Ch7 Test Bank Answers Safety

Chapter 7

Safety

Multiple Choice Questions

1. When restraints are being used

A) treat patients of all ages with respect.

B) untie the restraints every four hours.

C) keep the patient in a sitting position.

D) check the patient every two hours.

2. Which statement about restraints is NOT true?

A) clients may feel as if they are being punished for having done something wrong.

B) restraints are used to prevent patients from accidentally pulling on medical equipment or falling.

C) applying restraints can be done without a physician's order.

D) talk frequently and reassuringly to all patients in restraints.

3. When walking in hallways

A) stay near the middle of the hall.

B) keep to the right.

C) keep to the left.

D) stay close to the walls.

4. Keep the side rails up for which of the following type(s) of patients?

A) all patients

B) patients over 65

C) postoperative patients in recovery room

D) all of the above

5. Which of the following is a major cause of fire?

A) improper waste disposal

B) misuse of electricity

C) smoking and matches

D) all of the above

6. Which of the following states the correct order of response if a fire occurs?

A) contain the fire, extinguish fire, activate alarm, remove patients

B) remove patients, activate alarm, contain fire, extinguish fire

C) activate alarm, confine the fire, remove patients, extinguish fire

D) none of the above

7. All of the following are alternatives to restraints EXCEPT:

A) hand hygiene

B) frequent toileting

C) distraction techniques

D) bed alarm

8. When oxygen is in use, the nursing assistant should

A) maintain the correct level of distilled water in the jar, if a humidifying jar is used.

B) keep the oxygen tubing free of kinks.

C) be observant for lighters, matches, or smoking materials that the patient and/or visitors may have.

D) all of the above

9. You are caring for a patient who is receiving oxygen. Which of the following guidelines should be followed?

A) Place a NO SMOKING sign on the door of the patient's room.

B) Keep the oxygen tubing free of kinks.

C) Monitor any electrical devices in the patient's room

D) all of the above

10. For a patient on oxygen therapy, it is important to check which areas for skin breakdown?

A) the chest

B) the fingers

C) the nostrils

D) all of the above

11. The Personal care provider needs to be aware of special instructions for clients such as:

A) allow weight-bearing during movement

B) keep the head or foot of the bed flat at all times

C) place the client in the left side-lying position

D) take blood pressure measurements from the right arm only

12. Disaster drills help prepare the personal care provider to do the following:

A) evacuate clients safely

B) work independently to provide as safe an environment as possible

C) provide emergency care to everyone

D) ignore where there are gaps or problems in the plan

13. Examples of natural disasters include the following:

A) fires and explosions

B) hurricanes and tornados

C) gas and chemical leaks

D) nuclear power plant explosions

14. A physical restraint is:

A) an alarm that sounds when the client moves or tries to exit

B) a modification to the space around a client

C) a medication used to inhibit a client’s behaviour

D) something which limits a client’s ability to move from one place to another

15. Alternates to restraints include:

A) keeping the client in his room to prevent agitation

B) repositioning the client for comfort

C) avoid involving family members

D) keeping tubes such as catheters and IV’s in for as long as possible

16. Cues that indicate a client’s behaviour may be escalating can include the following:

A) slow breathing

B) ability to understand and follow directions

C) ability to redirect attention

D) still posture

17. Strategies to help de-escalate client behaviour includes:

A) touching the client

B) ensure the client is between yourself and the door

C) decrease background noise

D) allow many family members to speak to the client

18. Compressed gas within the Hazardous Materials Classification include:

A) materials that can cause damage to metals if spilled

B) materials that react on their own or when heated to cause an explosion

C) materials that are under high pressure inside a cylinder

D) materials that are fatal, toxic, or harmful

Information System.

19. The following information must be included on a workplace label:

A) the appropriate responses in various situations

B) product name (matching the Safety Data Sheet product name)

C) a signal word

D) precautionary statements

20. An incident report must be completed:

A) during the incident

B) manually

C) after the incident has been resolved

D) electronically

21. When you encounter a hazard, you should:

A) make a mental note of the hazard

B) clean the substance

C) not worry if the hazard is only a possibility

D) notify your nursing supervisor

True/False Questions

1. Three elements necessary to start a fire are fuel, oxygen, and heat.

2. The major causes of fires in health care institutions include smoking and defects in heating systems, but NOT the misuse of electricity.

3. Restraints may be used whenever you think they are needed.

4. You may use frayed electrical cords after taping the cords.

5. When transferring a patient, wheels should be locked on beds, stretchers, and shower

chairs.

6. A physician's order is needed for restraints to be used.

7. Use type A extinguishers to put out an electrical fire.

8. When using a fire extinguisher, aim high to put out the fire.

9. When using and discharging a fire extinguisher the last step is to sweep the extinguisher from side to side.

10. Alternatives to restraints do NOT need to be tried for clients who are postoperative or confused.

11. It is NOT necessary to fill out an incident report when you find an unsafe patient

situation. Just fix it.

12. Rapid breathing and a stiff posture is a sign of escalating behavior in a patient.

13. Proper documentation is used to protect your rights as a health care worker.

14. When de-escalating a patient situation, always talk to the group in a loud tone of voice.

15. Older adults tend to fall more due to lack of mobility, loss of muscle, and deconditioning.

True LO#1- List general safety measures that should be used in different health-care settings.

16. When working in the community, personal care providers often work with others so safety is not a concern

17. When a disaster occurs or is likely to occur, nurses need to know their community’s or facility’s disaster plan

18. Disaster plans are reviewed annually by health-care employers and practised in drills.

19. If a client is a “night owl”, it is a good idea to allow the client to stay up later.

20. An incident report is part of the client’s chart.

21. The Workplace Hazardous Materials Information System (WHMIS) is Canada’s national system for ensuring that sufficient information is provided by employers to their employees when employees are required to work with materials that have the potential to cause harm.

22. Hazardous materials are classified in two ways. They are identified as being part of either the physical hazards group or the chemical hazards group