NUR 352 Exam 2 Fall 2022 Spann ASU
Questions With Verified Answers
Describe nurse responsibilities for patient safety - ANSWER -Use risk
assessment tools
-Encourage clients to speak up
-Create a culture of checks and balances
-Communicate risk factors and plans of care to patients, family, and other
staff
-Use protocols for responding to dangerous situations
-Adopt quality care priorities
-Know the facility's disaster plan
-Use current evidence to promote a culture of safety
-Identify and document incidents and responses according to facility's
policy
-Know the location of safety data sheets and hazardous chemicals in the
environment
-Use equipment only after adequate instruction and safety inspection
-Correct delegation
When is it okay to delegate? - ANSWER -patient is stable
-task is within worker's job description
-you're able to teach and supervise
-and you've planned how to monitor
When is it not okay to delegate? - ANSWER -thinking, complex
assessment, and judgment are required
-there is an unpredictable outcome
-increased risk of harm
-creativity and problem solving are required
What are the steps of delegation? - ANSWER (1) assess and plan, (2)
communicate, (3) ensure surveillance and supervision, (4) evaluate and
give feedback
,What are the 5 rights of delegation? - ANSWER task, situation, worker,
direction & communication, and teaching, supervision, & evaluation
What is a sentinel event? - ANSWER A critical unexpected adverse event
that caused severe physical harm to a patient including death and
dismemberment, permanent injury, or severe, temporary injury
What is another name for a serious reportable event (SRE)? - ANSWER
"Never event"
Examples of an SRE - ANSWER -surgery on wrong body part
-infant discharged to wrong person
-foreign object left in patients after surgery
-stage 3 and 4 pressure ulcers
-death associated with fall
What has to be true in order for an event to be considered an SRE? -
ANSWER to be classified as "never event" is has to be usually preventable,
unambiguous (clearly identifiable and measurable), serious, and adverse,
indicative of a problem in a healthcare facility safety systems, and/or
important for public credibility or accountability
What populations are at risk for falls? - ANSWER Adults over 60 y/o,
infants, clients receiving opioids, clients with seizure conditions, etc.
What situations would cause the need to place a patient on a fall risk? -
ANSWER Recent fall, recent surgery, development of disabling condition
(i.e. dementia), visual impairment, unsteady gait
Describe some nursing interventions for fall risks - ANSWER -Hourly
rounding
-frequent fall/safety risk assessments
-home hazard assessment
-ensure bed is in lowest position
-appointment of fall safety champions
-movement alarms
-physical/virtual sitter monitoring
-provide cognitive/physical activities for client
-non-skid footwear
, -lock wheels of bed
-clutter free environment
-adequate lighting
-call light/belongings in reach
-fall prevention education
-restraints
Describe risk factors for any population involving fall risks (physical,
cognitive, environmental, etc.) - ANSWER Physical disorders: stroke,
amputation, recent surgery, MS, visual impairment, chronic pain,
malnutrition, weakness, unsteady gait
Cognitive: sleep disorders, impulsiveness, disorientation, depression
Environmental: room clutter, poor lighting, slippery floors
Other: certain medications with strong correlation with falls
(antidepressants, antihypertensives, opioids), staffing levels on unit,
bathroom frequency
Describe physical restraints - ANSWER appropriate only for a short term
situation or procedure, uses physical strength to restrain (ex. swaddle wrap
for insertion of IV in pediatric client)
Describe mechanical restraints - ANSWER physical device applied such as
straps, mittens, jackets, vests, belts, fabric around wrist or ankles typically
tied to bed frame using quick release knot
Describe chemical restraints - ANSWER administration of medications to
reduce client movement/behavior (ex. benzos)
Describe barrier restraints - ANSWER limit movement within a setting (ex.
