Client Safety and Risk Assessment Quiz
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Questions and Answers

Which of the following is NOT a risk factor for falls in older adult clients?

  • Proper use of mobility aids (correct)
  • Unsafe clothing
  • Decreased strength
  • Impaired mobility and balance
  • What is one way to prevent client falls?

  • Limit clients' physical activity
  • Increase the dosage of medications
  • Ensure clients have proper footwear (correct)
  • Encourage clients to use mobility aids
  • Which of the following is NOT a risk factor for falls in clients with gait and balance problems?

  • Multiple sclerosis
  • Injury
  • Cognitive dysfunction (correct)
  • Cerebral palsy
  • What can increase the risk for falls in clients?

    <p>All of the above</p> Signup and view all the answers

    What is a major nursing priority in relation to falls?

    <p>Preventing client falls</p> Signup and view all the answers

    What is one way to create a culture of safety in healthcare?

    <p>Adopt quality care priorities</p> Signup and view all the answers

    What should be done when working in stressful circumstances to avoid errors?

    <p>Use protocols for responding to dangerous situations</p> Signup and view all the answers

    What can help identify the root cause of adverse events?

    <p>Identifying and documenting incidents</p> Signup and view all the answers

    Where should safety data sheets and hazardous chemicals be located?

    <p>In a visible and easily accessible location</p> Signup and view all the answers

    What is the purpose of using equipment only after adequate instruction and safety inspection?

    <p>To ensure client safety</p> Signup and view all the answers

    Which of the following is NOT a recommended preventative measure for falls in healthcare facilities?

    <p>Using full side rails for clients who get out of bed without assistance</p> Signup and view all the answers

    What is the purpose of completing a fall-risk assessment for each client at admission and at regular intervals?

    <p>To determine the client's risk factors for falls</p> Signup and view all the answers

    Why is it important to provide regular toileting and orientation for clients with cognitive impairment?

    <p>To prevent falls</p> Signup and view all the answers

    What is the purpose of using color-coded wristbands as fall-risk alerts?

    <p>To alert staff of independent ambulation</p> Signup and view all the answers

    Why is it important to keep the floor clean, dry, and free from clutter in healthcare facilities?

    <p>To prevent slips and falls</p> Signup and view all the answers

    What is the purpose of placing clients at risk for falls near the nurses' station?

    <p>To allow for closer supervision and quick assistance</p> Signup and view all the answers

    Why is it important to keep assistive devices nearby after validation of safe use?

    <p>To promote independence and safety</p> Signup and view all the answers

    What is the purpose of educating the client and family about safety risks and the plan of care?

    <p>To increase awareness and encourage appropriate actions</p> Signup and view all the answers

    Why is it important to report and document all incidents related to falls?

    <p>To gather valuable information for prevention purposes</p> Signup and view all the answers

    What is the purpose of using electronic safety monitoring devices for clients at risk for getting up without assistance?

    <p>To alert staff of independent ambulation</p> Signup and view all the answers

    True or false: Risk assessment tools are used to evaluate clients and their environment for safety?

    <p>True</p> Signup and view all the answers

    True or false: Clients should be encouraged to speak up and take an active role in their healthcare and in preventing errors?

    <p>True</p> Signup and view all the answers

    True or false: Creating a culture of checks and balances can help avoid errors when working in stressful circumstances?

    <p>True</p> Signup and view all the answers

    True or false: Risk factors and plans of care should be communicated to clients, family, and other staff?

    <p>True</p> Signup and view all the answers

    True or false: Protocols should be used for responding to dangerous situations?

    <p>True</p> Signup and view all the answers

    True or false: Quality care priorities from the National Quality Forum, including 'Never Events' should be adopted?

    <p>True</p> Signup and view all the answers

    True or false: Current evidence should be used to promote a culture of safety, while using the National Patient Safety Goals as a guide?

    <p>True</p> Signup and view all the answers

    True or false: Knowing the facility's disaster plan, chain of command, and roles is important for ensuring safety?

    <p>True</p> Signup and view all the answers

    True or false: Incidents and responses should be identified and documented according to the facility's policy to help identify trends and root causes of adverse events?

