解答つき感染管理と患者の安全ワークシート

患者安全における「ジャストカルチャー（公正な文化）」とは何ですか？

1. A誤りを報告するのは医師だけで、看護師は医師に知らせる文化
2. B職員の士気を守るため、誤りを決して話し合わない文化
3. Cすべての誤りで当事者を正式に処罰する文化
4. D誤りを率直に報告してシステムを改善し、無謀な行為には対処する文化

造血幹細胞移植後など、重度の免疫抑制状態にある患者にはどのような部屋を使いますか？

1. A面会者が手袋をしていれば、どの部屋でもよい
2. B自然換気がよく窓を開けた相部屋
3. Cフィルターを通した空気を送る陽圧室
4. D陰圧の空気感染隔離室

Which drug class is well known to increase the risk of falls in older adults?

1. ATopical skin moisturizers
2. BBulk-forming laxatives
3. CMultivitamins
4. DBenzodiazepines

A patient cannot bear weight and cannot help with transfers. Which method is safest to move the patient from bed to chair?

1. AAsking the patient to stand and try their best
2. BTwo nurses lifting the patient under the arms
3. CA mechanical lift used by enough trained staff
4. DOne nurse doing a standing pivot transfer

A child has swallowed a button battery. Why is this urgent?

1. AIt can burn through the lining of the esophagus within hours
2. BIt always passes through the gut without harm
3. CIt is only harmful if several batteries are swallowed
4. DThe only risk is poisoning from heavy metals years later

During a surgical hand scrub, how are the hands held?

1. AAbove the elbows, so water runs from the fingertips toward the elbows
2. BBelow the elbows, so water runs off the fingertips into the sink
3. CAt the level of the waist, close to the body
4. DPointing downward into the sink at all times

A nurse has a needlestick from a patient with hepatitis B. The nurse finished the vaccine series and has a documented protective antibody level. Which statement is correct?

1. ANo reporting is needed because the nurse is immune
2. BNo hepatitis B treatment is needed, but the injury is still reported and followed up
3. CThe nurse must stop all patient care for six months
4. DHepatitis B immune globulin and a complete new vaccine series are both needed at once

A nurse teaches new parents how to cope with an infant’s crying. Which statement shows a need for further teaching?

1. A“I can call a friend or family member to help when I am tired.”
2. B“If he won’t stop crying, a quick shake will get his attention.”
3. C“I will check whether he is hungry, wet or too warm.”
4. D“If I get frustrated, I will put him safely in the crib and take a short break.”