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