The written guide giving directions about the care a client should receive is the:
Nursing care plan
Medical record
Kardex
Chart
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
Oral temperature of 37.3 C
Infant pulse rate of 138 bpm
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
Diagnoses and treats illnesses and injuries
Physiotherapist
Social Worker
Speech Language Pathologist
Physician
Health care workers as well as the client and family members are part of the rehabilitation team.
False
True
During which step of the nursing process is care given?
Evaluation
Planning
Implementation
Assessment
Problems and special needs are identified in the care plan:
False
True
Resident care conference held in a long-term care facility?
Discuss how to deal with resident problems
Provide consistent care from the interpersonal team
Identify needs, preferences, and establish goals
All of the above
Examples of self-care devices include all of the following EXCEPT:
Long-handled sponges for bathing
A sock assist
A cane
A button hook
A graphic sheet:
Summarizes a client's care and services over a period
Contains information the client's responses to care, and observations
To record measurements and observations made three to four times per day
Records a client's activities of daily living (ADLs)
Why is it important to keep a record of previous vital signs?
The support worker can prove that they were taken.
The client’s family can check to see if the care is being given.
The doctor or nurse can compare each measurement.
See if the readings obtained are accurate compared with others.
An acute cause of disability is:
Spinal cord injury
Diabetes
Leg fracture
Arthritis
An input and output record must be documented for the family:
False
True
Developmental task is:
Desiring something and putting energy towards achieving it
Dynamic process to ward off disease or disability
The unfolding of characteristics in an orderly way
A skill that occurs at a particular age
Which member of the rehabilitation team assesses the client’s performance of activities of daily living?
The physiotherapist
The speech–language pathologist
The case manager
The occupational therapist
In a long-term care facility, who has access to clients' charts?
Nurses, PSW, physiotherapists, occupational therapists, and dietitians
It depends on facility policy and procedures.
All staff members
Only the office staff and the nursing staff
A client who has a persistent blood pressure reading above 140/90 has:
Hypertension
Systole
Hypotension
Tachycardia
Assessment involves:
Collecting information about the client
Implementing the care plan
Evaluating and measuring the effectiveness of the care plan
Carrying out or performing the elements of the care plan
Definition of restorative care?
Maintaining the current level of functioning while preventing decline
Revisiting goals
Restoring the client to the highest level of functioning possible
Regaining health and strength
The definition of prevention?
Care which attempts to avoid deterioration and excess disability
Desiring something and putting energy towards acquiring it
The unfolding of characteristics and abilities in an orderly way
The acquisition of new knowledge and skills
“I didn't sleep at all last night because of the pain in my back.” This statement is:
Objective data
A nursing diagnosis
Subjective data
It is an assessment.
Rhythm and force are characteristics of a pulse
True
False
Identify four members of the multidisciplinary team:
Dietician, respiratory therapist, physiotherapist, spiritual advisor
Both b and c
RN, PSW, Physician, and Social worker
Driver, maintenance worker, service manager, and dietician
An example of subjective data is:
Foul smelling urine
Contracture
Headache
Bruise
It is important to be precise and accurate as well as interpreting and making assumptions
False
True
Assesses, administers medications, provides care, supervises support workers
Physician
Occupational Therapist
RN
Social Worker
Two ways that the PSW may contribute to the care plan is by making observations and reporting changes to your supervisor
False
True
Effective planning for a client’s care begins
Determining goals
Selecting resources
Setting deadlines
Identifying needs
Vital signs can be affected by:
Medications, pain, illness
All
Foods, fluids, smoking
Activity, exercise, sleep
For how long should you take an irregular pulse?
30 seconds
5 minutes
1 full minute
2 minutes
Flow sheets are:
Card files used to summarize information
Completed when the client is admitted to the agency
Used to record frequent measures of observations
Used only by RNs
Help a person to regain health, strength and independence through daily programs that increase strength and endurance
Reconstruction care
Revitalization care
Restorative care
Rehabilitation care
What ways can you help your client retain their dignity?
Treat client with respect, encouragement and support
Focus on the positive, remind them of their progress and good listener
All of the above
Stress strength, abilities and provide emotional support
Care plan focuses on physical, psycho-social and spiritual needs:
True
False
The period of heart muscle relaxation is called
Systole
Diastole
An incident report?
Document an accident, injury or unexpected event
Document the care provided and observations made during care for the shift
To create an abbreviated version of the chart on card stock
a message to the family regarding current status of their loved one
Sympathy and pity help the person to adjust to disability
False
True
PSW creates the client’s care plan:
True
False
Rehabilitation often takes longer for older clients:
False
True
What is the most common site to take a pulse?
Radial
Brachial
Popliteal
Apical
Which of these is a question about an activity of daily living?
What is the frequency of the client’s bowel movements?
How much food on the tray did the client eat?
Can the client perform personal care without help?
Can the client move his or her arms and legs?
A prosthesis is an assistive device that can be attached by a splint:
True
False
In 24-hour time, 1545 is:
3:45 p.m
3:45 a.m.
1:30 a.m.
1:30 p.m
Restorative care is usually provided by the family physician.
True
False
Learning is described as:
Putting energy towards acquiring it
The acquisition of new knowledge and skills
Unfolding of characteristics and abilities in an orderly way
Skills or learning which is expected to occur at a particular age
Rehabilitation focuses on:
The physical aspects of care
The psychological aspects of care
The whole client
Goals set by the physiotherapist
The statement “Urinary elimination, impaired” is on a care plan. This statement is a(n):
Assessment
Evaluation
Medical diagnosis
Nursing diagnosis
Objective data is information that is reported by a client:
True
False
Assessment involves setting priorities and goals:
False
True
An orthotic is:
The process of correcting a deformity
An apparatus worn for support
An artificial replacement for missing body parts
Restoring a client to the highest level of functioning possible
Helps clients and families deal with social and emotional issues
RN
Social Worker
Personal Support Worker
Physiotherapist
What is the kardex?
Record of all ADL care provided for each shift in LTC
Eecord of measurements and amounts charted on every shift
Record of all ADL and home support provided by the PSW
Abbreviated version of the chart on card stock for easy reference
What best describes a pulse oximeter? It is a device that:
Measures the client’s pulse and blood pressure
Measures the oxygen level in the blood and pulse
Measures the pH level of the client’s blood
Assesses the client’s response to pain