Therapeutic Environment | Physical | Psychological and Aesthetic Factors | Prevention of Environmental Hazard | Mock Test | Staff Nurse | Guides Academy

Therapeutic Environment-physical, psychological and aesthetic factors, prevention of environmental hazard




Time: 15:00
Which physical factor in a patient's environment is most conducive to promoting rest and healing?
[a] Bright, overhead fluorescent lighting to ensure maximum visibility.
[b] A consistently warm room temperature above 80°F (27°C).
[c] Control over lighting levels, a quiet setting, and good ventilation.
[d] The constant sound of medical equipment, which can be reassuring.
To create a psychologically safe and therapeutic environment, what is a nurse's priority action when admitting a new patient?
[a] Immediately begin the physical assessment to be efficient.
[b] Introduce themselves, explain their role, and orient the patient to the room and call system.
[c] Ask the patient's family to leave so the admission can be completed quickly.
[d] Document the patient's information in the computer before speaking to the patient.
Which of the following interventions is most critical for preventing falls, a common environmental hazard in hospitals?
[a] Keeping the bed in the highest position for easy access.
[b] Encouraging the patient to walk barefoot for better grip.
[c] Ensuring the call light is within reach and the patient knows how to use it.
[d] Keeping the room dark at night to promote sleep.
Research on evidence-based design suggests which aesthetic factor can positively impact patient recovery, leading to shorter stays and less pain medication use?
[a] Walls painted with stimulating colors like bright red and orange.
[b] Complex and challenging abstract artwork.
[c] A room with no windows to minimize external distractions.
[d] A view of nature, such as trees, a garden, or water.
What is the single most effective method for preventing the transmission of pathogens, a major environmental hazard in healthcare?
[a] Wearing gloves during all patient interactions.
[b] Consistent and appropriate hand hygiene.
[c] Placing all patients in private rooms.
[d] Using strong air fresheners to clean the air.
In the event of a fire in a patient care area, the acronym RACE is used to guide actions. What does the "C" in RACE stand for?
[a] Call for help.
[b] Calm the patients.
[c] Confine or Contain the fire by closing doors.
[d] Clear the area of unnecessary equipment.
A nurse pulls the privacy curtain before assisting a patient with a bath. This action primarily addresses the patient's need for:
[a] Dignity and psychological comfort.
[b] Protection from airborne pathogens.
[c] A warmer environment.
[d] Auditory quiet.
Maintaining a patient's room free of clutter and spills is a key nursing responsibility because it directly:
[a] Improves the room's aesthetic appeal for visitors.
[b] Reduces the risk of falls for the patient and staff.
[c] Is the main component of infection control.
[d] Makes the room seem larger and more spacious.
Which of the following best describes a psychologically therapeutic environment?
[a] An environment where the healthcare team makes all decisions for the patient.
[b] A setting that is fast-paced and highly efficient.
[c] A setting where patients feel safe, respected, and empowered as partners in their care.
[d] An environment that limits family visitation to reduce patient stress.
What is the correct immediate action for a nurse after using a needle to give an injection?
[a] Carefully recap the needle using two hands.
[b] Place the used syringe on the bedside table to dispose of later.
[c] Ask the patient to hand you the sharps container.
[d] Activate the safety feature and dispose of it in a puncture-resistant sharps container.
The use of calming color palettes, such as blues and greens, in patient care areas is an aesthetic choice intended to:
[a] Create a serene atmosphere and reduce anxiety.
[b] Comply with national safety color codes.
[c] Make the walls easier to clean.
[d] Stimulate patient appetite and activity.
Before using a patient's electronic infusion pump, what is a crucial safety check to prevent an electrical hazard?
[a] Wiping the device down with water.
[b] Confirming the patient has health insurance.
[c] Inspecting the power cord and plug for frays, cracks, or damage.
[d] Ensuring the device's alarm is turned off to prevent noise.
