Nursing Care and Patient Comfort Quiz

NSE111 Exam Review - Week 1

• Clinical judgment model (CJM) relates to implementing foundational skills
• CJM layers demonstrate the process of clinical judgment from recognizing cues to evaluation of outcomes
• DIPPS (Dignity, Independence, Preference, Privacy, Safety) approach to client care
• DIPPS acronym details the core elements of care
  • Dignity
  • Independence
  • Preferences
  • Privacy
  • Safety

NSE111 Exam Review - Week 1

• Person-centered/client-centered care places the patient at the center of care
• The patient is a partner and participates in their care
• Care involves having concern for patient dignity, independence, preferences, privacy, and safety
• The College of Nurses of Ontario (CNO) governs Registered Nurses (RNs), Registered Practical Nurses (RPNs), and Nurse Practitioners (NPs) in Ontario, Canada
• CNO recognizes nurses' knowledge and expertise in regulating their profession

NSE111 Exam Review - Week 2

• Applying evidence-based practice in nursing care involves staying current with new developments
• Client-centered care focuses on therapeutic relationships with clients, collaborating with clients, and advocating for clients
• Ethical practice in nursing involves respecting client confidentiality and making ethical decisions
• Service involves advocating for the health and well-being of the community
• Self-regulation and professional development emphasizes reflecting on practice and engaging in self-assessment.
• Leadership involves collaborating with other healthcare professionals, participating in quality improvement initiatives, and taking on leadership roles when appropriate

NSE111 Exam Review - Week 2

• The chain of transmission in infection includes the infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and the host
• Immune systems and normal flora protect against infection.
• Hospital-acquired infections (HAIs) or nosocomial infections occur after admission to a healthcare facility.
• Antimicrobial-resistant organisms (AROs) result from repeated use and abuse of antimicrobials.
• Medical asepsis focuses on reducing the number of microorganisms, while surgical asepsis eliminates all microorganisms.

NSE111 Exam Review - Week 2

• Describe what a Hospital-Acquired Infection (HAI) or nosocomial infection is, the development and relate the development to susceptible clients
• Explain what an antimicrobial-resistant organism (ARO) is
• Differentiate between medical and surgical asepsis
• Describe the practices of routine and extra precautions for infection control, including contact, droplet, airborne precautions, and combination scenarios
• Explain the psychological effects of isolation precautions and how nurses can mitigate them

NSE111 Exam Review - Week 3

• Proper body mechanics prevent musculoskeletal injuries for both nurses and clients
• Pressure injuries result from prolonged pressure, leading to tissue death
• The Braden Scale predicts risk and progression of pressure injuries by assessing sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
• Nursing interventions to decrease complications from immobility include maximizing functional mobility, minimizing residual functional deficits (e.g., impaired gait, decreased endurance), restorative care (focuses on ADLs, IADLs, and Range of Motion), and assessing joint stiffness, swelling, pain, and any limitations
• Proper body mechanics involves maintaining a wide base of support using appropriate transfer sheets when moving clients

NSE111 Exam Review - Week 3

• Review proper body mechanics to avoid musculoskeletal injuries
• Pressure injuries, factors leading to their development
• How to use the Braden Scale for predicting risk and reducing pressure injuries
• Goals of nursing interventions related to immobility, like maximizing functional mobility and minimizing residual deficits
• Explain how to use the Braden Scale for predicting risk and reducing progression of pressure injury

NSE111 Exam Review - Week 4

• Purpose and techniques of range of motion exercises
• Steps for proper ROM exercise technique
• Proper body mechanics during ROM exercise
• Explain how to include appropriate infection prevention and control measures during bed making

NSE111 Exam Review - Week 4

• Explain the purpose and different methods of ROM exercises
• How to incorporate infection prevention and control practices while performing bed-making
• Explain the purpose and types of range of motion exercises, and different methods of joint mobilization

NSE111 Exam Review - Week 5

• Client need for a safe, comfortable, and hygienic environment
• Importance of proper patient care, which includes addressing safety measures, ensuring comfort, and maintaining hygiene in the environment
• Importance of maintaining a safe, comfortable, and hygienic client environment
• Maintaining client health and prevent pressure injuries
• Promoting rest and sleep.

