CHAPTER

TRUE OR FALSE 8. TF Check the material safety data sheet

(MSDS) after cleaning up a leak
Circle T for true, or circle F for false. ~ or spill or disposing of a hazardous
substance.
Polat & An electrical plug not being
grounded may cause a fire. 9. T F When using restraints, the most
restrictive device is used.
Pdi WEA Visitors need to be reminded not to
smoke in a room with supplemental 10. T F Apply a restraint only after receiving
oxygen, even if the facility has a “No instructions about its proper use.
Smoking” policy.
11. TF Always follow manufacturers’
Beak. To prevent sparks, you must turn instructions when using restraints.
off electrical equipment before
unplugging it. 12. TF Sheets, towels, or other items can be
used to position and stabilize a client
4. T F You should attempt to put out a fire on the toilet.
before sounding a fire alarm.

Bon bear All fire extinguishers are effective for MULTIPLE RESPONSE
any fire. From the list below, choose all of the correct
answers.
Gate EF Disinfectants and cleaning solutions
are hazardous substances.
13. What physical changes in some older persons
place them at risk for accidents?
hed Cad Warnings, words, pictures, and
Stiff joints and weakened muscle groups
symbols on hazardous substances
Improved balance and coordination
may be removed after opening the
Increased sensitivity to heat, smell,
container.
taste, and touch
Diminished vision and hearing
ar
PO)Memory problems
”
96 CHAPTER 20 Safety

14. Why should you avoid calling a client by 17, Under the occupational health and safety
name as a method of identifying the client? - (OH&S) legislation, what must your
A. Some clients may be confused and employer do to ensure your safety?
unaware of their name. A. Have written safety policies
B. Some clients who are disoriented may B. ‘Train and educate employees about
answer to any name. these safety policies
C. Some clients with hearing difficulties C. Create a health and safety committee
may not hear you correctly. to identify workplace hazards and
investigate accidents
15. The support worker can prevent falls when Respond to reports of workplace hazards
giving care by: mo Warn employees about safety hazards and
A. ‘Taping cords and wires near the wall correcting these hazards whenever possible
and away from the path for walking EF Make sure that all necessary equipment
B. Using high-gloss floor wax to prevent is available and in good working order
tripping
C. Cleaning up water and other spills 18. OH&S legislation states the employee's
immediately responsibilities are:
D. Keeping lights on low dimmers to A. Follow all safety policies and procedures
decrease glare B. Use all recommended protective
E. Reporting frayed, torn, or bumpy rugs equipment and clothing
and carpets C. Decide which concerns should be
FE Rearranging the client’s furniture to a addressed to the supervisor or the health
better arrangement and safety committee
G. Using nonslip rubber bath mats or D. Complete an incident report after an
nonslip strips in bathtubs and showers accident in the specified time
H. Making sure that the client’s footwear
and clothing fit properly 19. Safety measures aimed at preventing burns
I. Ensuring the client’s shoes and slippers include:
are nonskid A. Telling clients about the dangers of wear-
ing tight-fitting clothing while cooking
16. Injury prevention measures include: B. Keeping clients who smoke a designated
A. Encouraging the client to wear reading distance away from the doors of the facility
glasses when up and about C. Following safety guidelines and the care
B. Ensuring crutches, canes, and walkers plan when applying heat and cold
have nonskid tips D. ‘Testing the temperature of food by
C. Checking the client carefully and often, dipping a clean spoon into the food and
especially a client with risk factors touching the inner aspect of your lower
D. Using pillows, wedge pads, or seats arm with it
to position the client as the care plan E. ‘Testing the water in the tub, shower, or
directs basin with your hand before bathing an
E. Keeping wheelchair wheels unlocked adult or helping an adult bathe
when stationary RF. Checking for “hot spots” in the bath
water, and mix the water well by
moving your hand back and forth in it
G. Relying on the client to check the tem-
perature of the bathwater before bathing
H. Allowing the client to eat or drink food
that is only warm and not hot

