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Module 7: Care Planning Restorative Care, Docume ...
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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
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Assessment involves setting priorities and goals:
False
True
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In a long-term care facility, who has access to clients' charts?
Only the office staff and the nursing staff
All staff members
It depends on facility policy and procedures.
Nurses, PSW, physiotherapists, occupational therapists, and dietitians
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Assesses, administers medications, provides care, supervises support workers
Occupational Therapist
Social Worker
Physician
RN
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The written guide giving directions about the care a client should receive is the:
Nursing care plan
Medical record
Chart
Kardex
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For how long should you take an irregular pulse?
5 minutes
30 seconds
1 full minute
2 minutes
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Resident care conference held in a long-term care facility?
Discuss how to deal with resident problems
Provide consistent care from the interpersonal team
All of the above
Identify needs, preferences, and establish goals
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Restorative care is usually provided by the family physician.
True
False
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“I didn't sleep at all last night because of the pain in my back.” This statement is:
Subjective data
Objective data
A nursing diagnosis
It is an assessment.
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What ways can you help your client retain their dignity?
Stress strength, abilities and provide emotional support
All of the above
Focus on the positive, remind them of their progress and good listener
Treat client with respect, encouragement and support
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Sympathy and pity help the person to adjust to disability
True
False
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A graphic sheet:
Summarizes a client's care and services over a period
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
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Rhythm and force are characteristics of a pulse
False
True
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Health care workers as well as the client and family members are part of the rehabilitation team.
False
True
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Assessment involves:
Implementing the care plan
Collecting information about the client
Carrying out or performing the elements of the care plan
Evaluating and measuring the effectiveness of the care plan
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Diagnoses and treats illnesses and injuries
Physiotherapist
Physician
Speech Language Pathologist
Social Worker
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A client who has a persistent blood pressure reading above 140/90 has:
Systole
Hypertension
Hypotension
Tachycardia
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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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What best describes a pulse oximeter? It is a device that:
Measures the oxygen level in the blood and pulse
Assesses the client’s response to pain
Measures the pH level of the client’s blood
Measures the client’s pulse and blood pressure
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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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Helps clients and families deal with social and emotional issues
RN
Personal Support Worker
Social Worker
Physiotherapist
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Effective planning for a client’s care begins
Identifying needs
Selecting resources
Determining goals
Setting deadlines
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An input and output record must be documented for the family:
True
False
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Objective data is information that is reported by a client:
True
False
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A prosthesis is an assistive device that can be attached by a splint:
False
True
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An incident report?
a message to the family regarding current status of their loved one
Document the care provided and observations made during care for the shift
Document an accident, injury or unexpected event
To create an abbreviated version of the chart on card stock
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Definition of restorative care?
Regaining health and strength
Revisiting goals
Maintaining the current level of functioning while preventing decline
Restoring the client to the highest level of functioning possible
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The definition of prevention?
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
Care which attempts to avoid deterioration and excess disability
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Help a person to regain health, strength and independence through daily programs that increase strength and endurance
Revitalization care
Rehabilitation care
Restorative care
Reconstruction care
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Problems and special needs are identified in the care plan:
True
False
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What is the most common site to take a pulse?
Apical
Popliteal
Radial
Brachial
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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
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Care plan focuses on physical, psycho-social and spiritual needs:
True
False
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Identify four members of the multidisciplinary team:
Driver, maintenance worker, service manager, and dietician
RN, PSW, Physician, and Social worker
Dietician, respiratory therapist, physiotherapist, spiritual advisor
Both b and c
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Flow sheets are:
Used only by RNs
Card files used to summarize information
Completed when the client is admitted to the agency
Used to record frequent measures of observations
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Vital signs can be affected by:
Foods, fluids, smoking
All
Activity, exercise, sleep
Medications, pain, illness
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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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Why is it important to keep a record of previous vital signs?
The support worker can prove that they were taken.
The doctor or nurse can compare each measurement.
See if the readings obtained are accurate compared with others.
The client’s family can check to see if the care is being given.
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Which of these is a question about an activity of daily living?
Can the client move his or her arms and legs?
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?
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An example of subjective data is:
Bruise
Foul smelling urine
Headache
Contracture
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During which step of the nursing process is care given?
Evaluation
Planning
Assessment
Implementation
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Which of the following vital sign results must be reported to your supervisor right away?
Infant pulse rate of 138 bpm
Oral temperature of 37.3 C
Blood pressure reading of 128/84 mmHg
None of the above
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It is important to be precise and accurate as well as interpreting and making assumptions
True
False
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PSW creates the client’s care plan:
False
True
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Learning is described as:
Skills or learning which is expected to occur at a particular age
Unfolding of characteristics and abilities in an orderly way
The acquisition of new knowledge and skills
Putting energy towards acquiring it
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The period of heart muscle relaxation is called
Diastole
Systole
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Rehabilitation often takes longer for older clients:
True
False
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The statement “Urinary elimination, impaired” is on a care plan. This statement is a(n):
Medical diagnosis
Evaluation
Nursing diagnosis
Assessment
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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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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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Examples of self-care devices include all of the following EXCEPT:
A sock assist
A cane
A button hook
Long-handled sponges for bathing
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Developmental task is:
Desiring something and putting energy towards achieving it
The unfolding of characteristics in an orderly way
A skill that occurs at a particular age
Dynamic process to ward off disease or disability
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An acute cause of disability is:
Spinal cord injury
Diabetes
Leg fracture
Arthritis
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