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Advanced Practice Nursing in the Care of Older Adults 2nd Edition Test Bank
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D. The fastest way to deliver a drug to the action site is by inhalation 9. Men have faster and more efficient biotransformation of drugs and this is thought to be due to: A. Less obesity rates than women B. Prostate enlargement C. Testosterone D. Less estrogen than women 10. The cytochrome ...

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  • 16 de mayo de 2024
  • 31
  • 2023/2024
  • Examen
  • Preguntas y respuestas

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IAHSS REA L EXAM 2023 COMPLETED!! GRADED A Schedule I Substance s - ✔✔LSD, Herion, and Methaqulone Schedule II Substances - ✔✔Morphine, Fentanyl, cocaine, methadone, and meperidine (Demerol) Schedule III Substances - ✔✔Anabolic Steroids, Codeine, combinations with Hydrocodone, or Oxycodone (the pain medications OxyCo ntin, Percodan, Vicodin, and Percocet, Tussionex Suspension cough syrup, and paregoric. Schedule IV Substances - ✔✔Darvon, Valium, Xanax, and Phenobarbital. Schedule V Substances - ✔✔Cough medications with codeine, and diarrhea medications, combining dip henoxylate and atropine. Fire Triangle - ✔✔Fuel, Heat, Oxygen Seven Signs of Terrorism - ✔✔1. Surveillance 2. Suspicious questioning, 3. Test of Security, 4. Acquiring supplies and assets, 5. Suspicious people or activity, 6. Dry runs, 7. Deploying asset s and getting into positions. Bomb Threat Plan: Basic Steps - ✔✔1. Take preventive measures, 2. Establish authority -via Incident Command, 3. Gather as much information as possible as the threat is received, 4. Search for the Bomb, 5. Evacuate, as appropri ate, 6. Terminate response, 7. Document and debrief. Three main security preventive measures to deter those who would bring a bomb to your facility - ✔✔1. Control access by locking sensitive areas (e.g. computer rooms, air handlers, boiler rooms, telecommunication areas, and loading docks. 2. Use deterrents such as lighting, fences, cameras, and detection devices. 3. Identify suspicious individuals and their behaviors. Communication Do's and Don'ts during a bomb search - ✔✔1. Do use the existing telephone system or 2. runners, but not with cell phones or two way radios. Don't use Cell phones or two way radios because they can detonate the bomb. Questions on the Telephone Bomb Threat Checklist - ✔✔1. When is the bomb going to explode? 2. Where is the bomb? 3. What does it look like? 4. What kind of bomb is it ? 5. What will cause it to explode? 6. Why was the bomb placed? 7. Where are you calling from? 8. What is your name? 9. What is your address? 10. Why are you calling me? 11. Why would you want to hurt innocent people Emergency Operations Plan serves what 3 purposes - ✔✔1. Provides a written plan to guide the facility's respose to the emergency. 2. Outlines the organizational structure for managing the response. 3. Outlines how the organization will deal with 6 critical areas identified by the Joint Commiss ion. Emergency Plan's 6 critical areas. - ✔✔1. Communications 2. Resources and assets 3. security and safety 4. staff 5. Utilities 6. Patient Care The Joint Commission requirements on exercises to the emergency plan - ✔✔1. At least 2 exercises must be co mpleted a year. 2. One exercise per year must provide for an influx of simulated patients. 3. One excercise per year must be participation in a community -wide exercise. 4. One exercise per year must be an escalating event in which the community is not able to support the healthcare facility. 5. An actual emergency response may be substitued for an exercise. Common Causes and Effects of Civil Disturbances - ✔✔Civil disturbance -also called civil disorder or civil unrest -is a general term used by law enforcem ent to describe disturbances of a group. Freedom of Assembly - ✔✔Freedom of assembly is the individual right to come together with other individuals to collectively express, promote, pursue, and defend common interests. Civil Disorder - ✔✔Civil Disorder is a public disturbance by three or more people involving acts of violence that cause immediate danger, damage, or injury to others or their property. Security's Role during Civil Disturbance - ✔✔1. To protect the perimeter of the facility. 2. To ensure c lear access for emergency vehicles, employees, patients, visitors , and deliveries. Response Plan - ✔✔Needed to effectively manage and minimize the potential for negative outcomes and developing the framework needed to respond to a civil disturbance. Key Assumptions to Address in the Written Response Plan - ✔✔1. Disturbances will adversely effect facility operations. 2. Access to the facility will affected: patients and employees will have difficulty reaching the facility; delivery of supplies will be dif ficult. 3. Response by the police and fire to the facility may be delayed and will likely be under -
