92 Questions
Which of the following is NOT a learning objective for Week #9?
Discussing factors that affect exercise performance
Which chapters in Potter & Perry are NOT included in the required readings for Week #9?
Chap 42
During which week will the groups switch between Performance Testing and Simulation Lab?
Week #11
Where can students find guidelines for performance testing and work in the Simulation Lab?
On their shell
What does the Canadian Nutrition Screening Tool assess for nutritional risk?
Weight loss and reduced food intake
What does dietary history assessment cover?
Food practices, allergies, symptoms, and chemical substances
What is included in the assessment for nutritional risk?
Anthropometry, lab tests, dietary/health history, clinical observation, and patient expectations
What do Canada's dietary guidelines emphasize?
Nutritious foods, limits on processed/prepared foods, and food skills
What is covered in the Mosby Basic Skills Videos?
Aspiration precautions and oral hygiene for unconscious patients
What do cultural considerations in nutrition include?
Food meanings, religious dietary patterns, and food intolerances
What does a balanced diet include?
Low sodium, high potassium, adequate calcium, and vitamin D
What do nurses integrate to assess a client's nutrition?
Knowledge from various disciplines and sources
What do personal care assistants assist with for clients?
Meals and oral hygiene
What is emphasized in Canada's Food Guide?
Healthy eating and physical activity
What do various religions have as dietary restrictions?
Alcohol, pork, fasting, and specific food preparation methods
What does the Canadian Nutrition Screening Tool assess?
Weight loss and reduced food intake for nutritional risk
What are some feeding strategies for patients with dementia?
Verbal encouragement, determining favorite foods, and offering adequate time for meals
What are warning signs of dysphagia?
Coughing during eating, abnormal movements of the mouth, and delayed swallowing
What is a symptom of aspiration pneumonia?
Elevated respiratory rate
What are essential components of oral care for patients?
Brushing teeth, flossing, and proper denture care
What is dysphagia?
Difficulty swallowing
What is NPO in the context of diagnostic tests?
Nothing by mouth
What is aspiration in the context of respiratory health?
The misdirection of secretions into the respiratory tract
What are some feeding strategies for patients with dysphagia?
Elevation of the head of the bed, verbal coaching, and thickening of food and fluids
What can medications affect in relation to nutrition?
Taste, absorption, and metabolism
What is a risk associated with dysphagia?
Aspiration and aspiration pneumonia
What are warning signs of dysphagia?
Coughing during eating, abnormal movements of the mouth, and delayed swallowing
What are some emergency procedures for airway obstruction due to choking?
Stopping feeding immediately and calling for help
What is recommended for clients with dryness and inflammation of the oral mucosa?
More frequent mouth care, increased hydration, and water-soluble lubricant application to lips
What is an essential consideration for caring for a client living with dementia?
Assessing abilities and mouth, using distraction, a 2-person approach, hand-over-hand technique, and a 2-toothbrush approach
What should be avoided when caring for clients with stomatitis/xerostomia?
Alcohol and commercial mouthwash
What is essential for oral hygiene in the unconscious client?
Proper positioning, use of bedside suction, and monitoring of respirations
What are older adults at risk for in terms of oral hygiene?
Weakened periodontal membrane and decline in saliva secretion
What are dental care challenges for older adults primarily related to?
Financial limitations and reluctance to seek care
What should be considered for meal assistance and dysphagia?
Identifying risk factors for aspiration, signs and symptoms of dysphagia, creating a safe mealtime environment, and examining the oral cavity for pocketing
What are nursing interventions for dysphagia primarily focused on?
Assessing the oral cavity, responding to coughing, and handling client requests during and after meals
What do older adults experience in relation to saliva secretion?
Decline in saliva secretion
What are some factors contributing to poor oral hygiene in older adults?
Edentulous state, weakened periodontal membrane, ill-fitting dentures, and decline in saliva secretion
What is the five-step clinical decision-making approach in the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
What historical images have nurses been portrayed as?
Heroes, harlots, handmaidens
What does the label of 'angel' imply about the historical image of nursing?
Caring, compassion, and sacrifice
What is the focus of exploring the gendered, political, and economic nature of nursing?
Examining the power dynamics within nursing profession
What is the primary responsibility of the College of Nurses of Ontario (CNO)?
Developing and ensuring compliance with professional standards
What is the main role of the Ontario Nurses Association (ONA)?
Protecting labour rights and laws for nurses
What is the primary focus of the Canadian Nurses Association (CNA)?
Voicing the concerns of registered nurses
What is the main responsibility of the Canadian Association of Schools of Nursing (CASN)?
Developing and ensuring compliance with professional standards
Which type of nursing theory provides broad perspectives?
Grand theories
What is the primary focus of cultural humility in nursing?
Lifelong learning and challenging power imbalances
What does cultural safety in nursing challenge?
Unequal power relations
What does antiracism involve?
