Test Bank For Realities of Canadian Nursing Professional
Practice and Power Issues 5th Edition By Carol McDonald;
Marjorie McIntyre
What are the nurses health and safe workplace ANMF policies based on? - ANSWER:
Safe patient handling, worker's compensation and rehabilitation, bullying in the
workplace, fatigue prevention, rostering, smoke-free work environment, workplace
stress prevention
What is issues surrounding staff/patient safety - occupational health and safety? -
ANSWER: Prevention of injury, illness and disease must be the first occupational
health and safety priority. Employees take reasonable care of their own health and
safety and the safety of other persons who may be affected by their acts of omission
What are some of the mandatory clinical requirements? - ANSWER: Vaccinations,
exposure prone procedure declaration, licenses and certificates, Queensland blue
card, First Aid and CPR/AED info, online training (WIL) health and safety, forms
(school of nursing and midwifery/queensland health)
What is issues surrounding safe patient handling and mobility - occupational health
and safety? - ANSWER: All employees have the right to work within a workplace
where manual handling is eliminated wherever possible. The layout and design of
the facility, furniture, fixtures and fittings are conducive to safe manual handling
work practices. Appropriate manual handling equipment, aids and furniture are
available and maintained in good order.
What is hand hygiene? - ANSWER: Is a general term referring to any action of hand
cleansing. When performed correctly, hand hygiene results in a reduction of
microorganisms on hands
How should hands be washed? - ANSWER: Washing hands with water and soap or
soap solution, either non-antimicrobial or antimicrobial. OR. Applying a waterless
antimicrobial hand rub to surface of hands (e.g. alcohol-based hand rub)
Why is hand hygiene important? - ANSWER: Infection prevention and control are
important functions performed to keep both themselves and the patient free from
infection
What is infection? - ANSWER: Involves the entry and multiplication of an infectious
agent within the tissues of a host, resulting in an immune response with or without
symptomatic disease
What are health care associated infections (HAI's)? - ANSWER: Infection contracted
by patients admission to a healthcare facility. Often transmitted by healthcare
,workers (failed hand washing). Antibiotic resistant microorganisms present in
hospitals and cause infections that are difficult to treat.
What kind of healthcare associated infections (HAI's) can occur? - ANSWER:
Exogenous; microorganisms external to the body. Endogenous; from within the body
but in the wrong place
What is the chain of infection in its nature? - ANSWER: Mode of transmission ->
portal of entry -> host -> infectious agent -> Reservoir -> portal of exit -> (repeated)
What are infectious agents? - ANSWER: Microorganisms including bacteria, viruses,
fungi, protozoa and helminths (parasites and worms), resident and transient
(attached to skin and moves), pathogens or infectious agents
What are the infectious agents in the chain of infection? - ANSWER: Sufficient
numbers, virulence (degree of damage to its host), ability to enter host, susceptibility
of the host
What is the reservoir in the chain of infection? - ANSWER: A place where a pathogen
can survive and may or may not multiply. Favourable environment (food, oxygen,
pH, etc)
What is the portal of exit in the chain of infection? - ANSWER: To enable entry into
host to cause disease e.g. skin, blood, respiratory, urinary, gastrointestinal and
reproductive tracts
What is the mode of transmission in the chain of infection? - ANSWER: Airborne,
droplet, contact (direct/indirect), blood and other body substances
What is the portal of entry in the chain of infection? - ANSWER: To enable entry to
the body through impaired defense system
What is the susceptible host in the chain of infection? - ANSWER: Immune and health
status, age, virulence of the agent
What is the standard precautions for nursing practices? - ANSWER: Hand hygiene
(five moments for hand hygiene), use of PPE, safe use and disposal of sharps, routine
environmental cleaning, reprocessing of reusable medical equipment and
instruments, respiratory hygiene and cough etiquette, aseptic non-touch technique,
appropriate waste management and handling of linen
What is PPE? - ANSWER: Personal protective equipment, worn to minimise health or
safety risks including face masks, goggles, gloves (sterile and non-sterile), gowns and
aprons. Hand hygiene, non-sterile gloves and aprons are essential when coming into
contact with body fluids
What is the first moment of hygiene? - ANSWER: Before touching a patient
, What is the second moment of hygiene? - ANSWER: Before a procedure
What is the third moment of hygiene? - ANSWER: After a procedure or body fluid
exposure risk
What is the fourth moment of hygiene? - ANSWER: After touching a patient
What is the fifth moment of hygiene? - ANSWER: After touching a patient's
surrounding
What is the first step to washing hands with soap and water or alcohol based
handrub? - ANSWER: Soap; wet hands and apply enough soap to cover all surfaces.
