N3632 Exam 1
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)
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.
(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
