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Exam (elaborations)

NUR 222

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Environmental safety Acts NUR 222 Exam Ergonomic hazards for healthcare workers are - Correct Answer-Major safety concerns Put nurses at risk for musculoskeletal injuries OSHA regulates workplace safety ANA has safe patient handling legislation in some states What is the most common musculoskeletal injuries for nurses and how? - Correct Answer-Back injury Due to repetitive tasks Heavy, lifting or moving done manually, because proper body mechanics are no guarantee of safety Any lifting, transferring, positioning, and reaching activities Send position changes like when trying to catch a patient from falling Rooms not being set up ergonomically In adequate staffing for help How to prevent staff injuries such a serious back injuries by - Correct Answer-Assessing a patient ability and dependency so encouraging patient to help with care if able to Describe appropriate assistive devices, needed and use them correctly Keep yourself fit Stretch or perform warm up exercises prior to shift Use ergonomically workstations Report any injuries Violence in the workplace Can be, among who - Correct Answer-Violence is the intentional use of physical force with likelihood of causing injury or death Coworkers patient's family and visitors Dealing with workplace violence - Correct Answer-Recognize the early warning, signs such as verbal and nonverbal Understanding healthcare is a high stress environment When dealing with someone who may be aggressive, avoid stethoscopes, hair down, lanyards, or jewelry that can be grabbed, and Weaponized Monitor your own biases and responses Be aware of your environment, such as what is not changing like exits, furniture, and what does change such as noise levels staffing, delayed care Use de-escalation techniques Report and get help early Evidence-based screening tools that can predict violent behavior De-escalating, agitated, patients and families - Correct Answer-Consider the situation from their point of view Build a relationship or rapport Usernames Find something to agree about Listen and validate Use concise communication Identify wants and needs and me what you can Set limits Document behaviors Inform them Lateral violence - Correct Answer-verbal, emotional, or physically abusive behavior of a registered nurse toward another staff member such as nurse to nurse or manager to manager by making Diggs Lateral violence, and bullying is a - Correct Answer-Systematic mistreatment of an individual by using verbal, nonverbal, sabotage, and isolation Lateral violence is a pattern of - Correct Answer-Recurring behavior A target of lateral violence can experience - Correct Answer-Psychological and physiological signs and symptoms Nurses need to commit to blank when it comes to lateral violence - Correct Answer-Civility in the workplace If you are a target to lateral violence - Correct Answer-Name it so label and validate it Seek respite prioritize, your health, and know legal and employment options Expose the bully by addressing it with your employer Dealing with staffing shortages - Correct Answer-Consider staffing as you make a job choices Be aware, there's a shortage of nurses No, your agency chain of command Stay calm and use assessment skills Ask for help Identify resources Document your concerns and calmly work your way up the chain Mandatory overtime results from - Correct Answer-Poor staffing and shortages No your agency policy Legislation opposed to mandatory overtime as an ANA priority The dangers of mandatory overtime are - Correct Answer-Patient safety risk due to nurse, fatigue and increased errors Nurses are already working 12 hour shifts Nurses file loss of control and negative impact on nonwork life Floating - Correct Answer-Department in patient volumes fluctuate so they need for nurses varies on any unit Economic factors in patient care need to create the need to float No, your agency policy call volunteers or take turns or has the most seniority Ethical and personal considerations Orientation Hospitals try to reduce the impact of this by - Correct Answer-Hiring slope, nurses Emergency preparedness - Correct Answer-ensures a company is ready to respond to an emergency in an organized, timely, and effective manner Public health emergency's - Correct Answer-Chemical and community base preparedness for variety of types and levels of events Types of public health emergency - Correct Answer-Bioterrorism that is chemical, biological, radiological, explosive or nuclear Natural disasters Pandemics Disaster. Nursing: primary public health prevention. - Correct Answer-Nurse emphasizes the principles of preparedness Interventions that occur before the event or disease Disaster nursing secondary public health prevention (response) - Correct Answer-Interventions that occurred during the event or disease Disaster, nursing tertiary, public health prevention (recovery) - Correct Answer-Nurse deals with the sudden loss of individuals in manages the mental health of those affected Interventions that occur after the event or disease, including preventing recurrence Epidemiological aspects of an event response - Correct Answer-Surveillance and monitoring of patients Syndromic surveillance (contact tracing) What are the critical components of surveillance and monitoring of patience during an event response - Correct Answer-Acute identification, in recognition of epidemiological clues that could signal a biological event, such as bioterrorism, and a pandemic Early intervention methods are pursued What seems out of place or not coming to the nurse could be in epidemiological factor of a potential buyer, terrorism attack Disaster triage - Correct Answer-The system of sorting clients according to medical need when resources are unavailable for all the persons to be treated What is the system used in disaster triaging - Correct Answer-SMART system Simple Triage And Rapid Treatment What is the smart system in the disaster triage? - Correct Answer-Most common type of tools used by emergency and field personnel, such as EMS What is another concept of disaster triage that is not a smart system - Correct Answer-Replaces colors with a common terminology Disaster triage, Black - Correct Answer-Victim is dead, transport to morgue Disaster triage red - Correct Answer-immediate stabilization is required within one hour Disaster, triage, yellow - Correct Answer-Delayed tx may be appropriate, monitor closely Stable, but needs assistance Disaster, triage green - Correct Answer-Victims can wait or do not require tx Walking wounded

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