Choices individuals make to combat racism
What is the primary focus of evidence-informed practice in nursing?
Applying various theories, models, and frameworks
What is the primary influence of colonialism on nursing practice?
Influencing the multiple contexts of culture in relation to health and illness
What is the main focus of the equity, diversity, and inclusion (EDI) statement in the Student Handbook?
Emphasizing fair treatment, diversity, and inclusion in the nursing environment
What does cultural competence in nursing involve?
Working within the client’s cultural context
What is the primary focus of scholarliness in nursing?
Development and application of nursing knowledge
What is the primary characteristic of race as a socially constructed category?
Used for discrimination
What does evidence-informed practice in nursing involve?
Applying various theories, models, and frameworks
What is the primary focus of nursing theories like Nightingale, Roy, and Watson?
Emphasizing the nurse-patient relationship and environmental factors
What is emphasized in the Truth and Reconciliation Commission of Canada report?
Child welfare, education, language and culture, health, and justice
What is crucial for indigenous people in Canadian healthcare?
Cultural safety
What is fundamental for nursing practice related to indigenous people's values, health, and well-being?
Understanding and respect
Which model emphasizes listening to client needs, establishing therapeutic partnerships, and reinforcing health literacy?
The L.E.A.R.N.S model
What are the three learning domains essential for different aspects of learning?
Cognitive, affective, and psychomotor
What does the Transtheoretical Model of Change outline stages from?
Pre-contemplation to maintenance
What is relevant in the context of nursing care in Canada?
Two-eyed seeing, UNDRIP, and client-centered education
What is essential for a rich learning environment in nursing education?
Collaborative relationships between nursing education and practice
What results in chronic substandard outcomes for indigenous peoples in the healthcare system?
Structural racism
What impacts indigenous health in Canada?
Issues related to funding, delivery of healthcare, child welfare, poverty, and racist assumptions
What is relevant in the context of nursing care to engage clients as active participants, respecting their preferences and values?
Client-centered education
What is significant in understanding indigenous health today?
The history and impact of Residential Schools on survivors
Who is considered the father of Medicare in Canada?
Tommy Douglas
Which act introduced the first universal, pre-paid health care system in Canada?
Saskatchewan Health Act
What are the key principles of the Canada Health Act (1984)?
Public administration, comprehensiveness, universality, portability, and accessibility
What are the three layers of coverage in the Canadian healthcare system?
Public services, mixed services, private services
What is a crucial issue in the current Canadian healthcare system?
Sustainability/cost
What did the Industrial Revolution and urbanization lead to in the late 19th to early 20th century in Canada?
Increased disease and growth of charitable health agencies
What is the role of various levels of Canadian government in funding and delivering health services?
Funding and delivering health services at federal, provincial, and territorial levels
What are the current healthcare system issues in Canada?
Sustainability/cost, wait times, indigenous health, mental health, equity/accessibility, and staffing shortage
What is the Canada Health Transfer (CHT) crucial for?
Urgent action in the Canadian healthcare system
What challenges does the Canadian healthcare system face related to its aging population?
Lack of long-term care/acute beds, and pharmaceutical care
What influences patient care and is guided by professional accountability and the CNO Code of Conduct?
Personal, professional, and socio-cultural values and belief systems
What are the ways of knowing in nursing?
Empirical, personal, aesthetic, and emancipatory ways of understanding
What is the meta-paradigm of nursing?
Person, health, environment, and nursing
What is the focus of Critical Social Theory (CST) in nursing?
Uncovering underlying social relationships and relating to social justice
What are the components of the nursing process?
Assessment, diagnosis, planning, implementation, and evaluation
What is the focus of the meta-paradigm concepts in nursing theories?
Person, health, environment, and nursing
What is the focus of the nursing process?
Assessment, diagnosis, planning, implementation, and evaluation
What is the focus of the Clinical Judgment Model in nursing?
Integrating ethical reasoning and critical thinking
What is the primary focus of nursing as a profession?
Specialized knowledge, skills, scientific methods, higher education, advocacy for ethical standards
What is the focus of the meta-paradigm of nursing?
Person, health, environment, and nursing
What are the cognitive skills and critical thinking dispositions required for clinical decision making in nursing?
Purposeful and reflective cognitive skills, three levels of critical thinking competencies, and five stages of the Novice to Expert model
What is the focus of Barriers to critical thinking and ethical reasoning in nursing?
Attitudes and habits, cognitive dissonance, and conflicts between personal and professional values
Study Notes
Nutritional Care and Oral Health for Patients
- Medications can affect taste, absorption, and metabolism, leading to decreased appetite.
- Diagnostic tests can disrupt meals and may require clients to be NPO (nothing by mouth).
- Nurses need to assess clients' nutritional status and plan interventions to improve their appetite and dietary intake.
- Feeding strategies for patients with dementia include verbal encouragement, determining favorite foods, and offering adequate time for meals.
