client centered care clinical
jordan2017
Week1content1quizspring211.docxGeurink 2021 Week 1 Quiz
Name: ____________________ Date: ___________________
In your breakout group, answer the following questions from your readings in Module 1. You should be using your DeWit Fundamentals text (chpts 27,29,30,31) and NOT your own experience to answer the questions. Each student should submit the completed quiz and be ready to discuss their answers. This is a GROUP effort but each student must complete, submit and discuss.
Circle the correct answer:
1. T / F People with chronic illness are at the greatest risk for sleep disturbances.
2. T / F People with Parkinsons & Alzhemiers rarely have sleep disturbances.
3. T / F The effects of sleep loss are cumulative.
4 T / F The risk for developing glucose intolerance and diabetes is increased in individuals with a history of insufficient sleep.
5 T / F Individuals who don’t get sufficient sleep are generally lean/thin in body build.
6 T / F Decreased sleep duration and sleep loss decrease the sensitivity and increase the tolerance to pain.
7 T / F Narcolepsy is the most common sleep disturbance in adults.
8 T / F. It is important to document pain assessment after the patient receives an pharmacologic or non-pharmacologic intervention.
9. T / F The only difference between type 1 and type 2 diabetes is the age at which it is diagnosed.
10. T / F Enteral feeding means you feed someone orally who can’t feed themselves.
11. T / F If someone is receiving Total Parental Nutrition (TPN) the nurse must make sure he HOB is at 30-45 degrees and the patient is alert.
12. T / F A clear liquid diet allows butter/dairy.
13. T / F Diet progression post surgery is based on patient report of hunger.
14. T / F Body Mass Index (BMI) is the best indicator to determine obesity.
You have a patient admitted to your Transitional Care Unit (TCU) who needs q 6hrs IV antibiotics for a cellulitis of the left lower extremity (LLE). He has a history of Parkinson’s disease. His family reports they have noticed some mild confusion and increased daytime sleepiness since his initial hospitalization and they are asking you if it is due in part to his hospitalization.
Considering his diagnosis, How do you answer this?
List at least 4 interventions to promote adequate sleep/rest for your new patient.
1. _______________
2. ________________
3. _______________
4. ________________
B. In addition to a pain scale rating, what other data is important to gather when you are caring for a
patient receiving opiod analgesics?
Why?
C. Your patient is 5 days post op hip replacement (arthroplasty) and is being discharged to home
She complains that the pain medication makes her feel nauseated and would like some other ideas
for pain relief. List 3 non-pharmacologic interventions you can suggest/teach her?
1. _______________
2. _______________
3. _______________
Circle the correct answer: You also remind her that she should take her pain medication BEFORE / AFTER activity and ON AN EMPTY STOMACH / WITH FOOD to minimize nausea.
D. Your patient recently had a foley catheter in place. Part of your assessment included monitoring
her urine output. It should be at least 50/30/5 ml per hour. You receive an order to discontinue (D/C)
the catheter. She later puts on the call light to report feeling like she needs to void but can’t. What are
at least 2 interventions you can initiate to address the problem?
1. _______________
2. _______________
E. Your patient is taking antibiotics for an infection You teach him that he should supplement his diet
with ____________________ or ___________________ because the antibiotics destroy the normal
__________________ that reside in the bowel. This will help prevent _______________ which is a
common side effect with taking antibiotics.
F. As a nurse, what patient care scenarios would require you to consider constipation a an actual or
potential problem?
Pt with spinal cord injury/paralysis
__________________________
__________________________
__________________________
List 3 additional nursing interventions to address the nursing diagnosis of constipation.
Administer stool softener daily
_________________________
_________________________
_________________________
