1. Each year, more than 2.5 million people in the US develop pressure ulcers. These skin lesions bring which of the following?
A. Pain B. Associated risk for serious infection C. Increased health care utilization D. All of the above2. Which of the following is NOT one of the six questions needed for an organization to implement a successful initiative to improve pressure ulcer prevention on a sustained basis?
A. Are we ready for this change? B. How will we manage change? C. What are the pressure ulcer rates of our competitors? D. What are the best practices in pressure ulcer prevention that we want to use? E. How do we measure our pressure ulcer rates and practices?3. Cost of individual patient care per pressure ulcer ranges from?
A. $10, 000 - $18,500 B. $20,900 - $151,700 C. $175,000 - $221,500 D. $221,500 - $347,2504. Collecting and sharing data on magnitude of pressure ulcer incidence, identifying and recruiting project allies, and conducting a general staff awareness campaign are all?
A. Ways to build support and readiness B. Implement best practices C. Measure pressure ulcer rates D. All of the above5. The success and speed of adoption of evidence-based clinical practices are related to an infrastructure dedicated to the redesign of a particular process of care. The center of this infrastructure tends to include all of the following, EXCEPT?
A. An interdisciplinary implementation team that has a strong link to hospital leadership B. Members with the necessary expertise C. A broadly defined task D. Access to the resources needed to complete that task6. Senior leadership support is a prerequisite for system change, but change itself comes most effectively from the ground up. Change happens as teams that include frontline health care works, such as physicians, actively engage in high-priority problem solving, such as redesigning processes of care.
A. True B. False7. Which team consists of an interdisciplinary group of experts that provides day-to-day care of skin and wound care care needs and are a resource for staff and patient/family?
A. Wound care team B. Implementation team C. Unit-based team D. None of the above8. There are gaps, possibly of multiple types, between current best practices and actual work practices due to which of the following?
A. Uneven access to current information B. Variation in staff knowledge C. Lack of coordination across clinical units D. All of the above9. Which of the following is an assessment used to examine pressure ulcer knowledge?
A. Pressure Ulcer Periodical B. Pieper Pressure Ulcer Knowledge Test C. Physician's Ulcer Assessment D. None of the above10. Implementing best practices at the bedside is an extremely complex task. Factors that make pressure ulcer prevention so difficult include all of the following, EXCEPT?
A. It is multidisciplinary B. It needs to be customized C. It is highly routinized D. It is perceived to be glamorous11. Three critical components in preventing pressure ulcers that are incorporated in the pressure ulcer bundle include which of the following?
A. Comprehensive skin assessment B. Standardized pressure ulcer risk assessment C. Care planning and implementation to address areas of risk D. All of the above12. Comprehensive skin assessment is a process by which the entire skin of every individual is examined for any abnormalities. It requires looking and touching the skin from head to toe, with a particular emphasis over bony prominences.
A. True B. False13. Usual practice of assessment for a comprehensive skin assessment for pressure ulcers includes which five parameters?
A. Amount of hair, color, moisture level, turgor, and skin integrity B. Temperature, color, moisture level, turgor, skin integrity C. Diameter of freckles, moisture level, turgor, temperature, skin integrity D. None of the above14. A separate unit log summarizes the results of all comprehensive skin assessments. This sheet would include all of the following, EXCEPT?
A. Only patients in the unit that have a pressure ulcer B. The number of pressure ulcers present C. Highest stage of the deepest ulcer D. A and B15. Pressure ulcer risk assessment is essential for a number of reasons, which include?
A. It aids in clinical decision making B. It allows the selective targeting of preventive interventions C. It facilitates care planning D. It facilitates communication E. All of the above16. Typically, risk assessment tools evaluate several different dimensions of risk, including mobility, nutrition, and moisture, and assigns points depending on the extent of any impairment.
A. True B. False17. Immobility, incontinence and impaired sensation are factors that may combine to place which of the following type of patients at exceptionally high risk for pressure ulcers?
