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Exam 1 Review Fall 2023
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If I am failing at Spanish but really put all of my energy into swimming because I am really good at and get people to focus on that.... what defense mechanism am I using to cope with failing in Spanish?
Compensation coping mechanism
What in this picture is making the person have trouble sleeping?
Working from her bed - it is just for sleeping or sex
What should you do if you think you contaminated your hands while removing PPE?
Stop and Hand Hygiene
What is the fall scale that we use in clinical to score our patients, and how often should be it completed?
Morse Fall Scale and Once a shift
What type of mask should you wear if your patient has viral pneumonia?
Standard precautions mask
Should you take off your gloves or your mask first when removing PPE?
Gloves
What is the last piece of PPE that you put on?
Gloves
True or False - All bias are negative
False
What is a nurse doing when they are recognizing cues?
Collecting data such as signs, symptoms, tests, and health history
When would we conduct a root cause analysis?
After an event report for a adverse event or near miss
If a patient has a DVT or PE after an hip replacement, this is known a _______
Never event or HAI
What is the purpose of the QSEN Competencies?
To promote and guide our clinical practice and bridge the gap between the "what is" and "what should be"
When should you turn a patient on the recovery position in a seizure situation?
Immediately after the motor activity stops
Which of the following contaminates your sterile gloves?
 
Touching your glasses
 
Touching the sterile field
 
Keeping your hands above your waist
 
Plucking a syringe from an opened package
Name 3 negative effects/results of workplace stress that is not well managed
Depression, compassion fatigue, burnout, decreased job satisfaction
What is the term for positive stress?
Eustress
What is TAPE for delegation and what does it mean?
You cannot delegate to PCT - Teaching, Assessment, Planning, Evaluation
When a nurse delegates, is she still accountable for the task?
YES
Name the 5 rights of delegation
Right task, Right circumstances, Right person, Right direction/communication, Right Supervision
What would you do if you take a blood pressure and it is 165/82?
Explore if their an unexpected finding for the patient, if not, retake the blood pressure, if still high, notify the provider
How do we know that she is ready to listen?
She is leaning forward
How do we know that these men aren't listening well?
The are talking at the same time
What is this woman doing to show that she is listening?
Turning her eyes and face toward the speaker
You are trying to teach a patient about an important medication they will take at home, but they keep looking at their phone. How do you feel?
annoyed, bothered, angry
Your patient is excited to talk about the good news the provider gave them when they rounded, but you keep interrupting them. How do they feel?
annoyed, they would feel like you don't care about what they are talking about
Which QSEN competency involves a systemic evaluation and change of process in the hospital?
Quality Improvement
Which QSEN competency involves involving the patient and family in planning and care?
Patient Centered Care
What is the correct sequence for donning PPE
Gown, mask, eyewear, gloves
What is the focus of ID patients correctly National Patient Safety Goal?
To ask the patient name and date of birth with every interaction
Name 3 interventions to prevent or reduce the risk of falls
Bed low, grippy socks, assistive devices in reach, call light and possessions in reach, hourly rounding
Who developed the National Patient Safety Goals?
The Joint Commission
True or Falls, you can use restraints to prevent falls
False!
_______________ are used to kill bacteria.
antibiotics
Considered the contaminated portion of PPE.
outside, front
Specialized clothing or equipment worn by an employee for protection against infectious materials.
personal protective equipment (PPE)
This type of precaution may be required for patients who have skin or wound infections which could be transmitted by direct or indirect contact.
contact precautions
This type of precaution may be required for patients who have highly infectious diseases which are spread by a cough or sneeze.
droplet precautions
This type of precaution may be required for patients infected with microorganisms that remain in the air for long periods of time. Must wear a (HEPA) filter or N95 mask.
airborne precautions
In order to minimize the spread of diseases, the CDC recommends this approach to infection control: treat all human blood and certain human body fluids as if they were known to be infectious.
standard precautions
The MOST important practice for aseptic technique.
hand hygiene
______________ asepsis is referred to as the " sterile technique". It considers everything not sterile as contaminated.
Surgical
Medical asepsis is referred to as the " _______________ technique".
clean
An infection acquired in a healthcare facility that is unrelated to the patient's illness.
HAI or nosocomial infection
5 common signs and symptoms of a local infection.
redness, swelling, tenderness, warmth, drainage
Someone who is capable of being infected. (6th link in chain of infection)
susceptible host
How pathogens move. (4th link in chain of infection)
mode of transmission
This trains the immune system to recognize and combat pathogens and removes the susceptibility of the host.
vaccination
Complete removal of pathogens. The most effective way to destroy all microorganisms and their spores.
sterilization
Strong chemicals used to destroy pathogens on objects, not skin.
disinfectants
Solutions applied directly to the skin that prevent or inhibit the growth of pathogens.
antiseptics
Herpes, Hepatitis B, and AIDS are caused by this type of pathogen.
virus
MRSA, VRE, MDR-TB are ___________________ bacteria.
antibiotic resistant
Streptococcus (strep throat) is caused by this type of pathogen.
bacteria
Microorganisms that cause disease.
pathogens


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