    <p>True</p> Signup and view all the answers

    True or false: Knowing the location of safety data sheets and hazardous chemicals in the environment is important for maintaining safety?

    <p>True</p> Signup and view all the answers

    True or false: Medicare and Medicaid reimburse for treating injuries resulting from falls in healthcare facilities?

    <p>False</p> Signup and view all the answers

    True or false: Nurses must evaluate all clients in healthcare facilities for risk factors for falls?

    <p>True</p> Signup and view all the answers

    True or false: Programs to prevent falls are not necessary in settings that provide services to older adult clients?

    <p>False</p> Signup and view all the answers

    True or false: Fall-risk assessments should only be completed once during a client's stay in a healthcare facility?

    <p>False</p> Signup and view all the answers

    True or false: Providing regular toileting and orientation is not important for clients who have cognitive impairment?

    <p>False</p> Signup and view all the answers

    True or false: Placing clients at risk for falls near the nurses' station is not a recommended preventative measure?

    <p>False</p> Signup and view all the answers

    True or false: Using electronic safety monitoring devices is not necessary for clients at risk for getting up without assistance?

    <p>False</p> Signup and view all the answers

    True or false: Nonskid footwear and bath mats are not effective in preventing falls in tubs and showers?

    <p>False</p> Signup and view all the answers

    True or false: Locking the wheels on beds, wheelchairs, and carts is not necessary to prevent them from rolling during transfers or stops?

    <p>False</p> Signup and view all the answers

    True or false: Reporting and documenting all incidents related to falls is not important for preventing similar incidents?

    <p>False</p> Signup and view all the answers

    What are some preventative measures that can be implemented to help reduce the risk of falls in healthcare facilities?

    <p>Some preventative measures that can be implemented to help reduce the risk of falls in healthcare facilities include completing a fall-risk assessment for each client, individualizing the plan for each client based on the assessment results, providing regular toileting and orientation for clients with cognitive impairment, ensuring adequate lighting, placing clients at risk for falls near the nurses' station, providing hourly rounding, keeping the floor clean and free from clutter, using nonskid footwear and bath mats, and using gait belts and additional safety equipment when moving clients.</p> Signup and view all the answers

    Why is it important to actively prevent falls in healthcare facilities?

    <p>It is important to actively prevent falls in healthcare facilities because Medicare and Medicaid no longer reimburse for treating injuries resulting from falls. Additionally, falls can result in serious injuries for clients, so taking preventative measures can help protect their safety and well-being.</p> Signup and view all the answers

    What role does the fall-risk assessment play in preventing falls?

    <p>The fall-risk assessment plays a crucial role in preventing falls by identifying clients who are at a higher risk of falling. Based on the assessment results, healthcare providers can develop individualized plans to address the specific risk factors for each client and implement appropriate preventative measures.</p> Signup and view all the answers

    How can healthcare providers help clients with orthostatic hypotension reduce the risk of falls?

    <p>Healthcare providers can help clients with orthostatic hypotension reduce the risk of falls by instructing them to avoid getting up too quickly, to sit on the side of the bed for a few seconds prior to standing, and to stand at the side of the bed for a few seconds prior to walking. This can help prevent sudden drops in blood pressure and reduce the risk of falls.</p> Signup and view all the answers

    What is the purpose of using color-coded wristbands as fall-risk alerts?

    <p>The purpose of using color-coded wristbands as fall-risk alerts is to visually indicate which clients are at a higher risk of falling. This can help healthcare providers quickly identify and prioritize the needs of these clients in order to implement appropriate preventative measures.</p> Signup and view all the answers

    How can healthcare providers promote client safety when it comes to using assistive devices?

    <p>To promote client safety when it comes to using assistive devices, healthcare providers should ensure that clients know how to use the devices properly. This can be done through education and providing a return demonstration. Additionally, healthcare providers should make sure that assistive devices, such as eyeglasses, walkers, and transfer devices, are kept nearby after validation of safe use.</p> Signup and view all the answers

    Why is it important to keep the floor clean, dry, and free from clutter in healthcare facilities?

