Multidimensional Care 1 Final Exam
questions with verified correct answers
Fall Prevention in the Home - correct answer--Remove items that could cause the client to trip(throw
rugs and loose carpets)
-Place electrical cords and extension cords against a wall or behind furniture
-Monitor gait and balance, and provide aids as needed
-Make sure that steps and sidewalks are in good repair
-Place grab bars near the toilet and in the tub or shower and install a stool riser
Communicable Diseases - correct answer-Infections that can spread from one person to another
How do NSAIDs affect bone healing - correct answer-They delay bone healing
Gout - correct answer--A systemic disease in which urate crystals deposit in the joints and other body
tissues, causing inflammation
-Primary _______ : The production of the uric acid exceeds the excretion capability of the kidneys
-Secondary _______ : Involves hyperuricemia caused by another disease or factor, and affects people of
all ages
CREST Syndrome - correct answer--Calcinosis (calcium deposits)
-Raynaud's phenomenon (first symptom that occurs)
-Esophageal dysmotility
-Sclerodactyly (scleroderma of the digits)
-Telangiectasia (spider-like hemangiomas)
Fall Prevention In Hospital - correct answer--Fall bracelets and yellow socks
-Bed alarm
-Remove clutter
,-Keep items within reach (call light, personal items)
-Gait Belts
-Orient them to the call light and educate them to use call light to get help rather than getting up
without assistance. Nurses should respond to call light in a timely manner
-Put them in room close to nurses station
-Have good lighting (especially at night)
-Beds: Put in low position, lock wheels, use side rails appropriately
Preschooler/School Age Children Firearm Safety - correct answer--Keep firearms unloaded, locked up,
and out of reach
-Teach to never touch a gun or stay at a friend's house where a gun is accessible
-Store bullets in a different locations from guns
Preschooler/School Age Children Poison Home Safety - correct answer--Teach children about the
hazards of alcohol, cigarettes, prescription, non-prescription, and illicit drugs
-Keep potentially dangerous substances out of reach
-Have the poison control hotline number available.
Preschooler/School Age Children Motor Vehicle Safety - correct answer--Use booster seats for children
who are less than 4ft 9in tall and weigh less than 40lbs (usually 4 to 8 years old)
-If the care has a passenger air bag, place children under 12 yrs in the back seat
-Use seatbelts properly after booster seats are no longer necessary
-Use protective equipment when participating in sports, riding a bike, or riding as passenger on a bike
-Supervise and teach safe use of equipment
-Teach the child to play in safe areas and never run after a ball or toy that goes into a road
-Teach child safety rules of the road.
Elements of a Home Safety Fire Plan - correct answer-1. Have an exit plan
2. Ensure oxygen safety measures
3. Have fire extinguishers and make sure everyone knows their location
,4. Smoke detectors need batteries checked/changed every 6 months
RACE Fire Safety - correct answer-Rescue, alarm, contain, extinguish
PASS (Fire Safety) - correct answer-P - Pull the pin.
A - Aim at the base of the fire, not at the flames.
S - Squeeze the lever.
S - Sweep the nozzle from side to side.
Sentinel Event - correct answer-An accident or incident that results in grave physical or psychological
injury or death
Xerosis - correct answer-Dry skin
Center of Gravity - correct answer--Should be close to the base of support (below the umbilicus at the
top of the pelvis)
-Spread feet, wide base of support
-Hold objects close to you
Bathing Benefits - correct answer--Infection control
-Therapeutic (improves circulation)
-Comfort/relaxation
-Overall improved healing
-Order to bathe patient: Cleanest to dirtiest, then face (no soap), torso, arms, and legs (perineal is
cleaned last)
-To assess if patient can/has cleaned themselves: their ability to do ADLs, mental status, environmental
status (are they homeless?), religious reason, look for signs of abuse or neglect
Foot Care - correct answer--Prevents skin breakdown, pain, and infection
-Is extremely important for clients with diabetes mellitus and a qualified professional must perform it.
, -Scrub between toes (but DO NOT put lotion there)
-Don't clip nails but file if needed.
-Check for sores, signs of cyanosis, and skin breakdown
Pain Assessment - correct answer-P: Provoking/relieving
Q: quality
R: Radiate
S: Severity
T: Timing
Medication Administation - correct answer--Assess before giving pain meds (PQRST, drug interactions,
allergies, correct orders/dosage)
-Know the 3 types of analgesics (non-opioid, opioids, and adjuvants)
-Reassess vitals before and after giving pain medication
-Reevaluate pain after giving medication
-The parenteral route is best for immediate, short-term relief of acute pain
-The oral route is better for chronic, non-fluctuating pain
Culture - correct answer--Is what people in a group have in common and it changes over time.
-"the totality of socially transmitted behavior patterns, arts, beliefs, values, customs, lifeways, and all
other products of human work and thought characteristics of a population of people that guides their
worldview and decision making."
