Evolution of Nursing

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Questions and Answers

What was the role of indigenous women in nursing according to the text?

  • They were only allowed to practice nursing in specific regions
  • They played a vital role as nurses and midwives (correct)
  • They were not involved in nursing until the 1930s
  • They were primarily caregivers in the community

What was significant about Charlotte Edith Anderson Monterey?

  • She was the first nurse to be awarded the Victoria Order of Nurses in Canada
  • She was the first indigenous nurse (correct)
  • She was the first nurse to work in World War I
  • She was the first nurse to practice in Ontario

Why was Bernice Redman unable to attend nursing in Canada in the 1940s?

  • She lacked the necessary qualifications for nursing in Canada
  • There were no nursing programs available in Canada at that time
  • She chose to pursue nursing in the United States instead
  • Racial discrimination prevented her from pursuing nursing in Canada (correct)

When did the first Black nurses graduate from a nursing program in Canada?

<p>1948 (B)</p> Signup and view all the answers

What is the focus of Descriptive Phenomenology?

<p>Exploring the meaning of experiences of health, healing, and illness (C)</p> Signup and view all the answers

What was the perception of nurses during the mid-1800s through World War I?

<p>Noble, moral, religious, virginal, and self-sacrificing (A)</p> Signup and view all the answers

What is the main goal of Critical Social Theory?

<p>To challenge and disrupt the status quo and assumptions (C)</p> Signup and view all the answers

Why is it important to know the history of nursing according to the text?

<p>To understand political, social, and economic influences on the profession (C)</p> Signup and view all the answers

What is the role of social discourses?

<p>To perpetuate knowledge through written and spoken language (D)</p> Signup and view all the answers

What was the role of indigenous healers in nursing?

<p>Played a vital role as nurses and midwives (B)</p> Signup and view all the answers

What is the concept of oppression related to?

<p>Reducing, immobilizing, and molding people to effect their subordination (A)</p> Signup and view all the answers

Where was Charlotte Edith Anderson Monterey accepted as a nurse?

<p>New York (D)</p> Signup and view all the answers

What is the implication of historical images in nursing recruitment?

<p>They can provide both inspiration and dissonance (B)</p> Signup and view all the answers

What was the policy towards indigenous peoples' healing knowledge and practice according to the text?

<p>There was a policy of assimilation and suppression of indigenous healing knowledge and practice (B)</p> Signup and view all the answers

What is the future implication to shift the image of nursing according to the text?

<p>Emphasize nursing’s unique body of knowledge defined through research (B)</p> Signup and view all the answers

What was the significance of Bernice Redman in the nursing profession?

<p>She was the first black nurse to be awarded the Victoria Order of Nurses in Canada (A)</p> Signup and view all the answers

What do social norms and expectations provide within society?

<p>A system of social control (A)</p> Signup and view all the answers

What is the focus of Interpretive Phenomenology?

<p>Examining contextual features of people's lived experiences (C)</p> Signup and view all the answers

What is the role of social construction in society?

<p>To create and accept ideas in society (B)</p> Signup and view all the answers

What is the implication for nursing recruitment according to the text?

<p>The need for contemporary images for nursing recruitment (D)</p> Signup and view all the answers

What is the focus of social justice approach in nursing?

<p>Advocating for the redistribution of opportunities and resources for vulnerable people (A)</p> Signup and view all the answers

Which type of knowing in nursing involves recognizing social and political problems of injustice or inequity?

<p>Emancipatory Knowing (A)</p> Signup and view all the answers

What is the primary focus of ethical knowing in nursing?

<p>Moral choices and what ought to be done (B)</p> Signup and view all the answers

What distinguishes professional behaviors in nursing?

<p>Functioning autonomously and commitment to advanced study (D)</p> Signup and view all the answers

What is the central focus of providing safe, compassionate, competent, and ethical care in nursing?

<p>Ensuring patient safety and well-being (D)</p> Signup and view all the answers

What is the main emphasis of aesthetic knowing in nursing?

<p>A deeper appreciation of the whole person or situation (D)</p> Signup and view all the answers

What is the primary goal of personal knowing in nursing?

<p>Concerns self-understanding, empathy, and compassion (A)</p> Signup and view all the answers

What is the key distinction between equality and equity in nursing?

