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Safety Module #5: Exam Questions and Answers
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Safety Module #5: Exam Questions and Answers
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Safety Module #5: Exam Questions andAnswers
Discuss factors that affect people's ability to protect themselves from injury - Answer-
Age & development: very young, very old
Lifestyle: unsafe work/home environments, access to firearms/illicit drugs, insufficient
funds
Mobility & health status: alterations such as paralysis, muscle weakness, and
diminished balance
Sensory-perceptual alterations: environmental stimuli
Cognitive awareness: ability to respond appropriately through thought and action
Emotional state: extremes can alter ability to perceive environmental hazards
Ability to communicate: aphasia/language barriers; inability to read
Safety awareness: information crucial to safety; unfamiliar equipment/substances
Environmental safety: home, community, healthcare setting, workplace
Define body mechanics/ergonomics - Answer-Safety techniques to prevent injury to
healthcare staff from lifting/moving/transferring clients or equipment
Discuss ways nurses properly maintains the client's body alignment - Answer-Use
pillows, bath blanket, hand rolls, boots, splints, trochanter rolls, ankle support
devices/aids
Discuss how nurses can reduce the risk of injury and strain on muscles when providing
care for patients - Answer-Balance, posture, & body alignment
Properly lifting, bending, and assisting clients with ADLs:
Bend hips/knees and spread feet apart to lower center of gravity and broaden base of
support; distribute weight between large muscles of arms and legs
Keep head and neck in straight line with pelvis
Use major muscle groups (thighs) & tighten abdominal muscles to increase support to
back muscles
Use of mechanical lift, assistive equipment, & personnel when needed
Discuss how nurses assist with safe transfers and ambulation - Answer-Use of transfer
belt, hydraulic lift, sliding board, mobility aids (canes/walkers/crutches), additional staff
assistance
List measures to protect self and clients from hazardous material incidents - Answer-
Leadership: leaders encourage safety-minded culture and provide adequate resources
Event analysis: root cause analysis used to determine why errors occurred
Communication: open communication encouraged
Reporting: encouraged to allow for system improvements
, Emphasis: emphasis on prevention rather than punishment
Discuss the National Patient Safety Goals (NPSGs) - Answer-*table 32-2
Improve the accuracy of patient identification
Improve effectiveness of communication among caregivers
Improve safety of using medications
Reduce the harm associated with clinical alarm systems
Reduce the risk of healthcare associated infections (HAIs)
Prevent residents from falling
Prevent healthcare associated pressure ulcers (Decubitus Ulcers)
Joint Commission identifies safety risks inherent in its patient population
Discuss the Quality and Safety Education for Nurses guidelines (QSEN) - Answer-
Identify common potential hazards throughout the lifespan - Answer-External
emergencies: severe damage related to hurricanes, floods, volcanoes, earthquakes;
disease epidemics; industrial accidents, chemical plant explosions, building collapse;
major transportation accidents; terrorist acts (biological and chemical warfare)
Internal emergencies: loss of electric power or portable water; hazardous material
incidents; severe damage related to fire, tornado, hurricane, explosion, or terrorist act;
workplace violence
Plan strategies to maintain safety in the health care setting and home including
prevention strategies across the lifespan - Answer-External emergency readiness:
community-wide plans
Internal emergency readiness: safety & hazardous material protocols and infection
control policies/practices
Discuss implementation of seizure precautions - Answer-Ambu bag, oxygen, and
suction apparatus available
Privacy provided as soon as possible
Side rails up and padded
Harmful objects and clutter out of way
Loosened clothing
Bed in lowest position
Pillow under head
Patient in side-lying position (immediately post seizure)
Describe alternatives to restraints - Answer-*Box 32-5*
Assess for pain & treat appropriately
Ask family members/significant others to stay with client
Reduce stimulations
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