N3632 Exam 1
N3632 Exam 1 Study Guide Questions
and Answers UPDATED 2024
FACTORS AFFECTING SAFETY - developmental level
lifestyle
mobility
sensory perception
knowledge level
communication ability
physical health state
psychosocial state
developmental level
(consideration) safety - 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 - occupation
social behavior
occupation - 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 - Some people by nature are more inclined to take risks and place
themselves at jeopardy for injury.
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(not wearing helmets, stress leads to drug use)
environment safety - 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 - 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 - 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 - 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 - 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 - 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 - Stressful situations tend to narrow a person's attention span
and make the individual more prone to accidents.
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(Depression may result in confusion and disorientation, accompanied by reduced
awareness or concern about environmental hazards)
the person, the environment, and specific risk factors. - When performing a safety
assessment, the nurse focuses on three categories:
nursing history safety - 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 - 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 - 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 - 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 - clutter or a spill cause a person to trip
anticipated psychological fall - a direct consequence of gait imbalances, effects of
medication, or dementia
unanticipated psychological fall - caused by unknown or unexpected medical issues such
as a stroke or seizure
intentional fall - occur when patients act out behaviorally with intent to fall
high risk for fall - Age older than 65 years
Documented history of falls
Impaired vision or sense of balance
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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 - 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 - 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 - agency that handles poison exposure and provides poison prevention
teaching to the general population
SUFFOCATION AND CHOKING - stoppage of breathing or the lack of air reaching the
lungs; synonym for suffocation
incidence greater in children
drowning, chocking, gas or smoke poisoning
N3632 Exam 1