<p>Equality ensures equal sharing amongst people, while equity requires redistribution of access and resources for vulnerable people (A)</p> Signup and view all the answers

What is the primary focus of promoting justice in nursing professional values?

<p>Advocating for fairness and equity in healthcare (C)</p> Signup and view all the answers

What is the primary focus of emancipatory knowing in nursing?

<p>Recognizing social and political problems of injustice or inequity (A)</p> Signup and view all the answers

Which position involves the client resting on their back with good standing alignment?

<p>Supine/Dorsal Recumbent position (A)</p> Signup and view all the answers

What is the primary focus of Client Centered Care in nursing?

<p>Maintaining the client's dignity, independence, preferences, privacy, and safety (B)</p> Signup and view all the answers

What is the primary purpose of using trochanter rolls, hand rolls, and pillows in patient positioning?

<p>To enhance comfort (A)</p> Signup and view all the answers

What is the main purpose of the Nursing Process?

<p>To assist nurses in identifying health-related concerns and attaining health outcomes (D)</p> Signup and view all the answers

When is it safe to manually lift a patient according to the text?

<p>When the patient is cooperative and unlikely to move suddenly (D)</p> Signup and view all the answers

What does the Assessment phase of the Nursing Process involve?

<p>Collecting data to fully understand the patient's needs (C)</p> Signup and view all the answers

What is the key focus of the Diagnoses phase in the Nursing Process?

<p>Analyzing to determine key issues and make a judgement (B)</p> Signup and view all the answers

What is the recommended assessment before planning a client for ambulation?

<p>Assess the client's baseline vital signs (A)</p> Signup and view all the answers

What is the primary purpose of using positioning devices such as pillows and foot boards/foot boots?

<p>To maintain good body alignment and comfort (C)</p> Signup and view all the answers

What are the core components of Approach to Care in nursing?

<p>Dignity, Independence, Preferences, Privacy, Safety (D)</p> Signup and view all the answers

During perineal-genital care for males, what is the correct order of washing and drying?

<p>Wash urethral meatus, wash and dry penis, retract foreskin (if uncircumcised), wash and dry scrotum, wash and dry upper/inner thigh (B)</p> Signup and view all the answers

When dressing a client, what is the correct order for removing pants?

<p>Remove foot wear first, then ideally place in supine and ask client to lift hips (C)</p> Signup and view all the answers

What should be assessed regarding oral hygiene?

<p>Color, hydration, lips, breath, discolored teeth coated tongue (B)</p> Signup and view all the answers

What is a recommended oral hygiene intervention for individuals with dementia/cognitive impairment?

<p>Regular dental check-ups and maintaining hydration (B)</p> Signup and view all the answers

What is the recommended positioning for oral care in individuals with swallowing problems?

<p>Lying on their side with a towel placed on the pillow, at about 45-60 degree angle (B)</p> Signup and view all the answers

What is the primary focus of nursing practice according to the text?

<p>Promoting client well-being (C)</p> Signup and view all the answers

What is the role of the College of Nurses of Ontario (CNO) as mentioned in the text?

<p>Establishing requirements for entry to practice (A)</p> Signup and view all the answers

What is an essential step for performing nurse clinical judgment according to the text?

<p>Developing a hypothesis (B)</p> Signup and view all the answers

What is the focus of leadership in nursing as per the text?

<p>Providing and facilitating care (B)</p> Signup and view all the answers

What is emphasized as essential during bed making in nursing according to the text?

<p>Incorporating infection prevention and control practices (D)</p> Signup and view all the answers

Which factor is used to predict pressure sore risk based on sensory perception and nutrition?

<p>Braden Scale (C)</p> Signup and view all the answers

What is a common respiratory change due to immobility?

<p>Hypostatic pneumonia (D)</p> Signup and view all the answers

What is a metabolic change due to immobility?

<p>Impaired immunity (D)</p> Signup and view all the answers

What is a common musculoskeletal change due to immobility?

<p>Disuse atrophy (A)</p> Signup and view all the answers

What is a key factor contributing to the formation of pressure ulcers?

<p>Pressure slowing blood flow (A)</p> Signup and view all the answers

What are the three types of range of motion (ROM) mentioned in the text?

