Healthcare Competencies II Exam Questions with Correct Answers

Types of falls and example- - Answer-Accidental- environmental risk hazard, legit accident Anticipated- We know patient is at risk, impaired ability (eyesight, hearing, walking) Unanticipated- Due to acute changes in patient status, cannot prevent. (stroke, heart attack, seizure, fainting) Patient who are at risk for falls - Answer-Elderly, post op patients, medical condition, etc. How can nurses prevent falls - Answer-Raise awareness, establish prevention teams, develop plan, standardize practice, conduct post fall assessment, continue to reassess patient. What occurs during post fall management? - Answer-debriefing- what happened, how it happened, why, were appropriate interventions in place, how it could have been avoided, changes, then reassess. What is the role of the nurse when a fall occurs? What assessments would the nurse do? - Answer-Get help, assess patient, don't move, can patient be treated at facility, notify HCP & family, fill out incident report, institute fall precautions What is the role of the UAP when a fall occurs - Answer-get help, stay with patient what is a restraint? different types? - Answer-restrict or prevent movement of a patient. Mitt, elbow, soft wrist, belt, vest, side rails what is not considered a restraint? - Answer-prescribed devices, surgical dressing/bandages, protective helmets what are acceptable uses of a restraint? - Answer-reduce risk of falls, prevent interruption of therapy, prevent removal of life support equipment, reduce risk of injury to others What are things the nurse needs to do prior to placing a restraint? - Answer-Alternatives, Knowledge of policies, physician orders, patient/family education What are some alternatives to a restraint? - Answer-activities, take them to the nurses station, supervision, ambulation, alarms