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 CHAPTER 20 _ Safety 97

20. Incident reports are used by employers and 24. Restraints may be used only:
health and safety committees to: A. When absolutely necessary
A. Identify recurring problems B. When the client is in imminent danger
B. Determine who is following health and of harming others
safety policies C. When a client is refusing to eat
C. Determine which steps were followed D. When a client actively threatens to
after the injury or incident occurred harm himself
D. Justify cost-saving measures E. Asa last resort and after less-restrictive
measures have failed
2h. What safety information should the support
worker know and use when handling 25% Which of the following statements are true
hazardous substances? in regard to restraints?
How to safely handle the product A. A restraint is any device that restricts or
The cost of the product limits movement.
How to safely use the product B. Support workers are responsible for
How to safely freeze the product determining who should have a restraint
Set
he
Sg First aid measures required in case of an applied.
accident or emergency C. Restraints can cause emotional harm
74 Instructions for disposing of the and physical injury.
product D. Unnecessary restraint is false
imprisonment.
2. Call bells: E. Restraints are used to discipline certain
A. Can be ignored if the client is known to clients.
call needlessly
B. Should always be placed within the 26. What alternatives to restraints can be used by
client’s reach on her strong or dominant a support worker when giving care?
side A. Use diversions, such as TV or music, to
C. Enable the client to call for assistance calm and distract the client.
D. Can be removed from a client’s bedside B. Avoid following routines and habits
if the staff are frequently alerted since they obviously do not work.
C. Provide attention and companionship.
22. What information about hazardous materials D. ‘Turn up the volume of the TV or radio
can be found on the Workplace Hazardous so the client will hear it.
Materials Information System (WHMIS) es Avoid explaining procedures and care
label? measures to reduce confusion.
A. Risk phrases that describe the health Closely supervise the client.
hazard Allow the client to wander in a safe area.
Supplier information Promote uninterrupted sleep.
Hazard symbol Meet food, fluid, and elimination needs
Cost of the product promptly.
moO Precautionary statements that describe — If ordered, help the client use padded
safety measures to take when using the hip protectors, pillows, wedge cushions,
product and posture and positioning aids.
E First aid measures in case of accident or K. Follow safety precautions to prevent
emergency falls; if ordered, use floor cushions and
G. Reference to the material safety data roll guards.
sheet (MSDS) L. ‘Take away call bells, as they are a safety
hazard.

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98 CHAPTER 20 _ Safety

27 How can you meet a restrained client's : MULTIPLE CHOICE

psychological needs?
A. Treat the person with kindness, caring, Circle the response that correctly completes the
sentence.
respect, and dignity.
B. Toilet the client every 6 hours.
30. A chemical restraint is a
C. Visit the person often.
used to control behaviour or movement.
D. Offer repeated explanations and
ie Belt
reassurance.
B. Jacket
E. Bea good listener.
Cc. Food
28. What information should be reported to the b; Medication
nurse when you are caring for a restrained client?
31. Which of the following statements about
A. ‘The type of restraint applied
restraint use is true?
B. The reason for the restraint
A. Most facilities have limited policies
C. Safety measures taken, as listed in the
about the use of restraints.
care plan, such as whether bed rails are
B. Restraints cannot be used without prior
padded or raised
informed consent given.
D. The time the restraint was applied
A wheelchair belt is not considered to
E. ‘The time the restraint was removed
be a restraint.
F The care given when the restraint was
Ly: Items such as bedsheets can be used to
removed
restrain a client.
Skin colour and condition
The pulse felt in the restrained part 32. When a client is restrained, the support
aaa Complaints of a tight restraint; difficulty worker must check the client at least every
breathing; and pain, numbness, or
tingling in the restrained part 15% 5 minutes
B. 15 minutes
29. What are some measures that you can take to
(Oe Hour
prevent suffocation in children?
1D) 2 hours
A. Supervise children when they are eating.
B. Allow children to play with small 33. Which of these statements is correct
marbles, coins, and paper clips. regarding restraints?
C. Do not allow children to play with iN Certain drugs may be a form of
blow-up balloons. restraint.
D. Place garbage bags within easy reach B. Restraints may be used for staff
of children. convenience.
E. Do not allow children to wear Restraints are never used to protect a
necklaces, strings, cords, or other items client from harming himself or herself
around their necks. or others.
F. Position infants on their backs for sleeping. 1D: The staff determines who should be
G. Make sure that crib mattresses fit snugly restrained.
in the crib and are firm.
H. Do not place pillows around infants to 34. Restraints that are too big or loose can
prevent them from falling off the bed or increase the risk for
furniture. Cuts
I. Keep the toilet seat raised. Bruises
Do not leave children unattended in a Strangulation
vehicle. Fas
OS Suffocation

