47 Questions
What is the focus of Client Centered Care?
The client
What does the nursing process assist in identifying?
Health related concerns
What does 'Diagnoses' in the nursing process involve?
Analysis to determine key issues
What should be done after cleansing the labia Minora and labia Majora?
Dry the area well in the same order
What should be inspected in males during perineal-genital care?
The meatus for any discharge, inflammation or lesions
What is the recommended order for undressing a client?
Remove from the unaffected side first
What should be assessed about the mouth during oral hygiene evaluation?
Infection, inflammation, and lesions/fissures/ulcers
What is the recommended positioning for oral care in individuals with swallowing problems?
In a supine position at about 45-60 degree angle
What is recommended for oral hygiene and health promotion for special needs individuals?
Regular dental check-ups and appropriate brushing techniques
What should be done after inspecting the meatus for any discharge in males?
Wash and dry the penis using firm strokes
What is important to assess about the mouth during oral hygiene evaluation?
Risk for aspiration and discolored teeth
What position is recommended to prevent foot drop?
Supine/dorsal recumbent position
When is it recommended to use trochanter rolls and hand rolls?
In the supine/dorsal recumbent position
What position is recommended to assist a client who has slid down in bed from a Fowler's position?
Move the client up in bed to maintain good body alignment and comfort
What is the recommended technique for moving a client from one side of the bed to another?
Turn diagonally to face the patient and far corner head of bed using center of gravity
What is the recommended technique for assisting a cooperative patient who can partially bear weight?
Stand opposite the patient's hips and turn diagonally to face the patient and far corner head of bed
What should be assessed before planning a client for ambulation?
Activity tolerance, strength, coordination, balance & coordination
What is recommended to have close by as a rest point during ambulation?
Wheelchair
What should be used to support a client with hemiplegia/hemiparesis during ambulation?
Gait/transfer belt
What is used to assist clients with walking by providing the most support?
Walkers
When is the fall risk assessment used?
An admission to facility
What is recommended to prevent foot drop?
Foot boards/foot boots
What should be used to provide comfort and enhance positioning?
Pillows
What external devices are used to prevent contractures and maintain patient position?
Trochanter rolls and hand-wrist splints
Which factor is used to predict pressure sore risk according to the text?
Sensory perception and nutrition
What are the respiratory changes due to immobility mentioned in the text?
Decreased respiratory movement and hypostatic pneumonia
What is a metabolic change due to immobility?
Impaired immunity and decreased GI motility
What are the musculoskeletal changes due to immobility mentioned in the text?
Disuse atrophy and joint pain contractures like footdrop
Which condition can result from immobility and lead to negative nitrogen balance, weight loss, and interference with wound healing?
Skin breakdown
What is a urinary elimination change due to immobility?
Urinary stasis and increased risk of urinary tract infections
What is used to predict pressure sore risk based on factors like sensory perception and nutrition?
The Braden Scale
What can pressure ulcers form due to, according to the text?
Pressure slowing blood flow, poor sensory perception, moisture, and friction/shear
What emotional and behavioral changes can result from immobility?
Withdrawal and depression
What are the cardiovascular changes due to immobility mentioned in the text?
Increased cardiovascular workload, leading to orthostatic hypotension and venous stasis
What can lead to skin breakdown, especially in high-risk individuals with poor nutrition and mobility?
Immobility
What are the steps for performing nurse clinical judgment?
Assessment, diagnosis, prioritizing hypothesis, planning, and implementation
What is essential during bed making to prevent injuries and reduce fatigue for the nurse?
Proper body mechanics
What is the role of the College of Nurses of Ontario (CNO)?
Establishing requirements for entry to practice, promoting practice standards, and administering quality assurance programs
What does ethical nursing practice involve?
Promoting client well-being, maintaining privacy and confidentiality, and ensuring fairness
What is leadership in nursing about?
Providing and facilitating care, respecting, trust, integrity, shared vision, and good communication skills
What does nursing practice involve?
Planning, implementation, and evaluation of patient care
What are nurses in Ontario accountable for?
Meeting legislative requirements and professional standards
What is expected of nurses in terms of knowledge improvement?
Continuously improve their competence through ongoing learning and participation in quality assurance programs
What is expected of nurses in maintaining relationships with clients and colleagues?
Maintain respectful, collaborative, and professional relationships
What do nurses apply their professional knowledge to?
Practice nursing frameworks, theories, and processes
What is expected of nurses in terms of basic education and knowledge relevant to their practice?
Nurses are expected to have basic education and knowledge relevant to their practice and continually improve their knowledge through ongoing learning
What is involved in bed making in nursing?
Ensuring a hygienic environment, incorporating infection prevention and control practices, and promoting patient comfort and dignity
Study Notes
Nursing Practice and Clinical Judgment
- Nursing practice involves planning, implementation, and evaluation of patient care
- Nurses in Ontario are accountable for meeting legislative requirements and professional standards
- Nurses must continuously improve their competence through ongoing learning and participation in quality assurance programs
- Ethical nursing practice involves promoting client well-being, maintaining privacy and confidentiality, and ensuring fairness
- Nurses are expected to have basic education and knowledge relevant to their practice and continually improve their knowledge through ongoing learning
- Nurses apply their professional knowledge to practice nursing frameworks, theories, and processes
- Leadership in nursing involves providing and facilitating care, respecting, trust, integrity, shared vision, and good communication skills
- Nurses are expected to maintain respectful, collaborative, and professional relationships with clients and colleagues
- The College of Nurses of Ontario (CNO) is a self-regulation profession that establishes requirements for entry to practice, promotes practice standards, and administers quality assurance programs
- Steps for performing nurse clinical judgment include assessment, diagnosis, prioritizing hypothesis, planning, and implementation
- Bed making in nursing involves ensuring a hygienic environment, incorporating infection prevention and control practices, and promoting patient comfort and dignity
- Proper body mechanics are essential during bed making to prevent injuries and reduce fatigue for the nurse.
Test your knowledge of nursing practice and clinical judgment with this quiz. Explore topics such as ethical nursing practice, leadership in nursing, professional standards, and the steps for performing nurse clinical judgment. See how well you understand the roles and responsibilities of nurses in Ontario and the essential skills required for nursing practice.
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