bed enclosures, concave mattresses, lapboards, cribs for pediatrics)
Describe seclusion - ANSWER environmental restraint involving placement
of client alone in a securely locked room without their consent, typically
used for clients who are very combative and pose a risk to other clients and
staff
Questions With Verified Answers
Describe nurse responsibilities for patient safety - ANSWER -Use risk
assessment tools
-Encourage clients to speak up
-Create a culture of checks and balances
-Communicate risk factors and plans of care to patients, family, and other
staff
-Use protocols for responding to dangerous situations
-Adopt quality care priorities
-Know the facility's disaster plan
-Use current evidence to promote a culture of safety
-Identify and document incidents and responses according to facility's
policy
-Know the location of safety data sheets and hazardous chemicals in the
environment
-Use equipment only after adequate instruction and safety inspection
-Correct delegation
When is it okay to delegate? - ANSWER -patient is stable
-task is within worker's job description
-you're able to teach and supervise
-and you've planned how to monitor
When is it not okay to delegate? - ANSWER -thinking, complex
assessment, and judgment are required
-there is an unpredictable outcome
-increased risk of harm
-creativity and problem solving are required
What are the steps of delegation? - ANSWER (1) assess and plan, (2)
communicate, (3) ensure surveillance and supervision, (4) evaluate and
give feedback
,What are the 5 rights of delegation? - ANSWER task, situation, worker,
direction & communication, and teaching, supervision, & evaluation
What is a sentinel event? - ANSWER A critical unexpected adverse event
that caused severe physical harm to a patient including death and
dismemberment, permanent injury, or severe, temporary injury
What is another name for a serious reportable event (SRE)? - ANSWER
"Never event"
Examples of an SRE - ANSWER -surgery on wrong body part
-infant discharged to wrong person
-foreign object left in patients after surgery
-stage 3 and 4 pressure ulcers
-death associated with fall
What has to be true in order for an event to be considered an SRE? -
ANSWER to be classified as "never event" is has to be usually preventable,
unambiguous (clearly identifiable and measurable), serious, and adverse,
indicative of a problem in a healthcare facility safety systems, and/or
important for public credibility or accountability
What populations are at risk for falls? - ANSWER Adults over 60 y/o,
infants, clients receiving opioids, clients with seizure conditions, etc.
What situations would cause the need to place a patient on a fall risk? -
ANSWER Recent fall, recent surgery, development of disabling condition
(i.e. dementia), visual impairment, unsteady gait
Describe some nursing interventions for fall risks - ANSWER -Hourly
rounding
-frequent fall/safety risk assessments
-home hazard assessment
-ensure bed is in lowest position
-appointment of fall safety champions
-movement alarms
-physical/virtual sitter monitoring
-provide cognitive/physical activities for client
-non-skid footwear
, -lock wheels of bed
-clutter free environment
-adequate lighting
-call light/belongings in reach
-fall prevention education
-restraints
Describe risk factors for any population involving fall risks (physical,
cognitive, environmental, etc.) - ANSWER Physical disorders: stroke,
amputation, recent surgery, MS, visual impairment, chronic pain,
malnutrition, weakness, unsteady gait
Cognitive: sleep disorders, impulsiveness, disorientation, depression
Environmental: room clutter, poor lighting, slippery floors
Other: certain medications with strong correlation with falls
(antidepressants, antihypertensives, opioids), staffing levels on unit,
bathroom frequency
Describe physical restraints - ANSWER appropriate only for a short term
situation or procedure, uses physical strength to restrain (ex. swaddle wrap
for insertion of IV in pediatric client)
Describe mechanical restraints - ANSWER physical device applied such as
straps, mittens, jackets, vests, belts, fabric around wrist or ankles typically
tied to bed frame using quick release knot
Describe chemical restraints - ANSWER administration of medications to
reduce client movement/behavior (ex. benzos)
Describe barrier restraints - ANSWER limit movement within a setting (ex.
bed enclosures, concave mattresses, lapboards, cribs for pediatrics)
Describe seclusion - ANSWER environmental restraint involving placement
of client alone in a securely locked room without their consent, typically
used for clients who are very combative and pose a risk to other clients and
staff