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 CHAPTER 20 _ Safety 99

35. When a client’s clothing is on fire, you 40. Which of the following sets of factors puts a
should the client and cover him client at increased risk for falls?
or her with a or Coat to A. Confusion, disorientation, and memory
smother the flames. problems
A. Roll, blanket B. Increased joint mobility and muscle
B. Hug, curtain strength
C. Hug, blanket C. Visual impairment, strange
D. Roll, curtain surroundings, and improved reaction
time
36. It is important to exercise personal safety D. Regular exercise and diet habits, proper
measures at all times to avoid injury. If use of medications
visiting a client in the home, one safety
precaution would be to: 41. In a facility, falls are most likely to occur:
A. Position yourself in the corner of the A. During shift changes
room B. During meal times
B. Remove shoes or boots and throw them C. When visitors are present
at the client if the client is being abusive D. While care is being given
C. Try to reason with the client or family
member who is abusive or making 42. Which factor increases a client’s risk of
sexual demands falling?
D. Be cautious in hallways, elevators, and A. Awareness of surroundings
stairwells B. A history of falls
C. Well-fitting footwear
o/s Which is a good personal safety measure to D. Muscle coordination
take when driving to and from work?
A. Always use a seat belt. 43. Which client is most at risk for falls?
B. Never park near people; choose remote, A. A toddler on the stairs who is just
empty areas. learning to walk
C. Do not take your keys out until you are B. A pregnant woman
at your car. C. A school-age child who plays soccer
D. Never carry cash with you at any time. D. A 40-year-old man who is bicycling

38. If someone tries to force you into a vehicle, 44. A client who has balance problems is:
you should: A. At risk for memory problems
A. Cry softly B. Suffering from impaired hearing
B. Push your thumbs into the attacker's C. At risk of falling
eyes D. Taking medication
C. Avoid resisting and go into the vehicle
D. Crouch in a fetal position 45. Which of the following can help to prevent
falls?
Bo; Accident risk factors include: A. Spills on the floor
A. Natural disasters B. Scatter rugs
B. Impaired vision and hearing C. Night lights
C. Suffocation D. Clutter
D. Sleeping

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100 CHAPTER 20 _ Safety

46. A person has a chair alarm. Which is true? * 51. When an accident or error occurs, it is
A. It serves the same purpose as a night correct to:
light. A. Report the accident or error
B. You need to respond immediately to the immediately to your supervisor
alarm. B. Report the incident only if a client is
C. Alarms are used only at night. injured
D. Alarms reduce the need to watch the C. Call the family immediately
client. D. Call the doctor or ambulance

