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

Mr. Beesla’s rehabilitation begins with preventing:

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

Events or situations that cause stress are known as:

<p>Stressors (A)</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 (B)</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 (D)</p> Signup and view all the answers

What is the primary purpose of back massage?

<p>Relaxing muscles (B), Stimulating circulation (C)</p> Signup and view all the answers

A pressure sore is commonly referred to as what?

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

What should a PSW do with a bedpan?

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

What is important to do when death is imminent?

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

The Palliative Performance Scale is designed to measure what?

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

What best describes grief?

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

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

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

What does the acronym SDM stand for?

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

What is a key benefit of palliative care?

<p>Improves quality of life (A)</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 (C)</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 (D)</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 (C)</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. (C)</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 (D)</p> Signup and view all the answers

What characterizes cachexia in terminal illness?

<p>Involuntary weight loss (C)</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. (A)</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 (C)</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. (C)</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 (B)</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. (B)</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. (B)</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. (B)</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. (D)</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. (C)</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 (D)</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 (A)</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 (C)</p> Signup and view all the answers

Which clients have a higher risk of experiencing skin tears?

<p>clients who are poorly hydrated (D)</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 (B)</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 (C)</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 (D)</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 (B)</p> Signup and view all the answers

What does the acronym PICC represent?

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

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

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

What are the aspirations for individuals with developmental disabilities?

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

Which statement is accurate regarding cleaning guidelines?

<p>change cleaning cloths and water frequently (C)</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 (A)</p> Signup and view all the answers

Flashcards

Palliative Care

Care focused on improving quality of life for people with serious illnesses, not focused on curing the illness

How to answer "How much longer does my father have to live?"

Directly ask the nurse to address the question with the person, showing that you are supportive and want to help them deal with it.

Delirium vs. Dementia

Delirium has sudden onset and may be reversible. Dementia has gradual onset and is not reversible.

Substitute Decision Maker

A person chosen by the client, to make decisions about their care when they can no longer make decisions for themselves.

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Pain Assessment

In pain situations, ask about when the pain started and how severe it is on a scale.

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Cachexia

Involuntary weight loss associated with serious illness.

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Advance Care Planning

Discussing values, beliefs, and care plans if a person can no longer speak for themselves.

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Bradypnea

Respiration fewer than 12 per minute.

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Back massage purpose

Relaxing muscles and stimulating circulation.

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Pressure sore alternative name

Decubitus ulcer.

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Bedpan preparation for use

Use a liner. Rinsing and powdering are not necessary.

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Imminent death care priorities

Prioritize family privacy, determining and calling the appropriate contacts.

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Palliative Performance Scale use

Measures functional ability.

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Grief characteristics

Grief impacts the whole person & is a natural response to loss, not the same for all people.

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Grieving support approach

Empathy, silence, individualized care, extra support reporting are important to support the person's grieving process.

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Dying resident care (PSW responsibilities)

Report condition changes, allowing visitors.

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False statement about documentation

Using a pencil for documentation is incorrect.

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Indwelling catheter care: drainage bag position

Keep the drainage bag below the bladder level.

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Outer layer of skin

Epidermis is the outer layer of skin.

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Dementia client repetitive behavior

Distract the client from the repeating behavior.

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Rehabilitation focus for Mr. Beesla

Preventing contractures and pressure ulcers.

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Stressors definition

Events or situations that cause stress.

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Passive range-of-motion performer

A healthcare team member performs passive range-of-motion exercises.

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Danger of vomiting

Aspiration is a dangerous outcome of vomiting.

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Wound healing phases

The stages in which wounds heal, typically involving inflammation, proliferation, and remodelling.

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Safe sleep for infants

Placing infants on their backs for sleep minimizes the risk of sudden infant death syndrome (SIDS).

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Broken arm

A medical condition that involves a fractured bone. It's a type of injury.

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Basic body unit

A cell is the fundamental, structural and functional unit of all known living organisms.

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Pain relief medication

Medicine given to ease pain.

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Spread of microbes

The way germs are transferred and spread.

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Cycle of abuse

Pattern of abuse involves different phases, including tension building, abuse itself, and the honeymoon phase.

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Cleaning guidelines

Cleaning standards and methods involving an order to avoid contamination.

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Cardiovascular System in Exercise

The system that delivers more blood to muscles and organs during exercise.

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Integumentary System Health Indicator

The body's largest system, its color and texture changes can signal health issues..

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Canadian Nutritional Challenges

Canadians may face challenges with getting enough nutrition due to factors like limited income, geographical isolation, and mental health issues.

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Skin Tear Risk Factors

Clients with poor hydration and those who are obese have a higher risk of skin tears.

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Output Measurement (Support Workers)

Support workers should not measure vomitus when recording client output.

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Metformin Dosage Calculation

For 2000mg Metformin daily, in two doses, a client takes two 500mg tablets with each dose.

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Drug Antagonism Definition

Drug antagonism refers to a decreased drug effect when two or more drugs are taken together.

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Client Concerns (Diuretic)

If a client believes they have received too much diuretic, Inform a supervisor.

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Fluid Balance

Maintaining a healthy amount of fluid in the body, typically 2000-2700 ml per day.

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Aspirations for Individuals with Disabilities

Goals for individuals with disabilities, such as independent living, personal control, education, work training, and financial independence.

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Indwelling Catheter Infection Prevention

Preventing infections in individuals using an indwelling catheter.

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PICC

A type of central venous catheter inserted into a peripheral vein, commonly used for long-term medication administration.

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Aging and Erectile Function

Changes in erectile function that occur with aging in men, including quicker erections and shorter intervals between erection and orgasm.

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Adverse Effects

Serious negative reactions to medication that significantly impact an individual's health.

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Factors Contributing to Mental Illness

Various factors that can increase the risk of developing mental illness, such as limited access to healthcare, poverty, geographical isolation, and addiction.

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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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