Tarrant County College
RNSG 1413 Foundations of Nursing
Exam 1 Q&A
1. Discuss the Joint Commission’s formal
recommendations for hospitals to reduce the risk
of patient falls. (Perry & Potter, 2017, pg. 390).
TJC recommends that hospitals have formal fall reduction
program
which includes:
• A fall risk assessment of every patient and conducted
routinely
until a patient discharge.
• Hourly rounding to reduce falls.
• Apply yellow color-coded wristbands to patients’ wrists to
communicate to all health care providers that a patient is a
fall risk.
• Establish elimination schedules.
• Placement of a fall pad on the floor along the bed
• Bed safety alarms or motion detectors.
• Gait belt provides a secure way to steady or guide patients
who need assistance with ambulation when transferring or
walking.
• When a patient uses an aide such as walker, cane, crutches,
it’s important to check the condition of rubber tips and
the integrity
of the aid. Also be sure patients use their devices correctly.
• Remove excess furniture and equipment.
1
,• make sure that patients wear rubber-soled shoes or
slippers for walking or transferring.
• Safety bars near toilets
• Locks on beds and wheelchairs
• Call lights are additional safety features.
2. Discuss how the adrenal corticosteroids (i.e.,
steroids); and, cytotoxic and antineoplastic drugs
increase a patient’s risk for infection. (Perry &
Potter, 2019, pg. 450).
• Adrenal corticosteroids are anti-inflammatory drugs that cause
protein
breakdown and impair the inflammatory response
against bacteria and other pathogens.
• Cytotoxic and antineoplastic drugs attack cancer cells but also
cause
the side effects of bone marrow depression and
normal cell toxicity, which affects the response of
body against pathogens, therefore making the body
more susceptible to infection.
3. List several reasons why patient education is one
of the most important nursing interventions in any
health care setting. (Perry & Potter, 2017, pp. 336-
337). (Note: This is threaded content).
• The goal of educating others about their health is to help
2
, individuals, families, or communities to achieve optimal
levels of health.
• It is an essential component to patient centered care.
• Providing education about preventive health care helps
reduce costs and hardships on individuals and those
surrounding them.
3
, • Comprehensive patient education includes 3 important
purposes, each involving a separate phase of health care:
health promotion and illness prevention, health
restoration and coping.
4. Compare and contrast the difference between
primary, secondary and tertiary preventive
levels of care. (Perry & Potter, 2017, pp. 71-
72).
(Note: This is threaded content).
• Primary Prevention is true prevention. Health education
programs, immunizations, nutritional programs, and fitness
activities. (has not happened yet, preventative action.).
• Secondary Prevention focuses on those who are
experience health problems and are at risk for developing
complications or worsening conditions. Try to enable the
patient to return to a normal level of health as early as
possible. Includes screening techniques, treating early stages
of a disease to limit disability. (has disease, trying to
prevent it from getting worse and try to return
patient back to health).
• Tertiary Prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the
4
RNSG 1413 Foundations of Nursing
Exam 1 Q&A
1. Discuss the Joint Commission’s formal
recommendations for hospitals to reduce the risk
of patient falls. (Perry & Potter, 2017, pg. 390).
TJC recommends that hospitals have formal fall reduction
program
which includes:
• A fall risk assessment of every patient and conducted
routinely
until a patient discharge.
• Hourly rounding to reduce falls.
• Apply yellow color-coded wristbands to patients’ wrists to
communicate to all health care providers that a patient is a
fall risk.
• Establish elimination schedules.
• Placement of a fall pad on the floor along the bed
• Bed safety alarms or motion detectors.
• Gait belt provides a secure way to steady or guide patients
who need assistance with ambulation when transferring or
walking.
• When a patient uses an aide such as walker, cane, crutches,
it’s important to check the condition of rubber tips and
the integrity
of the aid. Also be sure patients use their devices correctly.
• Remove excess furniture and equipment.
1
,• make sure that patients wear rubber-soled shoes or
slippers for walking or transferring.
• Safety bars near toilets
• Locks on beds and wheelchairs
• Call lights are additional safety features.
2. Discuss how the adrenal corticosteroids (i.e.,
steroids); and, cytotoxic and antineoplastic drugs
increase a patient’s risk for infection. (Perry &
Potter, 2019, pg. 450).
• Adrenal corticosteroids are anti-inflammatory drugs that cause
protein
breakdown and impair the inflammatory response
against bacteria and other pathogens.
• Cytotoxic and antineoplastic drugs attack cancer cells but also
cause
the side effects of bone marrow depression and
normal cell toxicity, which affects the response of
body against pathogens, therefore making the body
more susceptible to infection.
3. List several reasons why patient education is one
of the most important nursing interventions in any
health care setting. (Perry & Potter, 2017, pp. 336-
337). (Note: This is threaded content).
• The goal of educating others about their health is to help
2
, individuals, families, or communities to achieve optimal
levels of health.
• It is an essential component to patient centered care.
• Providing education about preventive health care helps
reduce costs and hardships on individuals and those
surrounding them.
3
, • Comprehensive patient education includes 3 important
purposes, each involving a separate phase of health care:
health promotion and illness prevention, health
restoration and coping.
4. Compare and contrast the difference between
primary, secondary and tertiary preventive
levels of care. (Perry & Potter, 2017, pp. 71-
72).
(Note: This is threaded content).
• Primary Prevention is true prevention. Health education
programs, immunizations, nutritional programs, and fitness
activities. (has not happened yet, preventative action.).
• Secondary Prevention focuses on those who are
experience health problems and are at risk for developing
complications or worsening conditions. Try to enable the
patient to return to a normal level of health as early as
possible. Includes screening techniques, treating early stages
of a disease to limit disability. (has disease, trying to
prevent it from getting worse and try to return
patient back to health).
• Tertiary Prevention occurs when a defect or disability is
permanent and irreversible. It involves minimizing the
4