resourced at first. 4. Availability or adequate staffing may be affected. 5. Facility -wide lockdown with restricted access will be implemented. 6. Media will be present and may need to be controlled and managed in a separate location. 7. Planning and coordination will be an ongoing activity based on the changing nature of the incident. 8. Coordination with local agencies will occur, including law enforcement a nd public safety agencies. Security Management Plan - ✔✔This plan typically outlines the hospital's response to civil disturbances and references the full response plan within the Emergency Operation Plan (EOP) Strategies to Reduce Risk - ✔✔1. Access Con trol, 2. Presenting Identification, 3. Inspections, 4. Protecting Security -Sensitive Areas. 5. Adequate Security Staffing. OSHA's strategies to prevent workplace violence - ✔✔Policy; Commitment; Patient History; Training; Employee Participation; Reporting ; Alert System; Plan; Law enforcement Participation; Protection; Counseling; Legal Actions. Risk Identifying for workplace violence - ✔✔Particular departments; Activities; Workstations; and Time of Day Measurable Indicators for workplace violence - ✔✔Prior Incidents; Employee Surveys; Independent Reviewers. Facilitating De -escalation in regards to workplace violence - ✔✔Listening, empathy, and collaboration. Some Facts on WPV's - ✔✔Workplace violence a ffects an estimated 1.7 million US employees directly and millions more indirectly each year. Forty eight percent of all non -fatal assaults and violent acts in US workplaces occur in healthcare settings. The overall injury rate for nursing or personal ca re workers is 25 per 10,000 full time employees. This rate is much higher than that of all private -sector injuries, which is only 2 per 10,000 full time employees. Forty -three percent of healthcare establishments report having employees affected by workp lace violence. Preventing Workplace Violence - ✔✔Policy, Commitment, Patient History, Training, Employee Participation, Reporting, Alert System, Plan, Law Enforcement, Protection, Counseling, Legal Actions. WPV Measurable Indicators - ✔✔Prior Incidents, Employee Surveys, and Independent Reviewers. WPV program has two key goals - ✔✔1. Communicate the philosophy of the origination in dealing with workplace violence 2. Prepare healthcare workers to respond safely. Who should receive WPV training - ✔✔All st aff should receive basic training on wpv prevention and procedures to follow when a WPV has occurred. Benefits of WPV Prevention Program - ✔✔More serious forms of violence will be less likely to occur Expensive and embarrassing incidents may be avoided A safer and more motivated workforce will emerge. Hostage Situations - ✔✔Hostage situations occur when one or more people are held against their will, with release contingent upon certain demands being satisfied. Two main hostage situations - ✔✔1. Pre -meditated, 2. Reactionary. Pre-meditated hostage situation - ✔✔An individual or group develops and implements a specific plan. They wish to use hostages to promote a cause or elicit another response result, such as t o obtain money or some degree of notoriety. Reactionary hostage situation - ✔✔Reactionary hostage situations are generally not engineered with great detail. Rather, they are a response of desperation. A reactionary hostage situation can occur in response to an unsuccessful crime attempt. The hostage taker believes that taking a hostage will ultimately result in a more favorable outcome. High risk Areas for hostage taking - ✔✔Obstetrics, Emergency Department, Pharmacy, and Administration. Felonies - ✔✔These are usually punishable by death, imprisonment for more than one year, and or a fine. Misdemeanors - ✔✔These crimes are usually punishable by imprisonment for more than less than one year and or a fine. Violations (Infractions) - ✔✔These are usually mi nor illegal acts punishable by fine. A violation, depending on the jurisdiction, may or may not be. considered a crime. Sworn Officers - ✔✔Those recognized by the state as law enforcement officials, having the same legal authority as any police officer in the state. Non-Sworn Officers - ✔✔Those not granted law enforcement powers, in criminal matters, these officers generally have the same authority as a regular citizen of the state. Probable Cause - ✔✔Probable cause is the constitutional foundation or ca use for most arrests and searches and seizures. Arrest - ✔✔As it relates to an arrest probable cause exists when there is sufficient evidence for a reasonable person to believe that a crime has been, or is being committed by the suspect.

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