    <p>It is important to keep the floor clean, dry, and free from clutter in healthcare facilities because a dirty or cluttered floor can increase the risk of slips, trips, and falls. Maintaining a clear path to the bathroom and removing hazards, such as scatter rugs, cords, or furniture, can help prevent accidents and ensure the safety of clients.</p> Signup and view all the answers

    What should healthcare providers do when working with clients who are sedated, unconscious, or otherwise compromised?

    <p>When working with clients who are sedated, unconscious, or otherwise compromised, healthcare providers should keep the side rails up to prevent falls. However, it is important to avoid the use of full side rails for clients who get out of bed or attempt to get out of bed without assistance, as this can increase the risk of entrapment and injury.</p> Signup and view all the answers

    Why is it important to provide regular toileting and orientation for clients with cognitive impairment?

    <p>Providing regular toileting and orientation for clients with cognitive impairment is important because these clients may have difficulty remembering or understanding where the bathroom is located. By providing regular reminders and assistance, healthcare providers can help prevent accidents and ensure that clients are able to access the bathroom safely.</p> Signup and view all the answers

    What should healthcare providers do to ensure that clients at risk for falls have access to necessary items?

    <p>To ensure that clients at risk for falls have access to necessary items, healthcare providers should keep bedside tables, overbed tables, and frequent-use items such as telephones, water, and facial tissues within reach. This can help prevent clients from attempting to reach for items that are out of their immediate reach and potentially losing their balance.</p> Signup and view all the answers

    What are some strategies that can be used to promote safety and prevent errors in healthcare settings?

    <p>Risk assessment tools, encouraging clients to speak up and take an active role in their healthcare, creating a culture of checks and balances, communicating risk factors and plans of care, using protocols for responding to dangerous situations, adopting quality care priorities, using current evidence, knowing the facility's disaster plan and chain of command, identifying and documenting incidents and responses, and knowing the location of safety data sheets and hazardous chemicals.</p> Signup and view all the answers

    What are some of the risk factors for falls in older adult clients?

    <p>Decreased strength, impaired mobility and balance, improper use of mobility aids, unsafe clothing, environmental hazards, endurance limitations, decreased sensory perception, decreased visual acuity, generalized weakness, urinary frequency, gait and balance problems, and cognitive dysfunction.</p> Signup and view all the answers

    Why is it important to prevent client falls?

    <p>Prevention of client falls is a major nursing priority to ensure patient safety and prevent injuries.</p> Signup and view all the answers

    How can medication adverse effects increase the risk for falls?

    <p>Medication adverse effects such as orthostatic hypotension and drowsiness can affect a client's balance and increase the risk for falls.</p> Signup and view all the answers

    What is the purpose of completing a fall-risk assessment for each client at admission and at regular intervals?

    <p>The purpose of completing a fall-risk assessment is to identify clients who are at risk for falls and implement appropriate prevention strategies.</p> Signup and view all the answers

    What is the purpose of placing clients at risk for falls near the nurses' station?

    <p>Placing clients at risk for falls near the nurses' station allows for closer monitoring and quicker assistance in case of a fall.</p> Signup and view all the answers

    How can incidents and responses be used to identify trends and root causes of adverse events?

    <p>Incidents and responses can be analyzed to identify patterns, trends, and the underlying causes of adverse events, helping to improve patient safety.</p> Signup and view all the answers

    What is the importance of knowing the location of safety data sheets and hazardous chemicals in the environment?

    <p>Knowing the location of safety data sheets and hazardous chemicals is important for ensuring the safe handling and storage of potentially dangerous substances.</p> Signup and view all the answers

    Why is it important to use protocols for responding to dangerous situations?

    <p>Using protocols for responding to dangerous situations helps ensure a systematic and effective response, minimizing the risk of errors or harm.</p> Signup and view all the answers

    How can risk assessment tools help evaluate clients and their environment for safety?

    <p>Risk assessment tools provide a structured approach to identify potential risks and hazards in a client's environment, allowing for appropriate interventions to be implemented.</p> Signup and view all the answers

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