NSE111 Exam Review - Week 5

• Client needs for a safe, comfortable, and hygienic environment include maintaining client health, promoting rest and sleep, enabling assessment, and providing a safe environment for treatments

NSE111 Exam Review - Week 6

• Examine client need for a safe, comfortable, and hygienic environment related to skin, rest, and sleep. Implementing safety measures to provide a comfortable environment for treatments, maintaining clean linen and ensuring appropriate body mechanics
• Handwashing technique
• Demonstrate PPE preparation for donning
• Demonstrate hand hygiene practice using waterless antiseptics

NSE111 Exam Review - Week 6

• Methods for handwashing and donning personal protective equipment (PPE)
• Proper bed-making techniques, including the use of appropriate tools and safety measures
• Documentation and record keeping for client care practices

NSE111 Exam Review - Week 7

• Factors influencing personal hygiene practices
• Social preferences, personal habits, and cultural beliefs impacting hygiene routines
• Identifying factors and methods for maintaining a safe environment for individuals with various needs

NSE111 Exam Review - Week 7

• Describe factors that influence personal hygiene practice, such as cultural, psychological, social, and environmental factors. Describe methods for maintaining a safe environment for clients

NSE111 Exam Review - Week 8

• Considerations of cognitive or physical limitations to evaluate client's elimination needs in advance
• Assessing orientation, memory, and communication skills essential for assisting with clients' elimination needs
• Strategies for addressing impairments in decision-making associated with toileting

NSE111 Exam Review - Week 8

• Identifying cognitive and physical challenges related to elimination and assessing clients' ability to perform toileting tasks

NSE111 Exam Review - Week 9

• Factors affecting nutritional intake and status for clients
• Assessing cognitive and physical impairments that impact elimination, including memory, communication, and mobility
• Strategies to support eating and drinking for clients with various needs

NSE111 Exam Review - Week 9

• Discuss factors affecting nutritional intake and status for clients (cognitive/physical limitations)
• Identify the impact of cognitive and physical limitations on nutritional intake
• Describe how to promote a client's appetite by creating a positive environment, offering variety, modifying food textures, and scheduling meals and snacks

NSE111 Exam Review - Week 10

• Understanding personhood and person-centered care for older people living with dementia.
• Defining patient safety as reducing or preventing unsafe acts.
• Describe the importance of a culture of safety from an organizational or healthcare provider perspective
• Identifying risks to patient safety related to individuals from late teen, adult and older adult populations.

NSE111 Exam Review - Week 10

• Define and explain the importance of person-centered care approaches for older adults with dementia, emphasizing respect for individuality, recognizing life experiences, and promoting dignity and autonomy. Explain the importance of establishing a culture of safety in healthcare organizations

NSE111 Exam Review - Week 11

• Understanding how organizations can build a culture of safety, including the leadership commitment, open communication, root cause analysis, employee involvement, education and training, safety champions, patient engagement, safety round and the use of technology.
• Identifying and describing strategies to assure patient safety

NSE111 Exam Review - Week 11

• Discuss how organizations can build a culture of safety, focusing on leadership commitment, open communication, root cause analysis, employee involvement, education/training, and patient engagement
• Discuss strategies to promote safe patient care, including patient safety, leadership, and ongoing safety culture development

NSE111 Exam Review - Week 12

• Identifying and describing risks to patient safety associated with adolescents and adults, including behaviors and lifestyle factors

NSE111 Exam Review - Week 12

• Discuss risks to client safety associated with adolescents, adults, and elderly patients, including behaviours (substance abuse and risky behaviors/sports), lifestyle factors, health conditions (chronic illnesses or occupational hazards) and workplace safety measures of assessment and maintenance

NSE111 Exam Review - Week 13

• Defining WHMIS (Workplace Hazardous Materials Information System) and the role of worker education, including labeling and safety data sheets

NSE111 Exam Review - Week 13

• Discuss the Workplace Hazardous Materials Information System (WHMIS). Including purpose, the three main elements of WHMIS (labels, safety data sheets, worker education and training), and the symbols for WHMIS.

NSE111 Exam Review - Week 14

• Discussing legal, ethical, nursing, and medical issues related to the use of restraints in healthcare (including least restraint approach, alternatives to restraints, and documentation of rationale)
• Identifying potential complications of physical restraints
• Describing nursing responsibilities related to restraint use, from initial assessment to documentation and advocacy

NSE111 Exam Review - Week 14

• Discuss the legal, ethical, nursing, and medical issues surrounding restraint use. In particular, describe the least restraint approach, which stresses using the least restrictive interventions possible
• Identify potential complications of physical restraints
• Detail the nursing responsibilities, including the assessment process and support for both the client and family

NSE111 Exam Review - Week 15

• Discussing safe and effective mealtime assistance techniques for clients unable to eat independently or those with dysphagia. The techniques should include oral care and assistive devices.
• Discuss the components of patient safety, including supervision, aspiration precautions, post-meal monitoring, and maintaining open communication
• Describe principles for safe and effective oral care

Test your knowledge on the essential nursing actions that ensure patient safety and comfort in a healthcare setting. This quiz covers topics such as hygiene, therapeutic relationships, and the implications of immobility. Improve your understanding and enhance your nursing practice with these critical insights.