Allowing a patient to incorporate personal items like photographs or a familiar blanket in their room helps promote:
[a] An increased risk for infection.
[b] A more cluttered and hazardous environment.
[c] A sense of identity, comfort, and psychological well-being.
[d] An opportunity for theft.
Excessive noise from alarms, overhead pages, and staff conversations in a hospital unit is a form of environmental pollution that can lead to:
[a] Decreased medication errors.
[b] Improved deep sleep for patients.
[c] A greater sense of security for patients.
[d] Patient anxiety, sleep deprivation, and delirium.
A nurse needs information on the proper handling and disposal of a chemical disinfectant. Where is the best place to find this information?
[a] The product's commercial advertising.
[b] The Safety Data Sheet (SDS) for that product.
[c] By asking a housekeeping staff member.
[d] The hospital's public website.
To prevent ergonomic injuries (a physical hazard) when transferring a patient, the nurse should:
[a] Lift with their back and twist at the waist.
[b] Keep their feet close together for a stable base.
[c] Use proper body mechanics, raise the bed to a comfortable height, and use lift equipment when needed.
[d] Try to lift the patient alone to avoid bothering other staff.
A patient with dementia becomes agitated in the evening. Creating a therapeutic environment for this patient might include:
[a] Increasing stimulation with a loud television and bright lights.
[b] Maintaining a calm, quiet atmosphere and providing a simple, predictable routine.
[c] Frequently changing the room layout to keep them engaged.
[d] Restricting family visits during this time.
What is the primary purpose of good ventilation in a healthcare setting?
[a] To keep the building's heating costs low.
[b] To circulate pleasant smells from the cafeteria.
[c] To control odors, temperature, and reduce the concentration of airborne pathogens.
[d] To ensure all rooms are the exact same temperature.
A key element of a "culture of safety" within a hospital is:
[a] A system that assigns blame to an individual for every mistake.
[b] Encouraging staff to report errors and near-misses without fear of punishment.
[c] Ensuring that nurses never question a physician's order.
[d] A policy that prioritizes speed over safety checks.
Which choice best represents a combination of providing a positive aesthetic and psychological environment?
[a] Ensuring the IV pump is working correctly.
[b] Documenting intake and output accurately.
[c] Keeping the patient's room tidy, with cheerful decor and a window view if possible.
[d] Administering medications exactly on schedule.
A patient is being discharged with home oxygen therapy. What is the most critical fire prevention instruction the nurse must provide?
[a] Store the oxygen tank on its side under the bed.
[b] Clean the nasal cannula with an alcohol-based sanitizer.
[c] The patient can smoke as long as they are in a different room from the tank.
[d] Prohibit smoking, open flames, and wool blankets in the vicinity of the oxygen.
To maintain a patient's psychological comfort, the nurse should always:
[a] Explain procedures and what the patient can expect to feel before starting.
[b] Use complex medical terms to sound knowledgeable.
[c] Finish care as quickly as possible, even if it means not talking to the patient.
[d] Assume the patient does not want their family involved in their care.
What is the most appropriate first action for a nurse to take to manage a strong, unpleasant odor in a patient's room?
[a] Use a scented aerosol spray to mask the odor.
[b] Ignore the odor, as it is common in hospitals.
[c] Assess for and remove the source of the odor (e.g., soiled dressing, incontinence pad).
[d] Request a room change for the patient.
Which of these is NOT a characteristic of a therapeutic physical environment?
[a] A safe layout with clear pathways.
[b] Adequate and adjustable lighting.
[c] Unpredictable and loud noises.
[d] A comfortable temperature and humidity level.
Allowing a competent patient to participate in decisions about their care, such as scheduling activities, is a key component of:
[a] Creating unnecessary delays in care.
[b] Fostering a therapeutic environment by promoting patient autonomy.
[c] Transferring the nurse's responsibility to the patient.
[d] A physical hazard prevention strategy.

No comments:

Powered by Blogger.