Nursing Care and Patient Comfort Quiz
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Questions and Answers

What should you do with soiled linen in a healthcare setting?

  • Leave it on the floor until you are finished.
  • Store it in the closest hamper immediately. (correct)
  • Place it on the client's bed to avoid additional handling.
  • Shake it out before disposal to reduce odors.
  • Which action is important for creating a safe environment for clients?

  • Place loose rugs in client areas for decoration.
  • Regularly assess and eliminate potential hazards. (correct)
  • Keep clients unaware of safety protocols to promote independence.
  • Avoid using handrails as they can cause accidents.
  • What contributes to a comfortable environment for clients?

  • Limiting interactions with nursing staff.
  • Ensuring proper maintenance of discomforting equipment.
  • Controlling noise levels and managing temperature. (correct)
  • Using hard bedding to maintain a neutral atmosphere.
  • What is a critical action to maintain a hygienic environment?

    <p>Follow infection control protocols diligently.</p> Signup and view all the answers

    Why is a therapeutic nurse-client relationship important?

    <p>It fosters emotional comfort and support.</p> Signup and view all the answers

    Which of the following is NOT an appropriate nursing action to ensure client safety?

    <p>Allow clients to walk without any assistance.</p> Signup and view all the answers

    What is the impact of a comfortable environment on clients?

    <p>It positively impacts the healing process and client care experience.</p> Signup and view all the answers

    In which scenario would hand hygiene not be necessary?

    <p>Hand hygiene is always necessary in client care.</p> Signup and view all the answers

    What is a significant impact of immobility on individuals?

    <p>Loss of independence</p> Signup and view all the answers

    Which nursing intervention can help mitigate loss of self-esteem due to immobility?

    <p>Involving the patient in care decisions</p> Signup and view all the answers

    How can boredom and frustration resulting from limited mobility be effectively addressed?

    <p>Offering meaningful activities like hobbies</p> Signup and view all the answers

    What emotional support can be crucial for someone experiencing body image issues due to immobility?

    <p>Promoting positive self-image through hygiene</p> Signup and view all the answers

    Which of the following cognitive challenges can arise from prolonged immobility?

    <p>Difficulties with concentration</p> Signup and view all the answers

    What nursing intervention can help alleviate patients' fears and apprehensions about their condition?

    <p>Involving the patient in care planning</p> Signup and view all the answers

    Which of these activities can serve as cognitive stimulation for individuals with limited mobility?

    <p>Playing puzzles or engaging in conversation</p> Signup and view all the answers

    What is a common emotional response to immobility that affects mental well-being?

    <p>Heightened feelings of boredom and frustration</p> Signup and view all the answers

    What is a key nursing intervention to help reduce urinary tract infections (UTIs)?

    <p>Encouraging adequate fluid intake</p> Signup and view all the answers

    Which technique should be emphasized for proper perineal care in female patients?

    <p>Encouraging front-to-back wiping</p> Signup and view all the answers

    What is a key nursing intervention to support a client with cognitive impairment during hygiene activities?

    <p>Provide close supervision and assistance</p> Signup and view all the answers

    What should patients avoid to reduce the risk of urinary tract infections?

    <p>Using strong soaps and bubble baths</p> Signup and view all the answers

    Which of the following interventions is effective for clients experiencing communication impairment?

    <p>Implementing alternative communication methods like visual aids</p> Signup and view all the answers

    What is an important practice for healthcare providers to prevent UTIs?

    <p>Strict hand hygiene</p> Signup and view all the answers

    What is a primary purpose of collaborating with an interdisciplinary team?

    <p>To develop comprehensive care plans</p> Signup and view all the answers

    What role does sensory stimulation play in the hygiene process for clients with cognitive impairment?

    <p>It engages clients and makes the process enjoyable</p> Signup and view all the answers

    Why is hydration important in preventing urinary tract infections?

    <p>It encourages frequent urination</p> Signup and view all the answers

    How can nursing staff effectively communicate with clients who have speech disorders?

    <p>Implement alternative communication methods like communication boards</p> Signup and view all the answers

    What is an effective nursing intervention for managing loss of appetite in patients?

    <p>Provide appealing, nutrient-dense snacks.</p> Signup and view all the answers

    Which intervention can be useful for patients facing mobility issues affecting their nutritional intake?

    <p>Plan for meals to be delivered to them.</p> Signup and view all the answers

    What is an important environmental adaptation for clients with sensory impairments during hygiene routines?

    <p>Reducing distractions to enhance focus</p> Signup and view all the answers

    What should be included in instructions for catheter care?

    <p>Routine cleaning and maintaining catheters</p> Signup and view all the answers

    Which aspect of patient education is essential for maintaining established routines?

    <p>Providing information on the importance of routines</p> Signup and view all the answers

    Which nursing intervention is recommended for clients with visual impairment during hygiene tasks?

    <p>Using large-print instructions or tactile cues</p> Signup and view all the answers

    How can nursing interventions support patients with chewing and swallowing difficulties?

    <p>Modify food textures to suit swallowing abilities.</p> Signup and view all the answers

    What nursing intervention can help patients with decreased senses of taste and smell enjoy their food more?

    <p>Enhance flavors using herbs and spices.</p> Signup and view all the answers

    What should nursing staff remember when assisting clients with cognitive impairment in understanding routine?

    <p>Use consistent verbal cues and visual prompts</p> Signup and view all the answers

    What strategy can be employed to enhance communication with clients recovering from traumatic brain injury?

    <p>Allowing sufficient time for processing information</p> Signup and view all the answers

    Which of the following is NOT a nursing intervention aimed at mitigating the effects of dental issues on nutrition intake?

    <p>Provide hard foods that require chewing.</p> Signup and view all the answers

    How should medications be monitored in relation to a patient's nutritional intake?

    <p>By assessing the impact of medications on appetite and nutrient absorption.</p> Signup and view all the answers

    What is a common effect of cognitive conditions on nutritional intake?

    <p>Reduced sense of hunger or interest in food.</p> Signup and view all the answers

    What is a key factor in arranging meals for individuals with physical limitations?

    <p>Ensure the environment is accessible.</p> Signup and view all the answers

    What is a recommended strategy to help clients focus on their meals?

    <p>Create a calm and focused environment.</p> Signup and view all the answers

    How can light physical activity before meals be beneficial?

    <p>It enhances digestion and stimulates appetite.</p> Signup and view all the answers

    Why is it important to consider cultural and religious preferences in meal planning?

    <p>To respect and accommodate individual dietary needs.</p> Signup and view all the answers

    Who should dietitians collaborate with for addressing swallowing difficulties?

    <p>Speech therapists.</p> Signup and view all the answers

    What should be done to ensure adequate hydration before meals?

    <p>Moisten the mouth with water or a damp cloth.</p> Signup and view all the answers

    What role does collaboration with healthcare providers play in managing medication side effects?

    <p>To explore alternative medications for appetite suppression concerns.</p> Signup and view all the answers

    What is a key benefit of balancing physical activity and rest?

    <p>It prevents overwhelming tiredness and supports appetite.</p> Signup and view all the answers

    What is a critical consideration when serving hot and cold foods?

    <p>Make sure hot foods are served hot and cold foods are served cold.</p> Signup and view all the answers

    Study Notes

    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

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    Description

    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.

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