Healthstream Quiz 2 with complete solutions

T/F Prompt disciplinary action when errors occur is a characteristic that promotes a culture of safety within a health care organization? - Answer- False Which type of human factor is responsible for an error that occurs when a perioperative nurse is experiencing fatigue and/or sleep loss? - Answer- Situational arise when a nurse misinterprets a situation or incorrectly applies a rule ex: a nurse misunterorets test results or fails to respond to a device - Answer- knowledge based error generally occurs when our attention is diverted and we fails to monitor the actions we are performing - Answer- skill-based errors role in medical errors, distraction, fatigue/sleep loss, drugs, juggling multiple activities, stress, boredom, frustration, anxiety, anger - Answer- situational factor True or False: The 3 main factors to consider when assessing the patient for allergies are: prior reaction, age, and type of reaction. - Answer- False age does not have anything to do with it The 3 main factors to consider when assessing the patient for allergies are: - Answer- type heredity Type During the preoperative interview, the nurse should take the following factors into consideration: Select all that apply. - Answer- 1. physiological status 2. body size 3. mobility 4. pre-exisiting health conditions 5. planned duration 6. type of anesthesia 7. envirnonment A psychosocial assessment may include the patient's: define - Answer- Levels of anxiety and stress, spiritual or religious beliefs, and understanding of the surgical procedure True or False: A thorough surgical hand scrub allows the practitioner to minimize glove use because the skin is surgically clean. - Answer- False Which of the following statements about gowning is NOT correct? - Answer- Open your gown to the back table prior to performing your surgical scrub risk contaminating everything Barriers to effective patient and family education in perioperative settings include: - Answer- Fear of the unknown and discomfort or pain discomfort and pain limited time for assessment and teaching You are working the evening shift and are assigned to relieve a surgical technologist for shift relief. You would need: - Answer- A sterile gown and gloves opened on a table (other than the main instrument table) for closed gloving A postoperative phone call is usually made within 24-48 hours for outpatient procedures in order to: - Answer- Ask about patient satisfaction with care, direct future facility performance improvement activities, and note any surgical complications True or False: Automatic intraoperative suspension of a do-not-resuscitate order violates a patient's ethical right to self-determination? - Answer- True The clinical setting highlights the effect of acquired skills on nurses' ability to demonstrate critical thinking and clinical reasoning. These skills include: - Answer- Problem-solving and situational awareness Who is responsible for developing an emergency plan in case of electrical power outage? - Answer- OR Manager Hand washing technique - Answer- 1. Wash hands and forearms with soap and running water. 2. Dispense/open approved antimicrobial scrub agent 3. Clean subungual areas of both hands under running water using nail cleaner 4. Visualize each finger hand and arm as having 4 sides and scrub each area appropriate amount of time 5. Rinse thoroughly using upward motion keeping fingertips pointed upward Transient organisms - Answer- Found on superficial surface of nails, hands, and forearms Open Gloving Technique contaminating sterile gown - Answer- Done when assisted by scrubbed personnel to don sterile gown & gloves Resident organiams - Answer- Found in hair follicles, sweat and sebaceous glands General Hand Hygiene donning sterile attire - Answer- Decontamination of hands for appropriate time using Friction, soap, and water Strike through sterile gown & gloves - Answer- Organisms on wet skin soaking through & contaminating sterile gown Closed Gloving Technique - Answer- Done during initial donning of sterile gown & gloves by self Surgical Hand Antisepsis friction soap, and water - Answer- Antiseptic scrub or hand rub performed prior to donning sterile atti