Exam (elaborations)
Chapter 25 Safety
- Course
- Fundamentals of Nursing
- Institution
- Oxford College Of Emory University
Exam of 9 pages for the course Fundamentals of Nursing at Oxford College Of Emory University (Chapter 25 Safety)
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DAWITChapter 25: Safety
Yoost & Crawford: Fundamentals of Nursing: Active Learning for Collaborative
Practice, 3RD Edition
MULTIPLE CHOICE
1. The nursing instructor asks the student nurse to identify what Robert Wood Johnson
Foundation funded project that focuses on nurses‘ increased attention to patient safety?
a. OSHA (Occupational Safety and Health Agency)
b. MSDS (material safety data sheets)
c. QSEN (Quality and Safety Education for Nurses)
d. ADA (Americans with Disability Act)
ANS: C
QSEN, or the Quality and Safety Education for Nurses, was funded by the RWJ to focus on
preparing nurses of the future with the knowledge, skills, and attitudes to advance quality and
safety on the job. MSDS are material safety data sheets, OSHA is the Occupational Safety and
Health Agency, and ADA is the Americans with Disability Act.
DIF: Remembering OBJ: 25.1 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care NOT: Concepts: Safety
2. The nurse knows changes in which body system affect overall mobility increasing the
propensity of falling?
a. Neurologic
b. Hepatic
c. Cardiopulmonary NURSINGTB.COM
d. Musculoskeletal
ANS: D
Impairments in the musculoskeletal system can impact mobility through restrictions of range
of motion and strength, increasing the chances of falling. Changes to the neurologic system
can impair cognitive functioning, changes to the hepatic system can affect mental status, and
changes to the cardiopulmonary system can affect activity tolerance.
DIF: Understanding OBJ: 25.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care NOT: Concepts: Safety
3. The nurse is visiting a patient with cardiac disease who has been experiencing increased
episodes of shortness of breath when exercise is attempted. The nurse is concerned that the
patient‘s decrease in activity may lead to which outcome?
a. Orthostatic hypotension
b. Increase risk of heart disease
c. Loss of short-term memory
d. Worsening shortness of breath
ANS: A
NURSINGTB.COM
, DAWIT
Inactivity in patients with cardiopulmonary disease can lead to an unsafe drop in blood
pressure with position changes, or orthostatic hypotension. The patient already has heart
disease. Loss of short-term memory is not related to the shortness of breath. The lack of
activity is not likely to worsen the shortness of breath; improving activity level may help
things eventually.
DIF: Applying OBJ: 25.2 TOP: Assessment
MSC: NCLEX Client Needs Category: Safe and Effective Care NOT: Concepts: Safety
4. The nurse recognizes conversations about safe sexual practices, including the consequences of
unprotected sex such as pregnancy and sexually transmitted infections, are important to begin
in what patient population?
a. Adults
b. School-aged children
c. Adolescents
d. Older adults
ANS: C
Sexual curiosity and experimentation occur in the adolescent patient population.
Conversations about safe sexual practices, including the consequences of unprotected sex,
such as pregnancy and sexually transmitted infections, are important. These conversations are
also important for adults and older adults but are handled differently in context with their
age-related needs. School-aged children may be too young depending on their age and their
environment. The nurse must use judgment on when to have the conversation.
DIF: Understanding OBJ: 25.4 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care NOT: Concepts: Safety
NURSINGTB.COM
5. The nurse manager is developing a training guide and identifies which organization that is the
best for resources to help develop guidelines to prevent exposure to hazardous situations and
decrease the risk of injury in the workplace?
a. OSHA (Occupational Safety and Health Administration)
b. CDC (Centers for Disease Control and Prevention)
c. QSEN (Quality and Safety Education for Nurses)
d. NIOSH (National Institute for Occupational Safety and Health)
ANS: A
Occupational Safety and Health Administration (OSHA) was established in 1970 to provide
employers with guidelines for preventing exposure to hazardous chemicals and hazardous
situations and reducing the risk of injury in the workplace. The CDC is the Centers for
Disease Control and Prevention and provides information to address exposure to infectious
diseases. QSEN, or the Quality and Safety Education for Nurses, was funded by the RWJ to
focus on preparing nurses of the future with the knowledge, skills, and attitudes to advance
quality and safety on the job. NIOSH, or the National Institute for Occupational Safety and
Health, is a federal agency within the CDC that was established to conduct research and
recommend interventions for the prevention of work-related injury and illness.
DIF: Understanding OBJ: 25.7 TOP: Implementation
MSC: NCLEX Client Needs Category: Safe and Effective Care
NOT: Concepts: Health Care Organizations
NURSINGTB.COM
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