47. Bed rails are padded to: ops If your car breaks down, a good safety
A. Prevent the person from getting caught practice would be to:
between the rails and the mattress A. Stay in the car and call police if you
B. Provide privacy for the person have a cellphone
C. Prevent the person from climbing out B. Ask for a ride to a police station if
of bed someone stops to help
D. Decrease agitation C. Walk to the nearest place where you can
get help
48. What should you do if you find that a smoke D. Get out of the car and try to flag down
detector does not work in a home where you a ride for help
are giving care?
Replace the battery. 53. If you feel uncomfortable or threatened in a
Call the fire department. home setting, you should first:
Notify the nurse and the family. A. Speak to the person who is threatening
i
eo
BG)This is not your responsibility; do not you
get involved. B. Go toa safe place immediately and call
your supervisor
49. If a fire occurs, which of these steps should C. Resign from your job
be done first? D. Call a co-worker to come to the home
A. Usea fire extinguisher to put out the to assist you
fire.
B. Close all doors and windows. 54. Which of the following would be a threat to
C. Announce “Fire” in a loud voice. your safety in home care?
D. Move people who are in danger to a safe A. Denial of meal breaks, drinking water,
place. or bathroom use
B. Inadequate heat or ventilation
50. Suffocation can occur because: C. Being subject to name-calling or
A. Aperson chokes on a piece of food obscene language
B. A person is given a tub bath D. All of the above
C. Restraints are applied correctly
D. Dentures fit properly

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 CHAPTER20 Safety 101

MATCHING
Match the description or example with the correct restraint.

55. A drug is given that is not required to treat the client’s medical Chemical restraint
symptoms.

56. An attached tray keeps the client from getting up. Mitt restraint

“We Hands are covered to prevent the client from removing the dressing. Geriatric chair

Match the safety measure used with the correct risk factor.

58. Measure the temperature of bath water. Burns

cee Keep the client’s room free of clutter. Suffocation

60. Open doors and windows if you notice gas odours. Falls

61. Store cleaners, medicines, and hazardous substances in the original Poisoning
containers.

Match the safety measure used with the correct risk factor.

62. Do not allow smoking in bed. Burns

63. Do not prop up a baby bottle with a rolled-up towel or blanket. Suffocation

64. Use nonslip strips on the floor next to the bed and in the Falls
bathroom.

Match the accident risk factor with the possible outcome or injury.

65. Can harm herself or others because she cannot understand what is Impaired awareness
happening of surroundings

66. May take wrong medication or dosage or poison himself because Impaired vision
cannot read labels
Impaired hearing
67. Has problems smelling smoke or gas, so is unaware of fire
Altered sense of
68. Cannot hear fire alarms or sirens, so cannot move to safety smell or touch

69. Has not learned the difference between safety and danger, so is Paralysis
unaware of hazardous situations

70. May be aware of danger but is unable to move to safety Developmental

stage or age

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102 CHAPTER 20 _ Safety

Match the accident risk factor with the possible outcome or injury.

71. Injury resulting from being unaware that certain people, A. Impaired awareness of
places, or things may be safety hazards surroundings

De Movements slower and less steady; balance affected B. Impaired vision

Tigo Can trip on toys, rugs, furniture, electrical cords C. Impaired hearing

74. Easily burned because of problems sensing heat and’cold D. Altered sense of touch

hee Cannot hear explanation or instructions, so may take E. Paralysis

wrong medication or dosage

76. May develop pressure sores from lack of movement E Medications

Tle Unaware that mixing these without proper guidance G. Developmental stage or age
can cause illness or death

FILL IN THE BLANKS

78. Where would you find information about a hazardous substance found in the workplace?

TihsJ What are some behaviours that would allow for the use of restraints?
a.
b.
(S

80. If the support worker applies a restraint unnecessarily, he or she could face

81. The client or substitute decision maker must give for the use of
restraints. The support worker (can or cannot) provide the information about
restraints and obtain the signed consent.

82. When a person is restrained, the support worker must make sure basic needs are met by doing the
following:
a. ‘The person must be checked at least
b. Meet the person’s needs for '
, and

83. Several staff members may be needed to apply restraints because

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 CHAPTER 20 _ Safety 103

84. Why can confusion increase when a person is restrained?

ee ee OF

85. When applying restraints, the person should be positioned in , and

any bony areas and skin should be to prevent
and

86. Restraints that are too small cause

a
ee

87. What personal safety measures can you take to reduce your risk for assaults?
2
b.
e
d.
2.
2

88. How can you use your car keys as a weapon?

89. How can you use your body as a weapon if you are attacked?
a
b.
es

LABELLING

90. What are two safety problems with the plug in the figure?

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