directive; do not ignore the patient.
• Bring the discussion back to how you can work together.
7. Set limits.
• If patients become belligerent, defensive, or disruptive, give them clear, simple,
enforceable limits.
• Speak clearly, and offer a positive choice first.
8. Choose wisely what you insist on.
• Be thoughtful in deciding which rules are negotiable and which are not. For example, if
a patient is unwilling to walk at a given time, can you let the patient choose a better
time?
• When patients have options and flexibility, you may avoid an altercation.
9. Allow silence for reflection.
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