RNSG 1430 Exam 2 QUESTIONS AND
CORRECT ANSWERS
Physiological needs which influence safety include: - CORRECT ANSWER Sufficient oxygen,
nutrition, & optimum temperature
(These must be met before physical & psychological safety & security can be addressed)
What is the leading cause of burns, reported fires, deaths, & injuries involving home medical oxygen?
- CORRECT ANSWER Smoking
A furnace, stove, or fireplace that is not properly vented introduces what into the environment? -
CORRECT ANSWER Carbon monoxide
How does carbon monoxide affect a person? - CORRECT ANSWER It binds to hemoglobin,
preventing the formation of oxyhemoglobin and thus reducing the supply of oxygen delivered to
tissues.
How long does it take for very high doses of carbon monoxide to kill a person? - CORRECT
ANSWER 1 - 3 minutes of exposure
What factors increase risk of falling? - CORRECT ANSWER History of falling
65 years or older
Reduced vision
Orthostatic hypotension
Lower-extremity weakness
Gait & balance
Urinary incontinence
Improper use of walking aids
Various medications
,HIV, aids, and hepatitis B virus or transmitted how? - CORRECT ANSWER Blood, and other
select body fluids
What is adverse event? - CORRECT ANSWER An event that results in unintended harm to the
patient by an act of commission/omission rather than disease or condition.
Commission: irresponsible act you do
Omission: act you choose not to do and affect someone else
What is a near miss? - CORRECT ANSWER An error of commission/omission that could have
harmed the patient, but serious harm did not occur as a result of chance, prevention, mitigation.
What is a sentinel event? - CORRECT ANSWER An unexpected occurrence involving death,
serious physical or psychological injury.
(Loss of limb/function, "sentinel" = immediate investigation)
What are diagnostic errors? - CORRECT ANSWER The result of delay in diagnosis
Failure to employee indicated test
Use of outmoded test
Failure to act on results of test
What is a treatment error? - CORRECT ANSWER Occurs in the performance of an operation.
(Procedure, test, administering treatment; dose/method of administering a drug; or an avoidable delay
in treatment or in responding to an abnormal test)
What are preventative errors? - CORRECT ANSWER Failures to provide prophylactic
treatment and in adequate monitoring/follow-up of treatment.
(Realizing somethings wrong and not correcting it)
, What is an active error? - CORRECT ANSWER Errors made by those who are providing care,
responding to patient's needs at "sharp end."
(Sharp end correlates with direct patient care, placement of error)
What is a latent error? - CORRECT ANSWER More organizational, contextual, and diffuse in
nature or design related. Errors at the "blunt end"
(Blunt end correlates with Organized systems, placement of error)
What does "just culture" refer to? - CORRECT ANSWER Seeks to find a balance between the
need to learn from mistakes and the need for disciplinary action against employees.
(People are not punished for a flawed system. There are exceptions.)
What antecedents need to exist in order for safety to be a concept? - CORRECT
ANSWER Knowledge of risk
Professional accountability
Motivation to achieve safety
Effective system process
Collaboration
T/F: A pathogen is present, so no infection will occur. - CORRECT ANSWER False
What has to happen in order for infection to occur? - CORRECT ANSWER The chain of
infection must stay intact
What is the chain of infection? - CORRECT ANSWER 1. Etiologic agent (microorganisms,
toxin)
2. Reservoir (survive, multiply, await transfer)
3. Portal of exit (blood, mucous membranes)
4. Mode of transmission (hand hygiene, equipment)
CORRECT ANSWERS
Physiological needs which influence safety include: - CORRECT ANSWER Sufficient oxygen,
nutrition, & optimum temperature
(These must be met before physical & psychological safety & security can be addressed)
What is the leading cause of burns, reported fires, deaths, & injuries involving home medical oxygen?
- CORRECT ANSWER Smoking
A furnace, stove, or fireplace that is not properly vented introduces what into the environment? -
CORRECT ANSWER Carbon monoxide
How does carbon monoxide affect a person? - CORRECT ANSWER It binds to hemoglobin,
preventing the formation of oxyhemoglobin and thus reducing the supply of oxygen delivered to
tissues.
How long does it take for very high doses of carbon monoxide to kill a person? - CORRECT
ANSWER 1 - 3 minutes of exposure
What factors increase risk of falling? - CORRECT ANSWER History of falling
65 years or older
Reduced vision
Orthostatic hypotension
Lower-extremity weakness
Gait & balance
Urinary incontinence
Improper use of walking aids
Various medications
,HIV, aids, and hepatitis B virus or transmitted how? - CORRECT ANSWER Blood, and other
select body fluids
What is adverse event? - CORRECT ANSWER An event that results in unintended harm to the
patient by an act of commission/omission rather than disease or condition.
Commission: irresponsible act you do
Omission: act you choose not to do and affect someone else
What is a near miss? - CORRECT ANSWER An error of commission/omission that could have
harmed the patient, but serious harm did not occur as a result of chance, prevention, mitigation.
What is a sentinel event? - CORRECT ANSWER An unexpected occurrence involving death,
serious physical or psychological injury.
(Loss of limb/function, "sentinel" = immediate investigation)
What are diagnostic errors? - CORRECT ANSWER The result of delay in diagnosis
Failure to employee indicated test
Use of outmoded test
Failure to act on results of test
What is a treatment error? - CORRECT ANSWER Occurs in the performance of an operation.
(Procedure, test, administering treatment; dose/method of administering a drug; or an avoidable delay
in treatment or in responding to an abnormal test)
What are preventative errors? - CORRECT ANSWER Failures to provide prophylactic
treatment and in adequate monitoring/follow-up of treatment.
(Realizing somethings wrong and not correcting it)
, What is an active error? - CORRECT ANSWER Errors made by those who are providing care,
responding to patient's needs at "sharp end."
(Sharp end correlates with direct patient care, placement of error)
What is a latent error? - CORRECT ANSWER More organizational, contextual, and diffuse in
nature or design related. Errors at the "blunt end"
(Blunt end correlates with Organized systems, placement of error)
What does "just culture" refer to? - CORRECT ANSWER Seeks to find a balance between the
need to learn from mistakes and the need for disciplinary action against employees.
(People are not punished for a flawed system. There are exceptions.)
What antecedents need to exist in order for safety to be a concept? - CORRECT
ANSWER Knowledge of risk
Professional accountability
Motivation to achieve safety
Effective system process
Collaboration
T/F: A pathogen is present, so no infection will occur. - CORRECT ANSWER False
What has to happen in order for infection to occur? - CORRECT ANSWER The chain of
infection must stay intact
What is the chain of infection? - CORRECT ANSWER 1. Etiologic agent (microorganisms,
toxin)
2. Reservoir (survive, multiply, await transfer)
3. Portal of exit (blood, mucous membranes)
4. Mode of transmission (hand hygiene, equipment)
