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Module 7: Care Planning Restorative Care, Docume ...
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How long must you wait before taking an oral temperature of a client who has just consumed hot coffee?
20 minutes
10 minutes
15 minutes
30 minutes
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What is the kardex?
Abbreviated version of the chart on card stock for easy reference
Record of all ADL care provided for each shift in LTC
Record of all ADL and home support provided by the PSW
Eecord of measurements and amounts charted on every shift
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An incident report?
Document an accident, injury or unexpected event
a message to the family regarding current status of their loved one
To create an abbreviated version of the chart on card stock
Document the care provided and observations made during care for the shift
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Which of the following vital sign results must be reported to your supervisor right away?
None of the above
Blood pressure reading of 128/84 mmHg
Infant pulse rate of 138 bpm
Oral temperature of 37.3 C
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Learning is described as:
The acquisition of new knowledge and skills
Unfolding of characteristics and abilities in an orderly way
Putting energy towards acquiring it
Skills or learning which is expected to occur at a particular age
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It is important to be precise and accurate as well as interpreting and making assumptions
False
True
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An example of subjective data is:
Headache
Foul smelling urine
Bruise
Contracture
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Rehabilitation focuses on:
The whole client
The physical aspects of care
The psychological aspects of care
Goals set by the physiotherapist
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The definition of prevention?
Care which attempts to avoid deterioration and excess disability
Desiring something and putting energy towards acquiring it
The acquisition of new knowledge and skills
The unfolding of characteristics and abilities in an orderly way
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An input and output record must be documented for the family:
False
True
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The period of heart muscle relaxation is called
Diastole
Systole
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A client who has a persistent blood pressure reading above 140/90 has:
Hypertension
Tachycardia
Hypotension
Systole
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What ways can you help your client retain their dignity?
All of the above
Treat client with respect, encouragement and support
Focus on the positive, remind them of their progress and good listener
Stress strength, abilities and provide emotional support
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Help a person to regain health, strength and independence through daily programs that increase strength and endurance
Rehabilitation care
Restorative care
Reconstruction care
Revitalization care
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What is the most common site to take a pulse?
Radial
Apical
Brachial
Popliteal
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Rehabilitation often takes longer for older clients:
True
False
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Definition of restorative care?
Restoring the client to the highest level of functioning possible
Regaining health and strength
Maintaining the current level of functioning while preventing decline
Revisiting goals
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Care plan focuses on physical, psycho-social and spiritual needs:
True
False
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Developmental task is:
A skill that occurs at a particular age
The unfolding of characteristics in an orderly way
Desiring something and putting energy towards achieving it
Dynamic process to ward off disease or disability
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Vital signs can be affected by:
All
Medications, pain, illness
Activity, exercise, sleep
Foods, fluids, smoking
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A prosthesis is an assistive device that can be attached by a splint:
False
True
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Problems and special needs are identified in the care plan:
True
False
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Sympathy and pity help the person to adjust to disability
False
True
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PSW creates the client’s care plan:
False
True
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Helps clients and families deal with social and emotional issues
Social Worker
Physiotherapist
RN
Personal Support Worker
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Diagnoses and treats illnesses and injuries
Physician
Social Worker
Physiotherapist
Speech Language Pathologist
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Assesses, administers medications, provides care, supervises support workers
RN
Physician
Social Worker
Occupational Therapist
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Identify four members of the multidisciplinary team:
Both b and c
Driver, maintenance worker, service manager, and dietician
RN, PSW, Physician, and Social worker
Dietician, respiratory therapist, physiotherapist, spiritual advisor
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During which step of the nursing process is care given?
Implementation
Planning
Evaluation
Assessment
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Which of these is a question about an activity of daily living?
Can the client perform personal care without help?
How much food on the tray did the client eat?
What is the frequency of the client’s bowel movements?
Can the client move his or her arms and legs?
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In a long-term care facility, who has access to clients' charts?
It depends on facility policy and procedures.
All staff members
Only the office staff and the nursing staff
Nurses, PSW, physiotherapists, occupational therapists, and dietitians
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Resident care conference held in a long-term care facility?
All of the above
Identify needs, preferences, and establish goals
Discuss how to deal with resident problems
Provide consistent care from the interpersonal team
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A graphic sheet:
To record measurements and observations made three to four times per day
Records a client's activities of daily living (ADLs)
Contains information the client's responses to care, and observations
Summarizes a client's care and services over a period
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Assessment involves setting priorities and goals:
False
True
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Two ways that the PSW may contribute to the care plan is by making observations and reporting changes to your supervisor
True
False
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In 24-hour time, 1545 is:
3:45 p.m
3:45 a.m.
1:30 p.m
1:30 a.m.
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Flow sheets are:
Used to record frequent measures of observations
Completed when the client is admitted to the agency
Card files used to summarize information
Used only by RNs
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“I didn't sleep at all last night because of the pain in my back.” This statement is:
Subjective data
A nursing diagnosis
It is an assessment.
Objective data
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The written guide giving directions about the care a client should receive is the:
Nursing care plan
Kardex
Medical record
Chart
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Objective data is information that is reported by a client:
False
True
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Effective planning for a client’s care begins
Identifying needs
Determining goals
Setting deadlines
Selecting resources
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The statement “Urinary elimination, impaired” is on a care plan. This statement is a(n):
Nursing diagnosis
Assessment
Evaluation
Medical diagnosis
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What best describes a pulse oximeter? It is a device that:
Measures the oxygen level in the blood and pulse
Measures the client’s pulse and blood pressure
Assesses the client’s response to pain
Measures the pH level of the client’s blood
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Rhythm and force are characteristics of a pulse
True
False
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Which member of the rehabilitation team assesses the client’s performance of activities of daily living?
The occupational therapist
The physiotherapist
The case manager
The speech–language pathologist
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An orthotic is:
An apparatus worn for support
An artificial replacement for missing body parts
The process of correcting a deformity
Restoring a client to the highest level of functioning possible
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Restorative care is usually provided by the family physician.
False
True
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Health care workers as well as the client and family members are part of the rehabilitation team.
True
False
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For how long should you take an irregular pulse?
1 full minute
30 seconds
2 minutes
5 minutes
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Why is it important to keep a record of previous vital signs?
The doctor or nurse can compare each measurement.
The support worker can prove that they were taken.
The client’s family can check to see if the care is being given.
See if the readings obtained are accurate compared with others.
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Examples of self-care devices include all of the following EXCEPT:
A cane
Long-handled sponges for bathing
A button hook
A sock assist
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An acute cause of disability is:
Leg fracture
Arthritis
Diabetes
Spinal cord injury
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Assessment involves:
Collecting information about the client
Carrying out or performing the elements of the care plan
Implementing the care plan
Evaluating and measuring the effectiveness of the care plan
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