N3632 Exam 1 Latest Questions And
Answers
FACTORS AFFECTING SAFETY - ANS developmental level
lifestyle
mobility
sensory perception
knowledge level
communication ability
physical health state
psychosocial state
developmental level
(consideration) safety - ANS Each level is different
Conception- adulthood
(pregnant women on drugs)
Several risks of injury at each age group
Education to prevent these hazard are imperative
nursing assessment plays a vital role in identifying risky environment
Lifestyle safety - ANS occupation
social behavior
occupation - ANS People who work in certain _______________ may experience
exposure to health hazards, such as excessive noise, pollution, toxic chemicals or vapors, or
infectious agents.
Certain _____________ are also associated with increased risks of specific injuries
(nurses=needlestick injuries)
social behavior - ANS Some people by nature are more inclined to take risks and place
themselves at jeopardy for injury.
(not wearing helmets, stress leads to drug use)
environment safety - ANS Crime, Violence, acts of aggression, and terrorism are
components of 21st-century life. Security measures such as locks, security systems, and
exterior lighting can promote safety.
,nurses must be aware of risk
mobility - ANS Any limitation in _________ is potentially unsafe. An older patient with an
unsteady gait is more prone to falling. Furthermore, if the patient is in an unfamiliar setting, such
as a health care facility, the problem may be aggravated.
Canes, walkers, wheel chairs
sensory perception - ANS Any impairment in sight, hearing, smell, taste, or touch can
reduce a person's sensitivity to the environment
(people who are blind are at risk for falling, deaf people may not hear alarms, pt who cant smell
wont detect gas leak)
knowledge - ANS An awareness of safety and security precautions is crucial for promoting
and maintaining wellness throughout the lifespan
(managing new equipment)
nurse teaching about safety are CRUCIAL
ability to communicate - ANS The nurse must assess any factor that influences the
patient's ability to receive and send messages. Fatigue, stress, medication, aphasia, and
language barriers are examples of factors that can affect personal communication and prevent
the patient from accurately perceiving events
physical health state - ANS Anything that affects the patient's health state potentially can
affect the safety of the environment. When a person is chronically ill or in a weakened state, the
focus of health care includes preventing accidents as well as promoting wellness and restoring
the person to a healthy state
psychosocial health state - ANS Stressful situations tend to narrow a person's attention
span and make the individual more prone to accidents.
(Depression may result in confusion and disorientation, accompanied by reduced awareness or
concern about environmental hazards)
the person, the environment, and specific risk factors. - ANS When performing a safety
assessment, the nurse focuses on three categories:
nursing history safety - ANS Be alert to any history of falls or accidents, because a person
with a history of falling is likely to fall again. Note any assistive devices that the patient uses
(e.g., a cane or walker). Be alert to any history of drug or alcohol abuse
Support from family?
,physical exam safety - ANS Assess the patient's mobility status, ability to communicate,
level of awareness or orientation, and sensory perception in the physical examination. Early
identification of any potential safety hazards is essential. Recognize any manifestations that
suggest domestic violence or neglect
Assessment of the environment - ANS requires the same attention to safety. Risks in the
home, community, and health care agency may cause injury.
Environmental safety hazards can result in falls, fires, poisoning, suffocation, and accidents
involving motor vehicles, equipment, and procedures
falls - ANS Occur at any age
Most common reason for admission in older adult
Fnquiring about, and inspecting for, factors that contribute to falls and an understanding of the
types of or reasons for falls.
accidental fall - ANS clutter or a spill cause a person to trip
anticipated psychological fall - ANS a direct consequence of gait imbalances, effects of
medication, or dementia
unanticipated psychological fall - ANS caused by unknown or unexpected medical issues
such as a stroke or seizure
intentional fall - ANS occur when patients act out behaviorally with intent to fall
high risk for fall - ANS Age older than 65 years
Documented history of falls
Impaired vision or sense of balance
Altered gait or posture
A medication regimen that includes diuretics, tranquilizers, sedatives, hypnotics, or analgesics
Postural hypotension
Slowed reaction time
Confusion or disorientation
Impaired mobility
Weakness and physical frailty
Unfamiliar environment
fires - ANS 85 % occur in the home
Smoking
The risk for home ______ can be determined by assessing the knowledge of family members
and the presence of functioning smoke detectors. More than one-third of home fire deaths occur
in a home without a smoke detector
, ask about how they heat their house
Nurses must be aware of fire policies
poisoning - ANS Factors that put children most at risk for exposure to toxic substances
include unsafe storage in the home, spending time in environments other than the home, lack of
attention on the part of the caregiver, the rise in multigenerational families that give children an
opportunity to access grandparents' medications, and the presence of multiple pharmaceuticals
and vitamins and dietary supplements in the home
teens- experimenting with drugs "huffing"
older adults- overdose on medication because they were confused
household-gas, oil, and kerosene heaters CO
poison control - ANS agency that handles poison exposure and provides poison prevention
teaching to the general population
SUFFOCATION AND CHOKING - ANS stoppage of breathing or the lack of air reaching
the lungs; synonym for suffocation
incidence greater in children
drowning, chocking, gas or smoke poisoning
fire arm injuries - ANS Some people believe that keeping a gun in the home provides
protection for family and property. However, when a gun is available it is more likely that the
owner or a family member, rather than an intruder, will suffer a fatal injury
Gun in home is a risk factor
The intent is to inform families about the risks of firearm injury and discuss appropriate safety
measures
diagnosis safety examples - ANS Risk for Injury related to lack of awareness of
environmental hazards; visual or auditory sensory deficits; history of falling; unsteady gait;
substance abuse; refusal to use seat belt or child safety seat; effects of medication; age greater
than 65 years; generalized weakness; biological, chemical, or nuclear exposure
Risk for Poisoning related to impaired vision; medications stored in unlocked medicine cabinet
that is accessible to a child; presence of poisonous plants; excess alcohol intake; use of illicit
drugs; knowledge deficit; chemical contamination of food and water
Risk for Suffocation related to a plastic bag that is accessible to a young child; child left
unattended in bathtub; smoking in bed; placing an infant prone in a water bed; lack of safety
precautions (door left on discarded refrigerator); unfamiliarity with fire prevention guidelines;
household gas leaks
