Chapter 15 Personal Care, Hygiene, and Bed Making

Chapter 15  Personal Care, Hygiene, and Bed Making

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse delegates morning care to a certified nursing assistant (CNA). The nurse intervenes when observing the CNA
A.
Shaving a patient.
B.
Toileting a patient.
C.
Brushing a patient’s hair.
D.
Administering Tylenol to a patient.

____ 2. When delegating morning care to a certified nursing assistant (CNA), the nurse intervenes when observing the CNA
A.
Shaving a patient.
B.
Assisting with dressing.
C.
Offering a back massage.
D.
Removing a patient’s glasses.

____ 3. When delegating early morning care to a certified nursing assistant (CNA), the nurse intervenes when observing the CNA
A.
Providing fresh water.
B.
Assisting with toileting.
C.
Offering a warm, wet washcloth.
D.
Removing a patient’s hearing aids.

____ 4. When delegating bedtime care to a certified nursing assistant (CNA), the nurse intervenes when observing the CNA
A.
Dimming the patient’s lights.
B.
Removing the patient’s urinal.
C.
Removing the patient’s dentures.
D.
Removing the patient’s hearing aids.

____ 5. When providing a bed bath, the nurse assesses the patient’s skin. The nurse observes an area of skin on the buttocks that is softened from continuous exposure to urine. The nurse documents this finding as
A.
Mottling.
B.
Maceration.
C.
Excoriation.
D.
Evisceration.

Chapter 15. Personal Care, Hygiene, and Bed Making
Answer Section

MULTIPLE CHOICE

1. ANS: D

Feedback
A
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown.
B
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown.
C
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown.
D
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown. CNAs do not administer medications to any patients. Chapter Objective: Categorize personal care tasks performed at particular times during the day.

PTS: 1 REF: Chapter: 15 | Page: 280 OBJ: Chapter Objective: 15-2
KEY: Content Area: Delegation | Integrated Process: Nursing Process/Implementation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

2. ANS: D

Feedback
A
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown.
B
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown.
C
Morning (AM) care is done after breakfast. For many patients, this will include assisting with a bath. For all patients, this includes toileting, oral care, back massage, shaving, hair care, and dressing or changing the gown.
D
Bedtime (HS) care includes removing glasses and hearing aids. Chapter Objective: Categorize personal care tasks performed at particular times during the day.

PTS: 1 REF: Chapter: 15 | Page: 280 OBJ: Chapter Objective: 15-2
KEY: Content Area: Delegation | Integrated Process: Nursing Process/Implementation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

3. ANS: D

Feedback
A
Early morning (early AM) care includes assisting with toileting, giving the patient a warm, wet washcloth to wash hands and face, assisting with oral care if desired, and providing fresh water if allowed.
B
Early morning (early AM) care includes assisting with toileting, giving the patient a warm, wet washcloth to wash hands and face, assisting with oral care if desired, and providing fresh water if allowed.
C
Early morning (early AM) care includes assisting with toileting, giving the patient a warm, wet washcloth to wash hands and face, assisting with oral care if desired, and providing fresh water if allowed.
D
Bedtime (HS) care includes removing glasses and hearing aids. Chapter Objective: Categorize personal care tasks performed at particular times during the day.

PTS: 1 REF: Chapter: 15 | Page: 280 OBJ: Chapter Objective: 15-2
KEY: Content Area: Delegation | Integrated Process: Nursing Process/Implementation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

4. ANS: B

Feedback
A
Bedtime (HS) care includes assisting the patient with sleep preparation by dimming the lights or turning them off and providing a night-light, according to the patient’s preference.
B
Bedtime (HS) care includes assisting the patient with sleep preparation by placing needed items within reach, such as the call light, fresh water, and urinal. Chapter Objective: Categorize personal care tasks performed at particular times during the day.
C
Bedtime (HS) care includes assisting the patient with sleep preparation by removing glasses and hearing aids.
D
Bedtime (HS) care includes assisting the patient with sleep preparation by removing glasses and hearing aids.

PTS: 1 REF: Chapter: 15 | Page: 280 OBJ: Chapter Objective: 15-2
KEY: Content Area: Delegation | Integrated Process: Nursing Process/Implementation | Client Need: Health Promotion and Maintenance | Cognitive Level: Analysis

5. ANS: B

Feedback
A
Mottling is a purplish blotching of the skin when circulation slows greatly.
B
Maceration is softened skin due to continuous exposure to fluid. This often occurs in skin crevices such as under the breasts and scrotum, in the axilla and groin areas, between the toes, and between the buttocks. Chapter Objective: Define key terms associated with personal care.
C
Excoriation, or scrapes on the skin, may be due to scratching or may occur during care.
D
Evisceration is when the internal organs are protruding from a wound.

PTS: 1 REF: Chapter: 15 | Page: 281 OBJ: Chapter Objective: 15-1
KEY: Content Area: Adult Health/Integumentary | Integrated Process: Documentation | Client Need: Physiological Integrity | Cognitive Level: Analysis