NUSB 201 Module 4

Question 1

What are the physiological influences on safety?

Answer 1

A person’s physical strength, balance, coordination, and sensory perception play a crucial role in maintaining safety. Adequate muscle strength and coordination can prevent falls and accidents.

Question 2

What are the pathological influences on safety?

Answer 2

Certain medical conditions or injuries can compromise an individual’s safety, such as neurological disorders affecting balance and coordination, or cognitive impairments leading to confusion.

Question 3

What are the physiological influences on nutrition?

Answer 3

The body’s ability to digest, absorb, and utilize nutrients is essential for proper nutrition, requiring a healthy gastrointestinal system.

Question 4

What are the pathological influences on nutrition?

Answer 4

Various conditions can disrupt the nutritional process, including digestive disorders and eating disorders, which can lead to severe nutrient deficiencies.

Question 5

What are the physiological influences on hygiene?

Answer 5

Physical abilities, including dexterity, range of motion, and sensory perception, influence an individual’s ability to maintain personal hygiene.

Question 6

What are the pathological influences on hygiene?

Answer 6

Physical disabilities or chronic conditions can make it difficult for individuals to maintain hygiene, while mental health conditions may impact motivation for self-care.

Question 7

What are the physiological influences on mobility?

Answer 7

Musculoskeletal health, joint flexibility, muscle strength, and cardiovascular fitness contribute to mobility.

Question 8

What are the pathological influences on mobility?

Answer 8

Conditions such as arthritis, osteoporosis, or neurological disorders can impair mobility and restrict an individual’s range of motion.

Question 9

What factors contribute to falls in older patients?

Answer 9

Drugs like anticonvulsants and sedatives increase fall risk, along with individual factors like high bed positioning and poor lighting.

Question 10

What complications can arise from using restraints on a patient?

Answer 10

Restraints can lead to decreased range of motion, impaired circulation, and psychological distress, including anxiety and feelings of helplessness.

Question 11

How can a nurse use judgment to improve patient-centered care?

Answer 11

A nurse can assess the patient’s environment, evaluate fall risk, ensure medication safety, and collaborate with dietitians for nutrition plans.

Question 12

What assessment activities can a nurse use for safety?

Answer 12

Fall risk assessments, environmental assessments, and medication reviews help identify factors that may contribute to falls.

Question 13

What assessment activities can a nurse use for nutrition?

Answer 13

Nutritional screenings, dietary assessments, and anthropometric measurements evaluate a patient’s nutritional status.

Question 14

What assessment activities can a nurse use for hygiene?

Answer 14

Self-care assessments, skin assessments, and elimination assessments evaluate a patient’s hygiene practices.

Question 15

What assessment activities can a nurse use for mobility?

Answer 15

Range of motion assessments, strength assessments, and balance assessments evaluate a patient’s mobility status.

Question 16

What are the causes and symptoms of foot drop?

Answer 16

Foot drop is characterized by the inability to lift the toes from the ground, commonly seen in patients with paralysis due to immobility.

Question 17

What tools are used when positioning patients?

Answer 17

Pillows, positioning frames, draw sheets, and gait belts are commonly used tools for proper patient positioning.

Question 18

What socioeconomic factors influence a patient’s safety, nutrition, hygiene, and mobility?

Answer 18

Financial resources and social support can significantly impact a patient’s ability to maintain safety, nutrition, hygiene, and mobility.

Question 19

What physical factors influence a patient’s safety, nutrition, hygiene, and mobility?

Answer 19

Age, physical health conditions, and physical fitness levels can all affect a patient’s safety, nutrition, hygiene, and mobility.

Question 20

What cognitive and mental health factors influence a patient’s safety, nutrition, hygiene, and mobility?

Answer 20

Cognitive abilities and mental health conditions can affect a patient’s understanding and adherence to safety, nutrition, hygiene, and mobility practices.

Question 21

What environmental factors influence a patient’s safety, nutrition, hygiene, and mobility?

Answer 21

Unsafe living conditions and access to community resources can impact a patient’s overall well-being in these areas.

Question 22

What lifestyle factors influence a patient’s safety, nutrition, hygiene, and mobility?

Answer 22

Dietary choices, exercise habits, and substance use can significantly affect a patient’s health and well-being.

Question 23

What personal beliefs and knowledge influence a patient’s safety, nutrition, hygiene, and mobility?

Answer 23

Health literacy and personal beliefs can impact a patient’s ability to engage in self-care practices.

Question 24

What diet is needed for a patient with Celiac Disease?

Answer 24

A patient with Celiac Disease should avoid gluten-containing foods like wheat, rye, barley, and oats, and can include rice in their diet.

Question 25

What are the interventions and goals for a patient with osteoporosis?

Answer 25

The main goal is to maintain independence and prevent fractures, focusing on dietary allowances for calcium and vitamin D.

Question 26

How does a nurse select patient-centered interventions for diverse patients?

