Nursing Care and Documentation Quiz
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Questions and Answers

Which of the following statements about documentation is false?

  • Document the care provided.
  • Chart a procedure after it is completed.
  • Use a pencil. (correct)
  • Record in a logical manner.
  • What is correct in regard to Mrs. Molinski’s indwelling catheter care?

  • Keep the drainage bag below the bladder. (correct)
  • The tubing should be placed over the bed rail.
  • The catheter should be changed daily.
  • Attach the drainage bag to the bed rail.
  • What is the outer layer of the skin called?

  • Dermis
  • Integument
  • Myelin
  • Epidermis (correct)
  • When a client with dementia keeps repeating the same behavior, the support worker should:

    <p>Distract the client from the act</p> Signup and view all the answers

    Mr. Beesla’s rehabilitation begins with preventing:

    <p>Contractures and pressure ulcers</p> Signup and view all the answers

    Events or situations that cause stress are known as:

    <p>Stressors</p> Signup and view all the answers

    Which step of the nursing process includes carrying out the actions listed in the care plan?

    <p>Implementation</p> Signup and view all the answers

    A restraint attached to the person’s body and a stationary object is a(an):

    <p>Physical restraint</p> Signup and view all the answers

    What is the primary purpose of back massage?

    <p>Relaxing muscles</p> Signup and view all the answers

    A pressure sore is commonly referred to as what?

    <p>Decubitus ulcer</p> Signup and view all the answers

    What should a PSW do with a bedpan?

    <p>All of the above</p> Signup and view all the answers

    What is important to do when death is imminent?

    <p>All of the above</p> Signup and view all the answers

    The Palliative Performance Scale is designed to measure what?

    <p>Measures functional ability</p> Signup and view all the answers

    What best describes grief?

    <p>Both A and C</p> Signup and view all the answers

    When caring for a dying resident, what must a PSW do?

    <p>Report condition changes</p> Signup and view all the answers

    What does the acronym SDM stand for?

    <p>Chosen by the client</p> Signup and view all the answers

    What is a key benefit of palliative care?

    <p>Improves quality of life</p> Signup and view all the answers

    How should a healthcare provider respond when a family member inquires about a patient's life expectancy?

    <p>That is a really important question, I would like to ask the nurse to talk with you about that</p> Signup and view all the answers

    Which statement correctly describes the difference between delirium and dementia?

    <p>Delirium is sudden onset and may be reversible</p> Signup and view all the answers

    What is the role of the Substitute Decision Maker?

    <p>Makes decisions based on what the Substitute Decision Maker would want for himself or herself</p> Signup and view all the answers

    What is indicated by severe abdominal pain in a patient during admission?

    <p>It may signify a need for immediate medical intervention.</p> Signup and view all the answers

    Which question is essential for a PSW to ask regarding a patient's pain?

    <p>All of the above</p> Signup and view all the answers

    What characterizes cachexia in terminal illness?

    <p>Involuntary weight loss</p> Signup and view all the answers

    What is the primary focus for ensuring a 2-month-old sleeps safely?

    <p>Positioning the baby on his back during sleep.</p> Signup and view all the answers

    What is the process called when discussing a person's values and wishes for care if they become unable to communicate?

    <p>Advance care planning</p> Signup and view all the answers

    Which option best categorizes Mrs. Tremaine's broken arm?

    <p>An acute illness due to a sudden occurrence.</p> Signup and view all the answers

    Which of the following is not a common symptom experienced by individuals who are dying?

    <p>Increased energy</p> Signup and view all the answers

    Which of the following represents the basic unit of body structure?

    <p>A cell which is the foundational building block.</p> Signup and view all the answers

    What should you do if Mr. Long's pain is not relieved after taking his analgesic medication?

    <p>Report to the nurse for further evaluation.</p> Signup and view all the answers

    Masks primarily prevent the spread of microbes from which body system?

    <p>Respiratory tract through coughing or sneezing.</p> Signup and view all the answers

    Which phase is not part of the common cycle of abuse?

    <p>Neglect phase indicating lack of care.</p> Signup and view all the answers

    Which cleaning guideline should be avoided for effective cleaning practices?

    <p>Working from the cleanest to the dirtiest areas.</p> Signup and view all the answers

    What system in the body helps deliver more blood to muscles and organs during exercise?

    <p>cardiovascular system</p> Signup and view all the answers

    What is the name of the body’s largest system, which can indicate a person's health through changes in color and texture?

