NURS 3632 University Of Texas - Arlington -N3632 - Exam
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FACTORS AFFECTING SAFETY - correct answer developmental level
lifestyle
mobility
sensory perception
knowledge level
communication ability
physical health state
psychosocial state
developmental level
(consideration) safety - correct answer 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 - correct answer occupation
social behavior
occupation - correct answer 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 - correct answer 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)
,NURS 3632 University Of Texas - Arlington -N3632 - Exam
1
environment safety - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer Stressful situations tend to narrow a person's
attention span and make the individual more prone to accidents.
,NURS 3632 University Of Texas - Arlington -N3632 - Exam
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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. - correct answer When performing a
safety assessment, the nurse focuses on three categories:
nursing history safety - correct answer 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 - correct answer 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 - correct answer 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 - correct answer 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 - correct answer clutter or a spill cause a person to trip
anticipated psychological fall - correct answer a direct consequence of gait imbalances, effects
of medication, or dementia
unanticipated psychological fall - correct answer caused by unknown or unexpected medical
issues such as a stroke or seizure
intentional fall - correct answer occur when patients act out behaviorally with intent to fall
high risk for fall - correct answer Age older than 65 years
Documented history of falls
Impaired vision or sense of balance
, NURS 3632 University Of Texas - Arlington -N3632 - Exam
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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 - correct answer 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 - correct answer 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 - correct answer agency that handles poison exposure and provides poison
prevention teaching to the general population