<p>Active, passive, and a combination of both (C)</p> Signup and view all the answers

Which factor is NOT mentioned as influencing hygiene practices in the text?

<p>Educational background (B)</p> Signup and view all the answers

What is the recommended position for perineal-genital care for females according to the text?

<p>Dorsal recumbent position (B)</p> Signup and view all the answers

What is the primary focus of infection control measures in hygiene care?

<p>Determine PPE required (C)</p> Signup and view all the answers

What is the purpose of ongoing assessment of clients during bathing according to the text?

<p>Assess physical status, emotional response, ROM, and changes from baseline (B)</p> Signup and view all the answers

What is the primary focus of Client Centered Care in nursing?

<p>Empowering the client and involving them in their care plan (A)</p> Signup and view all the answers

What is the key focus of the Diagnoses phase in the Nursing Process?

<p>Identifying key issues and making a judgement (C)</p> Signup and view all the answers

What is the primary purpose of the Nursing Process?

<p>To identify health-related concerns and attain health outcomes (D)</p> Signup and view all the answers

What is the primary focus of infection control measures in hygiene care?

<p>Ensuring the safety and well-being of patients and healthcare providers (B)</p> Signup and view all the answers

What is the recommended assessment before planning a client for ambulation?

<p>Assessing the patient's physical ability and any potential risks (C)</p> Signup and view all the answers

What is the recommended assessment before planning a client for ambulation?

<p>Assessing the client's activity tolerance, strength, coordination, balance &amp; environment for safety (B)</p> Signup and view all the answers

What is the primary focus of nursing practice according to the text?

<p>Providing safe, compassionate, competent, and ethical care (C)</p> Signup and view all the answers

When is it safe to manually lift a patient according to the text?

<p>When the patient is cooperative and unlikely to move suddenly, and the weight does not exceed 35lb (16kg) (C)</p> Signup and view all the answers

What is the role of the College of Nurses of Ontario (CNO) as mentioned in the text?

<p>Regulating nursing practice and maintaining standards of nursing care (A)</p> Signup and view all the answers

What are the respiratory changes due to immobility?

<p>Decreased respiratory movement and hypostatic pneumonia (A)</p> Signup and view all the answers

What is the primary purpose of using trochanter rolls, hand rolls, and pillows in patient positioning?

<p>To enhance comfort and prevent musculoskeletal complications (D)</p> Signup and view all the answers

What is used to predict pressure sore risk based on factors like sensory perception and nutrition?

<p>The Braden Scale (C)</p> Signup and view all the answers

What is a musculoskeletal change due to immobility?

<p>Disuse atrophy and joint pain contractures like footdrop (B)</p> Signup and view all the answers

What is a urinary elimination change due to immobility?

<p>Urinary stasis and increased risk of urinary tract infections (C)</p> Signup and view all the answers

What are the metabolic changes due to immobility?

<p>Impaired immunity and decreased GI motility (B)</p> Signup and view all the answers

What is a key aspect of ethical nursing practice?

<p>Maintaining privacy and confidentiality (C)</p> Signup and view all the answers

What is the primary focus of leadership in nursing?

<p>Providing and facilitating care (C)</p> Signup and view all the answers

What is the role of the College of Nurses of Ontario (CNO)?

<p>Establishing requirements for entry to practice (D)</p> Signup and view all the answers

What are the steps for performing nurse clinical judgment?

<p>Assessment, diagnosis, prioritizing hypothesis, planning, and implementation (C)</p> Signup and view all the answers

What is essential during bed making in nursing?

<p>Ensuring a hygienic environment (D)</p> Signup and view all the answers

What are the three types of range of motion (ROM) mentioned in the text?

<p>Active, passive, and resistive (C)</p> Signup and view all the answers

Which factor is mentioned as influencing hygiene practices in the text?

<p>Socio-economic status and educational level (C)</p> Signup and view all the answers

What is recommended for privacy and confidentiality in hygiene care, as per the text?

<p>Use a 'do not disturb' sign and maintain client dignity (C)</p> Signup and view all the answers

What should be assessed during ongoing bathing of clients, according to the text?

