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level: Level 1 of Lesson 7

Questions and Answers List

level questions: Level 1 of Lesson 7

Question	Answer
One where the likelihood of becoming ill or injured because of factors in the environment is reduced to the lowest degree of possibility. One in which people can function safely and one in which they obtain a sense of security.	Safe Environment
Adequate lighting Neat and clean Safe equipment Noise level is comfortable. Cleanliness Medication Temperature of environment Relative Humidity 30- 60% Free of pollution	Characteristics of a Safe Environment
Age and development Life Style Mobility and Health Status Sensory-Perceptual Alteration Cognitive awareness Emotional state Ability to communicate Safety awareness Environmental factors	Factors affecting patient safety
Factors affecting patient/ safety: Through knowledge and accurate assessment of the environment, individuals learn to protect themselves from many injuries. Only through knowledge and experience do children learn what is potentially harmful. Older adults can have difficulty with movement and diminished sensory-neurologic acuity, which can contribute to the likelihood of injury.	Age and development
Box 32.1: Selected Safety Hazards Throughout the Lifespan: Exposure to maternal smoking, alcohol consumption, addictive drugs, x-rays (first trimester), certain pesticides.	Developing fetus
Box 32.1: Selected Safety Hazards Throughout the Lifespan: Falling, suffocation in crib, placement in the prone position, suffocation when entangled in cords, choking from aspirated milk or ingested objects, burns from hot water or other spilled hot liquids, automobile crashes, crib or playpen injuries, electric shock, poisoning	Newborns and infants
Box 32.1: Selected Safety Hazards Throughout the Lifespan: Physical trauma from falling, running into objects, aspiration of small toys, getting cut by sharp objects; automobile crashes; burns poisoning; drowning; electric shock.	Toddlers
Box 32.1: Selected Safety Hazards Throughout the Lifespan: Injury from traffic, playground equipment, and other objects; choking, suffocation, and obstruction of airway or ear canal by foreign objects; poisoning; drowning; fire and burns; harm from other people or animals	Preschoolers
Box 32.1: Selected Safety Hazards Throughout the Lifespan: Vehicular (automobile, bicycle) crashes, recreational injuries, firearms, substance abuse	Adolescents
Box 32.1: Selected Safety Hazards Throughout the Lifespan: Falling, burns, pedestrian and automobile crashes	Older adults
Factors Affecting Patient/ Safety: Alterations in mobility related to paralysis, muscle weakness, diminished balance, and lack of coordination place clients at risk for injury. Spinal cord injuries or paralysis impair the client's ability to perceive discomfort, increasing the risk for injury or skin breakdown. Clients who have impaired mobility such as hemiplegia or leg casts are prone to falls related to poor balance. Clients weakened by illness or surgery may have impaired levels of alertness, placing them at risk for fall of injury	Mobility and health status
Factors Affecting Patient/ Safety: Accurate sensory perception of environmental stimuli is viral to safety. People with impaired touch perception, hearing ,taste, smell, and vision are highly susceptible to injury. A client with impaired virion may trip over a toy or not see an electric cord. A client with impaired hearing may not hear a siren in traffic. A client with impaired olfactory sense may not smell burning food or the sulfur aroma of escaping gas.	Sensory-Perceptual Alterations
Factors Affecting Patient/ Safety: Cognitive Awareness: is the ability to perceive environmental stimuli and body reactions and to respond appropriately through thought and action.	Awareness
Factors Affecting Patient/ Safety: Clients with impaired awareness include individuals who lack sleep; are unconscious or semiconscious; are disoriented and may not be understand where they are or what to do to help themselves; perceive stimuli that do not exist; and whose judgment is altered by disease or medications, such as opioids, tranquilizers, hypnotics, and sedatives. Mildly confused clients may momentarily forget where they are, wander from their rooms, misplace personal belongings, and so forth	Cognitive awareness
Factors Affecting Patient/ Safety: Extreme ??? can alter the ability to perceive environmental hazards. Stressful situations can reduce a client's level of concentration, cause errors of judgment, and decrease awareness of external stimuli. Clients with depression may thing and react to environmental stimuli more slowly than usual	Emotional state.
Factors Affecting Patient/ Safety: Individuals with diminished ability to receive and convey information are at risk for injury. They include clients with aphasia, language barriers, or the inability to read. For example, the client unable to interpret the sign "No smoking--- oxygen in use" could cause a fire.	Ability to communicate
Factors Affecting Patient/ Safety: Information is crucial to safety. Clients in unfamiliar environments frequently need specific safety information. Lack of knowledge about unfamiliar equipment, such as oxygen tanks, IV tubing, and hot packs, is a potential hazard. Healthy clients need information about water safety, car safety, fire prevention, ways to prevent the ingestion of harmful substances, and many preventive measures related to specific age-related hazards	Safety awareness
Factors Affecting Patient/ Safety: Client safety is affected by the healthcare setting. Depending on the client situation, the nurse may need to assess the environment of the workplace, home, or community. Natural disasters are national safety concerns	Environmental factors
Factors affecting patient/ safety: Factors that place individuals at risk for injury include unsafe work environments; residence in neighborhoods with high crime rates; access to firearms; insufficient income to purchase safety equipment or make necessary repairs; and access to illicit drugs, which may also be contaminated by harmful additives.	Lifestyle