NURSING 212 FINAL EXAM UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
Question:
1. Factors affecting safety
Answer:
lifestyle, mobility, sensory perception, knowledge, ability to communicate, physical health state,
psychosocial health state
Question:
2. lifestyle
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
Question:
3. Mobility
Answer:
unsteady gait, paralysis, unsafe environment, hemiparalysis, using assistive/transfer devices are all risk for
falls
Question:
4. Sensory perception
Answer:
Any impairment in sight, hearing, smell, taste, or touch can reduce sensitivity to your environment
Question:
5. knowledge
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
Question:
6. ability to communicate
Answer:
Think about fatigue, stress, medications, aphasia, language barriers
Question:
7. Physical health state
Answer:
Stroke/cerebral vascular accident (CVA), any severe or chronic illness
,Question:
8. Psychosocial health state
Answer:
Any stressful situation narrows a person's attention span and causes more errors or accidents
Question:
9. Focus of Safety Assessments
Answer:
The individual The environment Specific risk factors (pt's most at risk for certain things)
Question:
10. Nursing History
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
Question:
11. T/F: Among adults older than 65, fires are the leading cause of injury fatality.
Answer:
False, falls are
Question:
12. factors that contribute to falls
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
Question:
13. 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.
Answer:
False, as long as your behavior is right, you cannot be liable
Question:
14. Risk factor Assessments
Answer:
Falls Fires Poisoning Suffocation and choking Firearm injuries
Question:
15. Joint Commission Safety Goals
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
,Question:
16. 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.
Answer:
False, it's not a restraint if the patient requests it
Question:
17. Fire Safety
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
Question:
18. 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
Answer:
D. Evacuate patients and other people to a safe area
Question:
19. Person-Centered Care
Answer:
the nurse or other caregiver uses every clinical encounter to assess how the person is doing and to
communicate respect, compassion, and care
Question:
20. Clinical Reasoning
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.
Question:
21. 10-guided principles for person-centered care
, 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.
Question:
22. Quantitative Research Process
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
Question:
23. Theories of Caring
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. · Each theory is
different and in yet similar in common themes.
Question:
24. Benner (1989) The Helping Role of the Nurse
Answer:
Benner and Wrubel (1989) wrote that caring is a basic way of being in the world, and that caring is central
to human expertise, curing, and healing.
Question:
25. Swanson (1991) Caring Process
Answer:
Swanson (1991) identified five caring processes and defined caring as "a nurturing way of relating to a
valued other toward whom one feels a personal sense of commitment and responsibility"
-knowing, being with, doing for, enabling, and maintaining belief
Question:
26. Watson (2008) Carative Factors
QUESTIONS AND CORRECT ANSWERS
Question:
1. Factors affecting safety
Answer:
lifestyle, mobility, sensory perception, knowledge, ability to communicate, physical health state,
psychosocial health state
Question:
2. lifestyle
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
Question:
3. Mobility
Answer:
unsteady gait, paralysis, unsafe environment, hemiparalysis, using assistive/transfer devices are all risk for
falls
Question:
4. Sensory perception
Answer:
Any impairment in sight, hearing, smell, taste, or touch can reduce sensitivity to your environment
Question:
5. knowledge
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
Question:
6. ability to communicate
Answer:
Think about fatigue, stress, medications, aphasia, language barriers
Question:
7. Physical health state
Answer:
Stroke/cerebral vascular accident (CVA), any severe or chronic illness
,Question:
8. Psychosocial health state
Answer:
Any stressful situation narrows a person's attention span and causes more errors or accidents
Question:
9. Focus of Safety Assessments
Answer:
The individual The environment Specific risk factors (pt's most at risk for certain things)
Question:
10. Nursing History
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
Question:
11. T/F: Among adults older than 65, fires are the leading cause of injury fatality.
Answer:
False, falls are
Question:
12. factors that contribute to falls
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
Question:
13. 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.
Answer:
False, as long as your behavior is right, you cannot be liable
Question:
14. Risk factor Assessments
Answer:
Falls Fires Poisoning Suffocation and choking Firearm injuries
Question:
15. Joint Commission Safety Goals
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
,Question:
16. 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.
Answer:
False, it's not a restraint if the patient requests it
Question:
17. Fire Safety
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
Question:
18. 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
Answer:
D. Evacuate patients and other people to a safe area
Question:
19. Person-Centered Care
Answer:
the nurse or other caregiver uses every clinical encounter to assess how the person is doing and to
communicate respect, compassion, and care
Question:
20. Clinical Reasoning
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.
Question:
21. 10-guided principles for person-centered care
, 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.
Question:
22. Quantitative Research Process
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
Question:
23. Theories of Caring
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. · Each theory is
different and in yet similar in common themes.
Question:
24. Benner (1989) The Helping Role of the Nurse
Answer:
Benner and Wrubel (1989) wrote that caring is a basic way of being in the world, and that caring is central
to human expertise, curing, and healing.
Question:
25. Swanson (1991) Caring Process
Answer:
Swanson (1991) identified five caring processes and defined caring as "a nurturing way of relating to a
valued other toward whom one feels a personal sense of commitment and responsibility"
-knowing, being with, doing for, enabling, and maintaining belief
Question:
26. Watson (2008) Carative Factors