<p>Physical status, emotional response, ROM, and changes from baseline (A)</p> Signup and view all the answers

What is the recommended technique for perineal-genital care for females, as mentioned in the text?

<p>Wipe from least to most contaminated area, use the dorsal recumbent position, and start at the urethra (D)</p> Signup and view all the answers

What is the correct order for perineal-genital care for males?

<p>Inspect meatus, cleanse urethral meatus, wash and dry penis, wash and dry scrotum, wash and dry upper/inner thigh (B)</p> Signup and view all the answers

What should be assessed regarding oral hygiene?

<p>Breath, infection, hydration, cognitive ability (C)</p> Signup and view all the answers

What is the recommended positioning for oral care in individuals with swallowing problems?

<p>In a supine position at about 45-60 degree angle or lying on their side with a towel placed on a pillow (D)</p> Signup and view all the answers

What is the primary focus of assessing oral hygiene?

<p>Infection, inflammation, lesions/fissures/ulcers (A)</p> Signup and view all the answers

What is the correct order for undressing a client according to RUF principle?

<p>Remove from the unaffected side first, avoid overexposure/ensure privacy, may need to undo buttons, zippers, snaps, or ties, ideally place in supine and ask client to lift hips, remove foot wear first (B)</p> Signup and view all the answers

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Study Notes

Personal Hygiene and Grooming in Nursing Care

  • Range of motion (ROM) available at a joint in three planes: sagittal, frontal, transverse
  • Three types of ROM: active, passive, and a combination of both
  • Joint movements include flexion, extension, abduction, adduction, internal and external rotation, dorsiflexion, plantar flexion, pronation, and supination
  • Factors influencing hygiene practices: social groups, personal preferences, body image, socio-economic status, health beliefs, cultural variables, physical condition
  • Risks for unmet hygiene needs: tracheostomies, drains, dressings, skin integrity, language deficits, sedation, mental illness, reduced physical energy, etc.
  • Privacy and confidentiality in hygiene care: close curtains, maintain client dignity, minimize exposure, use a "do not disturb" sign
  • Infection control measures: determine PPE required, sanitize wash basin, move from cleanest to dirtiest body parts
  • Safety considerations in hygiene care: infection control, body mechanics, client ability and risks, water temperature and product use, skin integrity
  • Special needs for clients with dementia or cognitive impairment: use distraction, minimize noise, set priorities for bathing
  • Techniques reflecting critical thinking in hygiene care: ongoing assessment, nursing diagnosis examples, hygienic care approach, perineal-genital care
  • Ongoing assessment of clients during bathing: assess physical status, emotional response, ROM, and changes from baseline
  • Perineal-genital care for females: wipe from least to most contaminated area, use the dorsal recumbent position, spread labia, start at the urethra, and wipe downwards

Personal Hygiene and Grooming in Nursing Care

  • Range of motion (ROM) available at a joint in three planes: sagittal, frontal, transverse
  • Three types of ROM: active, passive, and a combination of both
  • Joint movements include flexion, extension, abduction, adduction, internal and external rotation, dorsiflexion, plantar flexion, pronation, and supination
  • Factors influencing hygiene practices: social groups, personal preferences, body image, socio-economic status, health beliefs, cultural variables, physical condition
  • Risks for unmet hygiene needs: tracheostomies, drains, dressings, skin integrity, language deficits, sedation, mental illness, reduced physical energy, etc.
  • Privacy and confidentiality in hygiene care: close curtains, maintain client dignity, minimize exposure, use a "do not disturb" sign
  • Infection control measures: determine PPE required, sanitize wash basin, move from cleanest to dirtiest body parts
  • Safety considerations in hygiene care: infection control, body mechanics, client ability and risks, water temperature and product use, skin integrity
  • Special needs for clients with dementia or cognitive impairment: use distraction, minimize noise, set priorities for bathing
  • Techniques reflecting critical thinking in hygiene care: ongoing assessment, nursing diagnosis examples, hygienic care approach, perineal-genital care
  • Ongoing assessment of clients during bathing: assess physical status, emotional response, ROM, and changes from baseline
  • Perineal-genital care for females: wipe from least to most contaminated area, use the dorsal recumbent position, spread labia, start at the urethra, and wipe downwards

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