A. Diabetes B. Smoking C. Spinal cord injury D. None of the above18. All of the following statements regarding the Norton risk assessment scale, EXCEPT?
A. It is made up of five subscales B. It is scored from 1-4 C. The subscales are added together for a total score that ranges from 5 to 20 D. A higher Norton Scale score indicates higher levels of risk for pressure ulcer development19. Consider performing a risk assessment in general acute care settings on admission and then weekly or with a significant change in condition.
A. True B. False20. There are many potential barriers to accurately completing care planning. These include which of the following?
A. Time B. Expertise C. Responsibility D. Information technology E. All of the above21. The large interdisciplinary group charged with designing and implementing the pressure ulcer change project describes the responsibilities of which team:
A. Implementation Team B. Wound Care Team C. Unit-Based Team D. All of the above E. None of the above22. All of the following are examples of good communicating and reporting EXCEPT?
A. Risk and skin assessment information are included at all shift reports B. Pressure ulcer risk or presence is documented on a unit flowsheet daily C. Interdisciplinary "Skin Rounds" are used to examine patients at risk for pressure ulcers D. Patient and family are given pressure ulcer information upon discharge23. In starting the implementation process, many organizations may begin the rollout of new practices in one or two units before launching them across the hospital to work out any problems and refine the program for a better fit.
A. True B. False24. All the following are recommendations to engage and work with staff at the unit level EXCEPT?
A. Allow unit staff input and ability to make suggestions on how to individualize the program for their unit B. The Implentation Team or Unit Champion should meet with unit staff on all shift C. If reluctance or active resistance is localized to specific pats of the hospital, early implementation here will be necessary to get them on board to serve as an example to other units D. All of the above are appropriate recommendations25. Which of the following are examples of strategies for reducing staff resistance?
A. Continue to persuade staff of importance of prevention B. Involve staff in defining the problems and testing solutions so they feel ownership of the changes and see the success that can result C. Provide staff with data that initially highlight the problem of high pressure ulcer reates and later shows success in preventing them D. All of the above26. Which measure indicates the most direct evidence of the quality of your care?
A. Incidence B. Prevalence C. Compliance D. Days till discharge27. Which of the following is true when calculating Prevalence of patients with pressure ulcers at a certain point or period of time?
A. The denominator will be the number of patients with any pressure ulcer B. Just count patients, not the number of ulcers. Even if a patient has four Stage II ulcers, he or she is only counted once. C. The numerator is the number of patients on your unit or in your facility during that month D. Divide the demoninator by the numerator and multiply by 100 to get the percentage28. Minimally a patient in the acute care setting should be assessed for pressure ulcer risk at least every?
A. 48 hours B. 24 hours C. 8 hours D. 4 hours29. What is the most common reason a patient gets a pressure ulcer?
A. Patient is a smoker B. Patient is very thin C. Patient is incontinent D. Patient does not move30. What should you report to your patient's RN every shift?
A. Skin tears B. Discoloration of skin, such as red, blue, or purple C. Open sores D. All of the above31. All of the following are elements of a correct comprehensive skin assessment to check skin moisture, EXCEPT?
A. Touch the skin to see if it is wet or dry, or has the right balance of moisture B. Pinch the skin near the clavicle or forearm so that the skin lifts up from the underlying structure C. Remember that dry skin, or xerosis, may also appear scaly or lighter in color D. Note that macerated skin from too much moisture may also appear lighter or feel soft or boggy32. After pinching the skin, if the skin does not return to place, but stays up (called tenting) this is a normal skin turgor finding.
A. True B. False33. Using the Braden Pressure Ulcer Risk Assessment, which type of mobility is described by the following: Makes frequent though slight changes in body or extremity position independently?
A. Completely Immobile B. Very Limited C. Slightly Limited D. No LimitationsCopyright © 2024 Flex Therapist CEUs
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