Handrub; Apply to a cubbed hand/palm
What is the first washing/handrub cleaning technique? - ANSWER: Palm to palm and
vice versa
What is the second washing/handrub cleaning technique? - ANSWER: Turtle (palm to
back of head and revise versa)
What is the third washing/handrub cleaning technique? - ANSWER: Interlock fingers
with palm to palm
What is the fourth washing/handrub cleaning technique? - ANSWER: Monkey grip;
back of fingers to opposing palms with fingers interlocked
What is the fifth washing/handrub cleaning technique? - ANSWER: Rubbing thumbs
in a rotational way and vise versa
What is the sixth washing/handrub cleaning technique? - ANSWER: Rubbing nails
onto palms and vice versa
What occurs after washing/hand rub technique is completed? - ANSWER: Washing;
Without touching handle to turn on tap, rinse hands and dry throughly with paper
towel, turn off tap with paper towel. Hand rub; once dry, hands are safe
What is the bed making infection control management? - ANSWER: Use bed linen;
hold linen away from body, not placed on ground/chairs/tables, linen skip
What is manual handling? - ANSWER: Any transport or supporting of load by one or
more workers, includes the following; lifting, holding, putting down, push, pulling,
carrying or moving of a load. Load can be an animate (people) or inanimate (boxes,
tools, IV pumps, bed)
Practice and Power Issues 5th Edition By Carol McDonald;
Marjorie McIntyre
What are the nurses health and safe workplace ANMF policies based on? - ANSWER:
Safe patient handling, worker's compensation and rehabilitation, bullying in the
workplace, fatigue prevention, rostering, smoke-free work environment, workplace
stress prevention
What is issues surrounding staff/patient safety - occupational health and safety? -
ANSWER: Prevention of injury, illness and disease must be the first occupational
health and safety priority. Employees take reasonable care of their own health and
safety and the safety of other persons who may be affected by their acts of omission
What are some of the mandatory clinical requirements? - ANSWER: Vaccinations,
exposure prone procedure declaration, licenses and certificates, Queensland blue
card, First Aid and CPR/AED info, online training (WIL) health and safety, forms
(school of nursing and midwifery/queensland health)
What is issues surrounding safe patient handling and mobility - occupational health
and safety? - ANSWER: All employees have the right to work within a workplace
where manual handling is eliminated wherever possible. The layout and design of
the facility, furniture, fixtures and fittings are conducive to safe manual handling
work practices. Appropriate manual handling equipment, aids and furniture are
available and maintained in good order.
What is hand hygiene? - ANSWER: Is a general term referring to any action of hand
cleansing. When performed correctly, hand hygiene results in a reduction of
microorganisms on hands
How should hands be washed? - ANSWER: Washing hands with water and soap or
soap solution, either non-antimicrobial or antimicrobial. OR. Applying a waterless
antimicrobial hand rub to surface of hands (e.g. alcohol-based hand rub)
Why is hand hygiene important? - ANSWER: Infection prevention and control are
important functions performed to keep both themselves and the patient free from
infection
What is infection? - ANSWER: Involves the entry and multiplication of an infectious
agent within the tissues of a host, resulting in an immune response with or without
symptomatic disease
What are health care associated infections (HAI's)? - ANSWER: Infection contracted
by patients admission to a healthcare facility. Often transmitted by healthcare
,workers (failed hand washing). Antibiotic resistant microorganisms present in
hospitals and cause infections that are difficult to treat.
