C HAPTER 40: H YGIENE
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse should expect that which of the following clients is most likel y
to have difficult y performing perso nal hygiene tasks?
A. The 54-year-old with osteoarthritis in his upper extremit y joints
B. The 26-year-old new mother experiencing postpartum depression
C. The 15-year-old client who fractured his left clavicle while
skateboarding
D. The 36-year-old client who just le arned that her lung cancer is
inoperable
ANS: A
Any condition that interferes with movement of the hand (e.g.,
superficial or deep pain or joint inflammation) impairs a clients self -
help abilities. While the other options represent clients who may
experience difficult y, the client in Option 1 will most likel y not be
self-sufficient with hygiene.
DIF: C REF: 860 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
,2. A client has developed several large mouth ulcers resulting from radiation
treatments for oral cancer. The nurse recognizes that this condition will
have its greatest immediate impact on the clients:
A. Comfort level
B. Nutritional status
C. Physical recovery
D. Emotional well -being
ANS: B
Difficult y with chewing and swallowing develops when surrounding
gum tissues become inflamed or infected. The presence of these
ulcerations will present immediate issues with nutritional and fluid
intake. While the remaining optio ns are not incorrect, the greatest
problem is nutritional and fluid oriented.
DIF: C REF: 851 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
3. The nurse is pr eparing to bathe an older adult client who is expecting a
visit from out of town relatives. The client expresses reluctance to bathe
because he does not want to make m y sister wait to see me. Which of the
following statements made by the nurse is most like l y to provide the
motivation to agree to the bath for this particular client?
A. I promise to hurry; you will be done before she gets here.
B. You don’t want your sister to see you unshaved and in your
pajamas.
C. I know you ’ve missed your sister and want to look y our best for her
visit.
, D. Let’s get cleaned up so your sister doesn ’t think you aren’t being
well cared for.
ANS: C
Motivation is a key factor in the importance of hygiene. Wanting to be
acceptabl y bathed and dressed for the visit is the most likel y
motivation.
DIF: C REF: 853 OBJ: Assessment TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
4. Which of the following assessment questions is most likel y to determine
the reason an older adult client refuses to remove and brush his dentures?
A. Why are you being difficult about cleaning your dentures?
B. Will you allow me to clean your denture if you dont want too?
C. Are you concerned about damaging your dentures if you take them
out?
D. Do you realize the problems that can occur when your dentures
arent clean?
ANS: D
It is important to know if a client perceives being at risk. For example,
does the client perceive being at risk for dental disease, that dental
disease is serious, and that brush ing and flossing are effective in
reducing risk? When clients recognize there is a risk and that they can
take reasonable action with no negative consequence, they are more
likel y to be receptive to the nurses counseling and teaching efforts.
, DIF: C REF: 853 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
5. Which of the following interventions, regarding personal hygiene for a
client who is unconscious, performe d by ancillary personnel requires
immediate follow-up by the RN?
A. Storing the damaged dentures in the clients bedside stand
B. Shaving the clients mustache to facilitate the nasogastric tube
C. Postponing the dail y bath until the clients temperature has
stabilized
D. Providing oral care with the flavored swabs provided by the clients
famil y
ANS: B
Do not cut or shave hair without discussion with the client or famil y.
This would need to be a nursing decision, although it is not necessaril y
required in this situation . The remaining options are not incorrect and
so do not need follow -up.
DIF: C REF: 893 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
6. The nurse observes an a dult client of Middle Eastern descent diagnosed
with bipolar disorder attempting to bathe himself using onl y his left hand.
The nurse assumes that the most likel y reason for this behavior relates to:
A. A cultural preference
Fundamentals of Nursing 10th Edition; Potter Perry
MULTIPLE CHOICE
1. The nurse should expect that which of the following clients is most likel y
to have difficult y performing perso nal hygiene tasks?
A. The 54-year-old with osteoarthritis in his upper extremit y joints
B. The 26-year-old new mother experiencing postpartum depression
C. The 15-year-old client who fractured his left clavicle while
skateboarding
D. The 36-year-old client who just le arned that her lung cancer is
inoperable
ANS: A
Any condition that interferes with movement of the hand (e.g.,
superficial or deep pain or joint inflammation) impairs a clients self -
help abilities. While the other options represent clients who may
experience difficult y, the client in Option 1 will most likel y not be
self-sufficient with hygiene.
DIF: C REF: 860 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
,2. A client has developed several large mouth ulcers resulting from radiation
treatments for oral cancer. The nurse recognizes that this condition will
have its greatest immediate impact on the clients:
A. Comfort level
B. Nutritional status
C. Physical recovery
D. Emotional well -being
ANS: B
Difficult y with chewing and swallowing develops when surrounding
gum tissues become inflamed or infected. The presence of these
ulcerations will present immediate issues with nutritional and fluid
intake. While the remaining optio ns are not incorrect, the greatest
problem is nutritional and fluid oriented.
DIF: C REF: 851 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
3. The nurse is pr eparing to bathe an older adult client who is expecting a
visit from out of town relatives. The client expresses reluctance to bathe
because he does not want to make m y sister wait to see me. Which of the
following statements made by the nurse is most like l y to provide the
motivation to agree to the bath for this particular client?
A. I promise to hurry; you will be done before she gets here.
B. You don’t want your sister to see you unshaved and in your
pajamas.
C. I know you ’ve missed your sister and want to look y our best for her
visit.
, D. Let’s get cleaned up so your sister doesn ’t think you aren’t being
well cared for.
ANS: C
Motivation is a key factor in the importance of hygiene. Wanting to be
acceptabl y bathed and dressed for the visit is the most likel y
motivation.
DIF: C REF: 853 OBJ: Assessment TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
4. Which of the following assessment questions is most likel y to determine
the reason an older adult client refuses to remove and brush his dentures?
A. Why are you being difficult about cleaning your dentures?
B. Will you allow me to clean your denture if you dont want too?
C. Are you concerned about damaging your dentures if you take them
out?
D. Do you realize the problems that can occur when your dentures
arent clean?
ANS: D
It is important to know if a client perceives being at risk. For example,
does the client perceive being at risk for dental disease, that dental
disease is serious, and that brush ing and flossing are effective in
reducing risk? When clients recognize there is a risk and that they can
take reasonable action with no negative consequence, they are more
likel y to be receptive to the nurses counseling and teaching efforts.
, DIF: C REF: 853 OBJ: Anal ysis TOP: Nursing Process:
Assessment MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
5. Which of the following interventions, regarding personal hygiene for a
client who is unconscious, performe d by ancillary personnel requires
immediate follow-up by the RN?
A. Storing the damaged dentures in the clients bedside stand
B. Shaving the clients mustache to facilitate the nasogastric tube
C. Postponing the dail y bath until the clients temperature has
stabilized
D. Providing oral care with the flavored swabs provided by the clients
famil y
ANS: B
Do not cut or shave hair without discussion with the client or famil y.
This would need to be a nursing decision, although it is not necessaril y
required in this situation . The remaining options are not incorrect and
so do not need follow -up.
DIF: C REF: 893 OBJ: Anal ysis TOP: Nursing Process:
Planning MSC: NC LEX test plan designation: Physiological
Integrit y/Basic Care & Comfort/Personal Hygiene
6. The nurse observes an a dult client of Middle Eastern descent diagnosed
with bipolar disorder attempting to bathe himself using onl y his left hand.
The nurse assumes that the most likel y reason for this behavior relates to:
A. A cultural preference