    <p>integumentary system</p> Signup and view all the answers

    What challenges might Canadians encounter in getting enough nutrition in their diets?

    <p>limited income, geographical isolation, experiencing mental illness or addictions</p> Signup and view all the answers

    Which clients have a higher risk of experiencing skin tears?

    <p>clients who are poorly hydrated</p> Signup and view all the answers

    When recording a client's output, which of the following should a support worker not measure?

    <p>a normal bowel movement</p> Signup and view all the answers

    If your client needs to take 2000 mg of Metformin per day in two doses, and each tablet is 500 mg, your client should take:

    <p>two tablets with breakfast, two tablets with dinner</p> Signup and view all the answers

    What does drug antagonism refer to?

    <p>an unusually weak drug effect when taking two or more drugs at the same time</p> Signup and view all the answers

    What should you do if a client believes they have been given too much of a diuretic ('water pill')?

    <p>call your supervisor and inform them about the client's concerns</p> Signup and view all the answers

    What does the acronym PICC represent?

    <p>peripherally inserted central catheters</p> Signup and view all the answers

    Which action by a client with an indwelling catheter indicates a need for further teaching to prevent infection?

    <p>the client carries her urinary drainage bag under her arm like a purse</p> Signup and view all the answers

    How much fluid is required daily for maintaining normal fluid balance?

    <p>2000 - 2500 ml of fluid</p> Signup and view all the answers

    Which of the following does not typically happen in men with aging?

    <p>an erection occurs more quickly</p> Signup and view all the answers

    What are the aspirations for individuals with developmental disabilities?

    <p>to have control of their lives</p> Signup and view all the answers

    When medication has serious consequences on an individual's health, these reactions are known as:

    <p>adverse effects</p> Signup and view all the answers

    Which statement is accurate regarding cleaning guidelines?

    <p>change cleaning cloths and water frequently</p> Signup and view all the answers

    Which combination of factors is associated with an increase in mental health issues?

    <p>limited income, geographical isolation, experiencing mental illness or addictions</p> Signup and view all the answers

    Study Notes

    Multiple Choice Questions

    • Delusion: A false belief not based in reality.
    • Alzheimer's Disease: There is no known cure; diet and medication may help manage but not cure. It primarily affects older people.
    • Hallucination: Experiencing things not real.
    • Abused Substances: Illegal and some legal drugs, and alcohol.
    • Caregiver Training: The Gentle Persuasive Approach, a program training caregivers in handling responsive behaviors.
    • Exercise's Effect on the Body System: The cardiovascular/circulatory system increases blood flow during exercise.
    • Diabetic Acidosis: Slow, deep breathing is called Kussmaul respirations.

    Additional Questions

    • Skin Tears: Clients who are young, active, obese, or poorly hydrated often at risk.
    • Difficulty Swallowing: Dysphagia.
    • Narcotic effect on oxygen: Narcotics can depress the respiratory center, decreasing heart rate and blood flow, affecting oxygen needs.
    • Stethoscope Use: For listening to body sounds.
    • Colostomy: An opening between the colon and abdomen.
    • Normal Temperature Older Adults: A lower-than-normal temperature may be normal in older adults.
    • Vital Signs for 75-year-old: Check temperature (36C), oximeter reading (90%), pulse (95 bpm), blood pressure (140/90 mm Hg).
    • Dressing a Client: Remove unaffected clothing first, then affected side last.
    • Making an Occupied Bed: Lower the rail nearest you, position opposite the client, and raise the bed.
    • Oral Hygiene: In an elderly, confused client, review the medical record and ask the client what they prefer.
    • Bathing a Client: To increase circulation, relax the person, and prevent odors.
    • Excessive Hair Growth: Hirsutism.
    • Ostomy Pouch Change: The frequency depends on if feces is present and if any other symptoms are present.

    Additional Topics

    • Nutrition at End of Life: Nutritious foods are beneficial if the client can swallow.
    • Difficulty Breathing: Loosen clothing, maintain a calm posture and encourage resting.
    • Wellness: Maslow's hierarchy and Erikson's stages.
    • Protecting Privacy: Only reveal/share necessary information.
    • Delegation: The nurse is responsible for the task being executed correctly.
    • Coroner Involvement: Unexpected death within 24 hours of hospitalization.

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    Description

    Test your knowledge on essential nursing care and documentation practices. This quiz covers topics such as catheter care, skin layers, dementia support, and end-of-life care. Perfect for nursing students or those in the healthcare field.

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