Nur 212 Final Exam UPDATED
QUESTIONS AND CORRECT ANSWERS
Factors affecting safety - CORRECT ANSWER lifestyle, mobility, sensory perception,
knowledge, ability to communicate, physical health state, psychosocial health state
Lifestyle - CORRECT ANSWER Occupation and social behaviors are often affected by safety
-Sleep deprived nurses make more errors
-Being impaired by alcohol or drugs can make you more apt to make an error
Environment
-Exposure to potentially harmful substances
Mobility - CORRECT ANSWER unsteady gait, paralysis, unsafe environment, hemiparalysis,
using assistive/transfer devices are all risk for falls
Sensory perception - CORRECT ANSWER Any impairment in sight, hearing, smell, taste, or
touch can reduce sensitivity to your environment
Knowledge - CORRECT ANSWER Awareness of safety and security precautions for things
like oxygen or equipment
-No smoking, no petroleum-based lubricants, watch certain fibers that can spark
Ability to communicate - CORRECT ANSWER Think about fatigue, stress, medications,
aphasia, language barriers
Physical health state - CORRECT ANSWER Stroke/cerebral vascular accident (CVA), any
severe or chronic illness
Psychosocial health state - CORRECT ANSWER Any stressful situation narrows a person's
attention span and causes more errors or accidents
Focus of Safety Assessments - CORRECT ANSWER The individual
,The environment
Specific risk factors (pt's most at risk for certain things)
Nursing History - CORRECT ANSWER assess for history of falls or accidents
Note assistive devices
-canes, walkers, crutches
Be alert to history of drug or alcohol/physical abuse
Obtain knowledge of family support systems
T/F: Among adults older than 65, fires are the leading cause of injury fatality. - CORRECT ANSWER
False, falls are
Factors that contribute to falls - CORRECT ANSWER Age >65
History of falls
Impaired vision or balance
Altered gait or posture, impaired mobility
Medication regimen
Postural hypotension
Slowed reaction time; weakness, frailty
Confusion or disorientation
T/F: A nurse whose behavior is reasonable and prudent and similar to the behavior that would be
expected of another nurse in similar circumstances is still likely to be found liable if a patient falls. -
CORRECT ANSWER False, as long as your behavior is right, you cannot be liable
Risk factor Assessments - CORRECT ANSWER Falls
Fires
Poisoning
Suffocation and choking
Firearm injuries
,Joint Commission Safety Goals - CORRECT ANSWER Improve patient identification
-Look at their wristband
Improve communication among caregivers
Improve safety of high-alert medication
Eliminate wrong site, wrong patient, wrong procedure, and wrong surgery
Improve safety using infusion pumps
Improve effectiveness of clinical alarm systems
Reduce risk of healthcare acquired infections
T/F: A side rail is considered a restraint even if the patient asks for it to be raised to assisted in getting
into and out of bed. - CORRECT ANSWER False, it's not a restraint if the patient requests it
Fire Safety - CORRECT ANSWER R - rescue anyone in immediate danger
A - activate the fire code and notify appropriate person
C - confine the fire by closing doors and windows
E - evacuate the patients and other people to safe area
Then use extinguisher
-P - pull the pin
-A - aim
-S - Squeeze
-S - sweep
Which of the following is a priority emphasized in the RACE acronym guide to fire safety?
A. Run to the nearest fire alarm
B. Act in a calm manner to prevent panic
C. Confine the fire by opening doors and windows
D. Evacuate patients and other people to a safe area - CORRECT ANSWER D. Evacuate
patients and other people to a safe area
Person-Centered Care - CORRECT ANSWER the nurse or other caregiver uses every clinical
encounter to assess how the person is doing and to communicate respect, compassion, and care
, Clinical Reasoning - CORRECT ANSWER a specific term usually referring to ways of
thinking about patient care issues for reasoning about other clinical issues
- Critical thinking is fundamental in the process of clinical reasoning. Care can become ritualistic and
depersonalized when nurses fail in clinical reasoning.
10-guided principles for person-centered care - CORRECT ANSWER · All team members are
considered caregivers.
· Care is based on continuous healing relationships.
· Care is customized and reflects patient needs, values, and choices.
· Knowledge and information are freely shared between and among patients, care partners, physicians,
and other caregivers.
· Care is provided in a healing environment of comfort, peace, and support.
· Families and friends of the patient are considered an essential part of the care team.
· Patient safety is a visible priority.
· Transparency is the rule in the care of the patient.
· All caregivers cooperate with one another through a common focus on the best interests and personal
goals of the patient.
· The patient is the source of control for their care.
Quantitative Research Process - CORRECT ANSWER 1. State the research problem
2. Define the purpose of the study
3. Review-related literature
4. Formulate hypothesis and variables
5. Select the research design
6. Select the population and sample
7. Collect the data
8. Analyze the data
9. Communicate findings and conclusions
Theories of Caring - CORRECT ANSWER · See table 13-1. There are many theories of caring
for nursing. Benner, Swanson and Watson are the most acknowledged theories in nursing surrounding
the caring nurse to patient relationship.