- Dysphagia, or difficulty swallowing, increases the risk of aspiration and aspiration pneumonia.
- Warning signs of dysphagia include coughing during eating, abnormal movements of the mouth, and delayed swallowing.
- Feeding strategies for patients with dysphagia include elevation of the head of the bed, verbal coaching, and thickening of food and fluids.
- Aspiration, the misdirection of secretions into the respiratory tract, is associated with decreased alertness and difficulty managing saliva.
- Symptoms of aspiration pneumonia include elevated respiratory rate, fever, cough, and delirium.
- Emergency procedures for airway obstruction due to choking include stopping feeding immediately and calling for help.
- Oral care assessment involves evaluating the risk for aspiration, common oral problems, and the ability to grasp.
- Essential oral care includes brushing teeth, flossing, and proper denture care to maintain oral hygiene and prevent infection.
Oral Hygiene and Care for At-Risk Clients
- Risk factors for oral hygiene problems include inability to perform oral hygiene effectively, dehydration, presence of tubes, medications, trauma to the mouth, age-related changes, immunosuppression, diabetes mellitus, and clients receiving chemotherapy or radiation.
- For clients with mucosal changes associated with aging and certain drugs, more frequent mouth care and anti-infective agents are recommended.
- For clients with dryness and inflammation of the oral mucosa, more frequent mouth care, increased hydration, and water-soluble lubricant application to lips are advised.
- Care for clients with stomatitis/xerostomia involves gentle brushing, flossing, increasing oral hygiene frequency, hydration, water-soluble lubricant application, avoiding alcohol and commercial mouthwash, and using normal saline rinses.
- Caring for a client living with dementia involves assessing abilities and mouth, using distraction, a 2-person approach, hand-over-hand technique, and a 2-toothbrush approach.
- Oral hygiene for the unconscious client should address drying of mucous-thickened saliva, avoiding use of fingers to hold the mouth open, assessing the gag reflex, and placing the client in the Sims position.
- For the unconscious client, mouth cleaning every 2 hours, checking policy for using chlorhexidine, and potential suctioning during rinsing are essential.
- Performing mouth care for the unconscious or debilitated patient requires extra care due to increased risk of aspiration pneumonia, dry inflamed oral mucosa, and absent gag reflex, necessitating proper positioning, use of bedside suction, and monitoring of respirations.
- Older adults are at risk for poor oral hygiene due to various factors such as edentulous state, weakened periodontal membrane, chronic illnesses, ill-fitting dentures, weaker jaw muscles, decline in saliva secretion, poor nutritional status, and limited access to dental care.
- Dental care challenges for older adults include financial limitations, low income, lack of transportation, and reluctance to seek care due to beliefs about tooth loss.
- Considerations for meal assistance and dysphagia include identifying risk factors for aspiration, signs and symptoms of dysphagia, creating a safe mealtime environment, and examining the oral cavity for pocketing.
- Nursing interventions for dysphagia include assessing the oral cavity, responding to coughing, and handling client requests during and after meals.
Nursing Theory and Practice
- Phenomenology in nursing involves understanding the client's experiences of health and healing within the nurse-client relationship
- Critical Social Theory (CST) uncovers underlying social relationships and relates to social justice by challenging the status quo and unveiling inequities
- Ways of Knowing in nursing include ethical, empirical, personal, aesthetic, and emancipatory ways of understanding, which help nurses reflect on their practice
- Personal and professional values and beliefs impact self-awareness and the nursing profession, requiring ethical reasoning and decision-making to address conflicts
- Nursing as a profession requires specialized knowledge, skills, scientific methods, higher education, advocacy for ethical standards, autonomous functioning, commitment to advanced study, and motivation by service to society
- Cognitive skills and critical thinking dispositions required for clinical decision making in nursing involve purposeful and reflective cognitive skills, as well as three levels of critical thinking competencies and five stages of the Novice to Expert model
- The nursing process involves assessment, diagnosis, planning, implementation, and evaluation
- The Clinical Judgment Model and ethical reasoning are integral to critical thinking in nursing
- Barriers to critical thinking and ethical reasoning include attitudes and habits, cognitive dissonance, and conflicts between personal and professional values
- Paradigms, paradigm shifts, and metaparadigms are fundamental to understanding worldviews and theories in nursing
- The meta-paradigm of nursing encompasses person, health, environment, and nursing, influencing nursing knowledge and scholarship
- The meta-paradigm concepts relate to theories by Nightingale, Roy, and Watson, who emphasized the environment, the person's interaction with a changing environment, and nursing as caring, respectively
Test your knowledge on providing nutritional care and maintaining oral health for at-risk patients. Explore topics such as feeding strategies for dementia patients, oral hygiene for unconscious clients, risk factors for poor oral health, and nursing interventions for dysphagia. This quiz covers essential information for healthcare professionals involved in the care of vulnerable individuals.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
