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すべての誤りで当事者を正式に処罰する文化
3. C職員の士気を守るため、誤りを決して話し合わない文化
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

Which vaccine is a live attenuated vaccine?

1. AHepatitis B vaccine
2. BMMR (measles, mumps, rubella)
3. CInjected inactivated influenza vaccine
4. DTetanus toxoid vaccine

空気予防策を行う患者にはどのような部屋が必要ですか？

1. A単独の陰圧室（空気感染隔離室）
2. Bベッドの周りのカーテンを閉めた相部屋
3. C観察のためにドアを開けておく、窓のある普通の個室
4. D陽圧でろ過した空気を送る個室

A parent will give a liquid antibiotic to a child at home. Which teaching is best?

1. AUse the oral syringe or dosing cup that comes with the medicine
2. BUse any teaspoon or tablespoon from the kitchen drawer at home
3. CEstimate the dose by pouring into a cup
4. DUse a tablespoon for doses over 5 mL

An adult with hepatitis A is incontinent of stool. Which precautions are used?

1. AAirborne precautions in a negative-pressure room with the door closed
2. BA protective environment with filtered air
3. CDroplet precautions with a surgical mask
4. DContact precautions in addition to standard precautions

How does a nurse add a sterile gauze pack to a sterile field that is already set up?

1. APlace the whole wrapped pack on the field and open it there with sterile gloves
2. BReach across the field with clean gloves to place the item
3. COpen the wrapper away from the field and drop the item on it without reaching over
4. DTip the item onto the field and push it into place with the wrapper

密封小線源の放射性インプラントを入れた患者が、インプラントがベッドの上に落ちたと訴えています。看護師はどうすべきですか？

1. A明日放射線チームが来るまでベッドの上に置いておく
2. B手袋をした手で拾って医療廃棄物に入れる
3. C助けが来るまで患者に持っていてもらう
4. D長柄の鉗子を使って鉛の容器に入れる

The laboratory reports that a blood sample labeled with one patient’s name has a blood group different from that patient’s previous result. What is the most likely problem and response?

1. AThe previous result was wrong, so it is deleted
2. BA wrong-patient sample, so the test is repeated and the event reported
3. CA normal change in the patient’s blood group over the years since the last test
4. DA laboratory machine fault, so no action is needed