N3632 Exam 1| 330 Questions | With Complete Solutions
(Fall scene investigation) FSI Correct Answers A collaborative
effort to examine the scene where the fall occurred and explore
possible causes using a documentation tool that addresses safety
hazards, future prevention strategies, and lessons learned
(root cause analysis) RCA Correct Answers Involves an
investigation of the environment, collection of evidence
regarding the contributing factors that caused the fall, and an
actual drawing of the fall scene that details the patient's location,
the position of the bed, and presence of any assistive devices.
An interdisciplinary team then revisits the incident, looks for
patterns and relationships, and reviews systems and processes
with the goal of identifying patients at risk and system changes
that are needed to ensure that the revised safety plan is effective
***visual communication Correct Answers the use of symbols
to communicate
A pressure ulcer may form in Correct Answers 1-2 hr
ability to communicate Correct Answers 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
accidental fall Correct Answers clutter or a spill cause a person
to trip
,Accountability Correct Answers Willingness to take credit and
blame for ones actions.
Activated charcoal Correct Answers A substance that absorbs
many poisons and prevents them from being absorbed by the
body
adolescent safety Correct Answers Peer influence
Motor vehicle accidents- DUI, DWI
Binge drinking
Alcohol use more common
Distracted driving- talking, texting, eating, self grooming
Nurse+Parents collaboration for teaching
Substance abuse-OTC, prescribed, street drugs
Tobacco
Body Piercing-very risky
Tattoos- viruses and bacteria
Guns- higher than any other age group, high suicide
Internet- offenders reach out to vulnerable adolescents,
cyberbullying
adults Correct Answers Stress-coping, unsafe health habits
(drugs)
Domestic Violence- (IPV) rape, physical/sexual violence,
stalking-- child abuse?
Abuse Assessment Screen - specific protocol
Safety plan (escape)
place to stay
escape route
,person to call
important paperwork
bank account and money
packed bag of clothes
Advocacy in Nursing Practice Correct Answers -
Representaiton of pts "speak up" for pt
-Promoting self determination facilitating a pts individual right
to make a decision
Advocays Correct Answers support of pts health, wellness,
safety, and personal rights including privacy
Aerobic Correct Answers Require oxygen
Aggressive behavior Correct Answers involves asserting one's
rights in a negative manner that violates the rights of others
-can be verbal or physical
-communication is marked by tension and anger inhibiting the
formation of good relationships and collaboration
-characteristics include using an angry tone of voice, making
accusations, and demonstrating belligerence and intolerance
-focus is usually *winning at all costs*
Airborne Precautions Correct Answers -tb, varicella (chicken
pox), rubeola (measles), severe acute resp syndrome (SARS)
-private rm, neg air pressure, door closed
-surg mask on pt w/ transport
-PPE + resp protection (N95)
-negative pressure
, Alcohol-based hand rub (ABHR) Correct Answers -refers to a
60-95% ethanol or isopropyl (types of alcohol)
-1-3 mL for 15 seconds+
-containing preparation designed for application to the hands to
reduce microorganisms
Used:
-before direct contact with pt
-after direct contact with pt
-after contact with body fluids, mucus mem, non-intact skin, and
wound dressings, *if hands are not visibly soiled*
-after removing gloves
-Before inserting a urinary catheter, IV, or invasive devices that
do not require surgical placment
-Before donning sterile gloves before an invasive procedure
-If moving from a contaminated body site to a clean body site
during pt care
-after contact with objects in pts environment
alopecia Correct Answers hair loss or baldness
Alturism Correct Answers concern for the welfare and well-
being of others
-demonstrates understanding of cultures, beliefs, and
perspectives of others
-Advocates for patients, particularly the most vunderable
-Takes risks on behalf of patients and colleagues
-Mentors other professionals