What kind of healthcare associated infections (HAI's) can occur? - ANSWER:
Exogenous; microorganisms external to the body. Endogenous; from within the body
but in the wrong place
What is the chain of infection in its nature? - ANSWER: Mode of transmission ->
portal of entry -> host -> infectious agent -> Reservoir -> portal of exit -> (repeated)
What are infectious agents? - ANSWER: Microorganisms including bacteria, viruses,
fungi, protozoa and helminths (parasites and worms), resident and transient
(attached to skin and moves), pathogens or infectious agents
What are the infectious agents in the chain of infection? - ANSWER: Sufficient
numbers, virulence (degree of damage to its host), ability to enter host, susceptibility
of the host
What is the reservoir in the chain of infection? - ANSWER: A place where a pathogen
can survive and may or may not multiply. Favourable environment (food, oxygen,
pH, etc)
What is the portal of exit in the chain of infection? - ANSWER: To enable entry into
host to cause disease e.g. skin, blood, respiratory, urinary, gastrointestinal and
reproductive tracts
What is the mode of transmission in the chain of infection? - ANSWER: Airborne,
droplet, contact (direct/indirect), blood and other body substances
What is the portal of entry in the chain of infection? - ANSWER: To enable entry to
the body through impaired defense system
What is the susceptible host in the chain of infection? - ANSWER: Immune and health
status, age, virulence of the agent
What is the standard precautions for nursing practices? - ANSWER: Hand hygiene
(five moments for hand hygiene), use of PPE, safe use and disposal of sharps, routine
environmental cleaning, reprocessing of reusable medical equipment and
instruments, respiratory hygiene and cough etiquette, aseptic non-touch technique,
appropriate waste management and handling of linen
What is PPE? - ANSWER: Personal protective equipment, worn to minimise health or
safety risks including face masks, goggles, gloves (sterile and non-sterile), gowns and
aprons. Hand hygiene, non-sterile gloves and aprons are essential when coming into
contact with body fluids
What is the first moment of hygiene? - ANSWER: Before touching a patient
, What is the second moment of hygiene? - ANSWER: Before a procedure
What is the third moment of hygiene? - ANSWER: After a procedure or body fluid
exposure risk
What is the fourth moment of hygiene? - ANSWER: After touching a patient
What is the fifth moment of hygiene? - ANSWER: After touching a patient's
surrounding
What is the first step to washing hands with soap and water or alcohol based
handrub? - ANSWER: Soap; wet hands and apply enough soap to cover all surfaces.
Handrub; Apply to a cubbed hand/palm
What is the first washing/handrub cleaning technique? - ANSWER: Palm to palm and
vice versa
What is the second washing/handrub cleaning technique? - ANSWER: Turtle (palm to
back of head and revise versa)
What is the third washing/handrub cleaning technique? - ANSWER: Interlock fingers
with palm to palm
What is the fourth washing/handrub cleaning technique? - ANSWER: Monkey grip;
back of fingers to opposing palms with fingers interlocked
What is the fifth washing/handrub cleaning technique? - ANSWER: Rubbing thumbs
in a rotational way and vise versa
What is the sixth washing/handrub cleaning technique? - ANSWER: Rubbing nails
onto palms and vice versa
What occurs after washing/hand rub technique is completed? - ANSWER: Washing;
Without touching handle to turn on tap, rinse hands and dry throughly with paper
towel, turn off tap with paper towel. Hand rub; once dry, hands are safe
What is the bed making infection control management? - ANSWER: Use bed linen;
hold linen away from body, not placed on ground/chairs/tables, linen skip
What is manual handling? - ANSWER: Any transport or supporting of load by one or
more workers, includes the following; lifting, holding, putting down, push, pulling,
carrying or moving of a load. Load can be an animate (people) or inanimate (boxes,
tools, IV pumps, bed)