QUESTIONS AND CORRECT ANSWERS
Factors affecting safety - CORRECT ANSWER lifestyle, mobility, sensory perception,
knowledge, ability to communicate, physical health state, psychosocial health state
Lifestyle - CORRECT ANSWER Occupation and social behaviors are often affected by safety
-Sleep deprived nurses make more errors
-Being impaired by alcohol or drugs can make you more apt to make an error
Environment
-Exposure to potentially harmful substances
Mobility - CORRECT ANSWER unsteady gait, paralysis, unsafe environment, hemiparalysis,
using assistive/transfer devices are all risk for falls
Sensory perception - CORRECT ANSWER Any impairment in sight, hearing, smell, taste, or
touch can reduce sensitivity to your environment
Knowledge - CORRECT ANSWER Awareness of safety and security precautions for things
like oxygen or equipment
-No smoking, no petroleum-based lubricants, watch certain fibers that can spark
Ability to communicate - CORRECT ANSWER Think about fatigue, stress, medications,
aphasia, language barriers
Physical health state - CORRECT ANSWER Stroke/cerebral vascular accident (CVA), any
severe or chronic illness
Psychosocial health state - CORRECT ANSWER Any stressful situation narrows a person's
attention span and causes more errors or accidents
Focus of Safety Assessments - CORRECT ANSWER The individual
,The environment
Specific risk factors (pt's most at risk for certain things)
Nursing History - CORRECT ANSWER assess for history of falls or accidents
Note assistive devices
-canes, walkers, crutches
Be alert to history of drug or alcohol/physical abuse
Obtain knowledge of family support systems
T/F: Among adults older than 65, fires are the leading cause of injury fatality. - CORRECT ANSWER
False, falls are
Factors that contribute to falls - CORRECT ANSWER Age >65
History of falls
Impaired vision or balance
Altered gait or posture, impaired mobility
Medication regimen
Postural hypotension
Slowed reaction time; weakness, frailty
Confusion or disorientation
T/F: A nurse whose behavior is reasonable and prudent and similar to the behavior that would be
expected of another nurse in similar circumstances is still likely to be found liable if a patient falls. -
CORRECT ANSWER False, as long as your behavior is right, you cannot be liable
Risk factor Assessments - CORRECT ANSWER Falls
Fires
Poisoning
Suffocation and choking
Firearm injuries
,Joint Commission Safety Goals - CORRECT ANSWER Improve patient identification
-Look at their wristband
Improve communication among caregivers
Improve safety of high-alert medication
Eliminate wrong site, wrong patient, wrong procedure, and wrong surgery
Improve safety using infusion pumps
Improve effectiveness of clinical alarm systems
Reduce risk of healthcare acquired infections
T/F: A side rail is considered a restraint even if the patient asks for it to be raised to assisted in getting
into and out of bed. - CORRECT ANSWER False, it's not a restraint if the patient requests it
Fire Safety - CORRECT ANSWER R - rescue anyone in immediate danger
A - activate the fire code and notify appropriate person
C - confine the fire by closing doors and windows
E - evacuate the patients and other people to safe area
Then use extinguisher
-P - pull the pin
-A - aim
-S - Squeeze
-S - sweep
Which of the following is a priority emphasized in the RACE acronym guide to fire safety?
A. Run to the nearest fire alarm
B. Act in a calm manner to prevent panic
C. Confine the fire by opening doors and windows
D. Evacuate patients and other people to a safe area - CORRECT ANSWER D. Evacuate
patients and other people to a safe area
Person-Centered Care - CORRECT ANSWER the nurse or other caregiver uses every clinical
encounter to assess how the person is doing and to communicate respect, compassion, and care
, Clinical Reasoning - CORRECT ANSWER a specific term usually referring to ways of
thinking about patient care issues for reasoning about other clinical issues
- Critical thinking is fundamental in the process of clinical reasoning. Care can become ritualistic and
depersonalized when nurses fail in clinical reasoning.
10-guided principles for person-centered care - CORRECT ANSWER · All team members are
considered caregivers.
· Care is based on continuous healing relationships.
· Care is customized and reflects patient needs, values, and choices.
· Knowledge and information are freely shared between and among patients, care partners, physicians,
and other caregivers.
· Care is provided in a healing environment of comfort, peace, and support.
· Families and friends of the patient are considered an essential part of the care team.
· Patient safety is a visible priority.
· Transparency is the rule in the care of the patient.
· All caregivers cooperate with one another through a common focus on the best interests and personal
goals of the patient.
· The patient is the source of control for their care.
Quantitative Research Process - CORRECT ANSWER 1. State the research problem
2. Define the purpose of the study
3. Review-related literature
4. Formulate hypothesis and variables
5. Select the research design
6. Select the population and sample
7. Collect the data
8. Analyze the data
9. Communicate findings and conclusions
Theories of Caring - CORRECT ANSWER · See table 13-1. There are many theories of caring
for nursing. Benner, Swanson and Watson are the most acknowledged theories in nursing surrounding
the caring nurse to patient relationship.
