Chapter 8
What does it mean when a message is incongruent?
It means that behaviors do not match the message being sent.
According to Florence Nightingale, what factors affect the environment?
Temperature
Ventilation
Humidity
Lighting
Odor Control
Noise Control
What does RACE mean with regard to fires?
Rescue any patients
Activate the fire alarm
Contain the fire
Extinguish if possible
What is a substance that, when ingested, inhaled, absorbed, applied, injected, or developed within the body, may cause functional or structural disturbances?
A poison
When are protective devices used?
As a last resort
What does it mean to "offer self"?
To tell the patient, "I'm here to listen."
What does the SAFER Acronym stand for with regard to avoiding alarm fatigue?
Staff education
Attach bed alarm to call light system
Frequently reefvaluate need
Educate patient and family
Round on patients regularly
What is a biologic agent, chemical, or condition (such as unsecured laboratory procedures) that can be harmful to a person's health?
A biohazard
Even in an emergency room, what does the nurse do to find the antidote to a poison?
Call Poison Control
What is the most common cause of noise pollution in a facility?
The people
What should be considered when using therapeutic touch?
The patient's cultural and personal feelings about being touched by a stranger.
Why is smoking never allowed with oxygen in use?
It could spark a fire
Name some biologic agents that can be spread through bioterrorism.
Anthrax
Botulism
Plague
Small pox
What are the principles related to the use of protective devices?
Must help patient or be needed for continuation of therapy
Use least amount
Obtain written order
Apply snugly but not tightly
Remove and change their position every 2 hours along with passive ROM
Nursing care that uses the best research evidence coupled with the clinical expertise of the clinician, considering the values of the patient.
Evidence-based practice
When communicating with older adults, what must the nurse do?
Try not to speak too quickly
Allow more time for the person to process
Face the person so they can read lips
Be certain hearing aid is on if they wear one
Position yourself on the side with better hearing
Touch patient's arm of shoulder to get their attention
What type of fire extinguisher is for an electrical fire?
Type C
Bioterrorism
How do you know a device is not too tightly applied to the patient?
You should be able to fit your index and middle fingers between the patient and the device
How does the practical nurse provide direct patient care?
Under the direct supervision of an RN, advanced practice RN, physician assistant, physician, dentist, or podiatrist.
What does giving advice to a patient do?
Places the focus on the nurse rather than the patient.
What does the acronym PASS mean with regard to fire extinguisher use?
Pull the pin
Aim at the base of the fire
Squeeze the trigger
Sweep side to side
What can occur if a person has been exposed to a high dose of radiation over a short period of time?
Acute radiation sickness (ARS)
What is the most frequent cause of injury for the older adult patient in an acute care facility?
Falls
The educational ladder in nursing progresses from the nursing assistant to the advanced practice nurse. TRUE or FALSE?
TRUE