-Can be adopted by assimilation
Culture's Effect on healthcare - correct answer--What treatments they accept
-How they view healthcare
-How they view illness/disease/health/pain
-How often or when they access health care
-Death rituals
questions with verified correct answers
Fall Prevention in the Home - correct answer--Remove items that could cause the client to trip(throw
rugs and loose carpets)
-Place electrical cords and extension cords against a wall or behind furniture
-Monitor gait and balance, and provide aids as needed
-Make sure that steps and sidewalks are in good repair
-Place grab bars near the toilet and in the tub or shower and install a stool riser
Communicable Diseases - correct answer-Infections that can spread from one person to another
How do NSAIDs affect bone healing - correct answer-They delay bone healing
Gout - correct answer--A systemic disease in which urate crystals deposit in the joints and other body
tissues, causing inflammation
-Primary _______ : The production of the uric acid exceeds the excretion capability of the kidneys
-Secondary _______ : Involves hyperuricemia caused by another disease or factor, and affects people of
all ages
CREST Syndrome - correct answer--Calcinosis (calcium deposits)
-Raynaud's phenomenon (first symptom that occurs)
-Esophageal dysmotility
-Sclerodactyly (scleroderma of the digits)
-Telangiectasia (spider-like hemangiomas)
Fall Prevention In Hospital - correct answer--Fall bracelets and yellow socks
-Bed alarm
-Remove clutter
,-Keep items within reach (call light, personal items)
-Gait Belts
-Orient them to the call light and educate them to use call light to get help rather than getting up
without assistance. Nurses should respond to call light in a timely manner
-Put them in room close to nurses station
-Have good lighting (especially at night)
-Beds: Put in low position, lock wheels, use side rails appropriately
Preschooler/School Age Children Firearm Safety - correct answer--Keep firearms unloaded, locked up,
and out of reach
-Teach to never touch a gun or stay at a friend's house where a gun is accessible
-Store bullets in a different locations from guns
Preschooler/School Age Children Poison Home Safety - correct answer--Teach children about the
hazards of alcohol, cigarettes, prescription, non-prescription, and illicit drugs
-Keep potentially dangerous substances out of reach
-Have the poison control hotline number available.
Preschooler/School Age Children Motor Vehicle Safety - correct answer--Use booster seats for children
who are less than 4ft 9in tall and weigh less than 40lbs (usually 4 to 8 years old)
-If the care has a passenger air bag, place children under 12 yrs in the back seat
-Use seatbelts properly after booster seats are no longer necessary
-Use protective equipment when participating in sports, riding a bike, or riding as passenger on a bike
-Supervise and teach safe use of equipment
-Teach the child to play in safe areas and never run after a ball or toy that goes into a road
-Teach child safety rules of the road.
Elements of a Home Safety Fire Plan - correct answer-1. Have an exit plan
2. Ensure oxygen safety measures
3. Have fire extinguishers and make sure everyone knows their location
,4. Smoke detectors need batteries checked/changed every 6 months
RACE Fire Safety - correct answer-Rescue, alarm, contain, extinguish
PASS (Fire Safety) - correct answer-P - Pull the pin.
A - Aim at the base of the fire, not at the flames.
S - Squeeze the lever.
S - Sweep the nozzle from side to side.
Sentinel Event - correct answer-An accident or incident that results in grave physical or psychological
injury or death
Xerosis - correct answer-Dry skin
Center of Gravity - correct answer--Should be close to the base of support (below the umbilicus at the
top of the pelvis)
-Spread feet, wide base of support
-Hold objects close to you
Bathing Benefits - correct answer--Infection control
-Therapeutic (improves circulation)
-Comfort/relaxation
-Overall improved healing
-Order to bathe patient: Cleanest to dirtiest, then face (no soap), torso, arms, and legs (perineal is
cleaned last)
-To assess if patient can/has cleaned themselves: their ability to do ADLs, mental status, environmental
status (are they homeless?), religious reason, look for signs of abuse or neglect
Foot Care - correct answer--Prevents skin breakdown, pain, and infection
-Is extremely important for clients with diabetes mellitus and a qualified professional must perform it.
, -Scrub between toes (but DO NOT put lotion there)
-Don't clip nails but file if needed.
-Check for sores, signs of cyanosis, and skin breakdown
Pain Assessment - correct answer-P: Provoking/relieving
Q: quality
R: Radiate
S: Severity
T: Timing
Medication Administation - correct answer--Assess before giving pain meds (PQRST, drug interactions,
allergies, correct orders/dosage)
-Know the 3 types of analgesics (non-opioid, opioids, and adjuvants)
-Reassess vitals before and after giving pain medication
-Reevaluate pain after giving medication
-The parenteral route is best for immediate, short-term relief of acute pain
-The oral route is better for chronic, non-fluctuating pain
Culture - correct answer--Is what people in a group have in common and it changes over time.
-"the totality of socially transmitted behavior patterns, arts, beliefs, values, customs, lifeways, and all
other products of human work and thought characteristics of a population of people that guides their
worldview and decision making."
-Can be adopted by assimilation
Culture's Effect on healthcare - correct answer--What treatments they accept
-How they view healthcare
-How they view illness/disease/health/pain
-How often or when they access health care
-Death rituals
