解答つき感染管理と患者の安全ワークシート

What is closed-loop communication?

1. AThe receiver repeats the message back and the sender confirms it is correct
2. BSending a message to the team without waiting for any reply or confirmation
3. CCommunication that only happens in a closed room
4. DWriting every message in the patient’s chart only

What is medical asepsis?

1. AGiving antibiotics to prevent infection after surgery
2. BSterilizing all equipment before every patient contact
3. CPractices that reduce the number and spread of microorganisms
4. DPractices that remove every microorganism, including spores, from an area

In The Joint Commission’s (US) terminology, what is a sentinel event?

1. AAn error that is caught before it reaches the patient
2. BA minor error that reaches the patient but causes no harm of any kind at all
3. CAn expected side effect that was explained to the patient
4. DAn unexpected event causing death or serious physical or psychological harm

How are neuromuscular blocking drugs, such as vecuronium, safely stored?

1. ANext to common IV antibiotics so they are easy to find
2. BIn the general stock cupboard with the other IV drugs and no special labels
3. CMixed in the same bin as other high-use drugs
4. DSeparate from other drugs, with a warning that they cause paralysis

A patient with a fever and a cough arrives in a crowded clinic waiting room. What should the nurse do?

1. ADo nothing until the patient is seen by the provider
2. BGive the patient a mask and seat them apart from others
3. CGive everyone else in the waiting room a mask instead
4. DAsk the patient to wait outside in the car park

A patient receiving continuous nasogastric feeding has pulled the tube partly out. What should the nurse do first?

1. ATape the tube in its new position and continue
2. BIncrease the feed rate to make up for the lost time
3. CStop the feeding until the tube position is checked
4. DPush the tube back in and restart the feed

A nurse has raised a safety concern about an order with the prescriber, who dismissed it without addressing it. What should the nurse do next?

1. ADiscuss the concern with the patient and let them decide
2. BState the concern clearly a second time and, if still unresolved, use the chain of command
3. CCarry out the order as written, because the prescriber has heard the concern
4. DRefuse to care for the patient for the rest of the shift until the prescriber apologizes

An audit shows poor hand hygiene compliance on a ward. Which plan is most likely to improve it?

1. ADisciplining staff who are seen not cleaning their hands, with no other change
2. BRemoving all sinks so staff must use hand rub
3. CA single poster about hand hygiene placed in the staff room
4. DA combined approach with education, hand rub at every bedside, regular audits and feedback