Answer 26

A holistic approach considering unique needs, preferences, and circumstances is essential for selecting appropriate interventions.

Question 27

What is the best approach to prevent disease in at-risk individuals?

Answer 27

Identify individuals at risk and work toward preventing the disease.

Question 28

What should patients be taught regarding dietary allowances?

Answer 28

Patients should be taught the current recommended dietary allowances for calcium and vitamin D.

Question 29

Can bone loss be totally reversed?

Answer 29

Bone loss cannot be totally reversed, but measures can be taken to prevent further bone loss and pathological fractures.

Question 30

How does a nurse select patient-centered interventions for diverse patients?

Answer 30

A holistic approach is required, considering unique needs, preferences, and circumstances of each individual.

Question 31

What is the first step in selecting patient-centered interventions?

Answer 31

Conduct a comprehensive assessment to gather information about the patient's medical history, current condition, and environment.

Question 32

What should be identified during individualized care planning?

Answer 32

Identify patient goals and preferences by collaborating with the patient and their family/caregivers.

Question 33

How should cultural and personal beliefs be considered in care planning?

Answer 33

Respect and incorporate the patient's cultural and personal values, as well as any religious or dietary considerations.

Question 34

What is the role of collaboration in patient-centered interventions?

Answer 34

Engage with the interdisciplinary healthcare team to ensure a comprehensive and coordinated approach.

Question 35

What should be done to stay current with interventions?

Answer 35

Review the latest research, clinical guidelines, and best practices related to safety, nutrition, hygiene, and mobility interventions.

Question 36

How can nurses empower patients in their care?

Answer 36

Provide education and clear explanations about interventions and encourage patient engagement and self-management.

Question 37

What is important for ongoing evaluation and adaptation of interventions?

Answer 37

Continuously monitor and evaluate outcomes and modify interventions as needed based on evaluation findings.

Question 38

What safety measures should be taken when ambulating a hemiplegic patient?

Answer 38

Always have a gait belt on the patient and stand slightly behind and off to the side of the patient on the affected side.

Question 39

When should nasogastric (NG) tube placement be evaluated?

Answer 39

It is essential to verify the correct placement of an NG tube before administering any medication or feeding.

Question 40

How can a nurse evaluate patient outcomes for safety, nutrition, hygiene, and mobility?

Answer 40

Through methods such as tracking fall rates, monitoring weight changes, observing hygiene practices, and reassessing mobility.

Question 41

What are the purposes of a healthcare record?

Answer 41

Communication, documentation, legal compliance, and contribution to research and education.

Question 42

What are the legal guidelines for healthcare records?

Answer 42

Privacy and confidentiality, data security, retention and access, and documentation standards.

Question 43

What elements are included in a healthcare record?

Answer 43

Identification information, medical history, progress notes, diagnostic results, treatment plans, consent forms, discharge summaries, consultation reports, and legal documentation.

Question 44

What constitutes quality documentation in the Electronic Health Record (EHR)?

Answer 44

Thorough and comprehensive entries that capture all relevant aspects of patient care.

Question 45

How does informatics relate to high-quality healthcare?

Answer 45

Informatics improves healthcare outcomes, enhances patient safety, and optimizes healthcare delivery through data management and analysis.

Question 46

How can a nurse maintain confidentiality and quality of healthcare record data?

Answer 46

By adhering to legal guidelines, using secure access methods, maintaining data integrity, and following organizational policies.

Question 47

What is a near miss incident in nursing care?

Answer 47

A situation where an error occurs but does not result in harm due to timely intervention.

Question 48

Why is documentation important for reimbursement?

Answer 48

It ensures that services provided are properly recorded and coded for billing purposes.

Question 49

What are the signs and symptoms of lead poisoning in adults?

Answer 49

Fatigue and weakness, along with abdominal pain and cramping.

Question 50

What role does documentation play in reimbursement?

Answer 50

Documentation plays a crucial role in reimbursement by ensuring that the services provided to patients are properly recorded and coded for billing purposes. Accurate documentation helps healthcare facilities justify the services rendered, leading to appropriate reimbursement from insurance companies and government healthcare programs. Proper documentation also minimizes the risk of audits and financial penalties, ultimately contributing to the financial stability of healthcare organizations.

Question 51

What are common signs of lead poisoning in adults?

Answer 51

Fatigue and weakness are common signs of lead poisoning in adults. Abdominal pain and cramping are associated with lead poisoning. Joint pain and muscle aches are frequently observed in adults with lead poisoning. Headache and memory loss are also common symptoms.

Question 52

What symptoms can lead poisoning cause in adults?

Answer 52

Lead can affect the body's energy production, leading to fatigue and weakness. It can cause gastrointestinal symptoms due to its toxic effects on the digestive system, as well as cognitive and neurological symptoms.

Question 53

Who is at risk for hypothermia?

Answer 53

Patients who have ingested drugs or alcohol in excess are at high risk of hypothermia. Patients who have been exposed to cold temperatures for extensive periods of time are also at risk.