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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
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
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
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
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
It is important to be precise and accurate as well as interpreting and making assumptions
 
False
 
True
An example of subjective data is:
 
Headache
 
Foul smelling urine
 
Bruise
 
Contracture
Rehabilitation focuses on:
 
The whole client
 
The physical aspects of care
 
The psychological aspects of care
 
Goals set by the physiotherapist
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
An input and output record must be documented for the family:
 
False
 
True
The period of heart muscle relaxation is called
 
Diastole
 
Systole
A client who has a persistent blood pressure reading above 140/90 has:
 
Hypertension
 
Tachycardia
 
Hypotension
 
Systole
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
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
What is the most common site to take a pulse?
 
Radial
 
Apical
 
Brachial
 
Popliteal
Rehabilitation often takes longer for older clients:
 
True
 
False
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
Care plan focuses on physical, psycho-social and spiritual needs:
 
True
 
False
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
Vital signs can be affected by:
 
All
 
Medications, pain, illness
 
Activity, exercise, sleep
 
Foods, fluids, smoking
A prosthesis is an assistive device that can be attached by a splint:
 
False
 
True
Problems and special needs are identified in the care plan:
 
True
 
False
Sympathy and pity help the person to adjust to disability
 
False
 
True
PSW creates the client’s care plan:
 
False
 
True
Helps clients and families deal with social and emotional issues
 
Social Worker
 
Physiotherapist
 
RN
 
Personal Support Worker
Diagnoses and treats illnesses and injuries
 
Physician
 
Social Worker
 
Physiotherapist
 
Speech Language Pathologist
Assesses, administers medications, provides care, supervises support workers
 
RN
 
Physician
 
Social Worker
 
Occupational Therapist
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
During which step of the nursing process is care given?
 
Implementation
 
Planning
 
Evaluation
 
Assessment
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?
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
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
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
Assessment involves setting priorities and goals:
 
False
 
True
Two ways that the PSW may contribute to the care plan is by making observations and reporting changes to your supervisor
 
True
 
False
In 24-hour time, 1545 is:
 
3:45 p.m
 
3:45 a.m.
 
1:30 p.m
 
1:30 a.m.
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
“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
The written guide giving directions about the care a client should receive is the:
 
Nursing care plan
 
Kardex
 
Medical record
 
Chart
Objective data is information that is reported by a client:
 
False
 
True
Effective planning for a client’s care begins
 
Identifying needs
 
Determining goals
 
Setting deadlines
 
Selecting resources
The statement “Urinary elimination, impaired” is on a care plan. This statement is a(n):
 
Nursing diagnosis
 
Assessment
 
Evaluation
 
Medical diagnosis
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
Rhythm and force are characteristics of a pulse
 
True
 
False
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
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
Restorative care is usually provided by the family physician.
 
False
 
True
Health care workers as well as the client and family members are part of the rehabilitation team.
 
True
 
False
For how long should you take an irregular pulse?
 
1 full minute
 
30 seconds
 
2 minutes
 
5 minutes
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.
Examples of self-care devices include all of the following EXCEPT:
 
A cane
 
Long-handled sponges for bathing
 
A button hook
 
A sock assist
An acute cause of disability is:
 
Leg fracture
 
Arthritis
 
Diabetes
 
Spinal cord injury
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