NUFT 204 EXAM SCRIPT UPDATED QUESTIONS AND
SOLUTIONS RATED A+
✔✔Normal oral mucosa... - ✔✔light pink, soft, moist, smooth, and without lesions
✔✔Things that impair salivary secretion - ✔✔Medications, exposure to radiation, mouth
breathing, alcohol-based products
✔✔gingivitis - ✔✔inflammation of the gums
✔✔things that affect hair characteristics - ✔✔hormonal changes, nutrition, emotional
stress, physical stress, aging, infection, and other illnesses
✔✔alopecia - ✔✔hair loss
✔✔During hygiene, assess: - ✔✔emotional status, health promotion practices, health
care education needs
✔✔Factors influencing hygiene - ✔✔Social practices, personal preferences, body
image, socioeconomic status, health beliefs and motivation, cultural variables,
developmental stage, physical condition
✔✔critical thinking during hygiene - ✔✔Integrate nursing knowledge.
Consider developmental and cultural influences.
Think creatively.
Be nonjudgmental and confident.
Draw on your own experiences.
Rely on professional standards.
✔✔Nursing Process - ✔✔five-step systematic method for giving patient care; involves
assessing, diagnosing, planning, implementing, and evaluating (ADPIE)
✔✔Hygiene Assessment - ✔✔Ability to perform self care
skin
feet and nails
oral cavity
use of sensory aids
normal cultural hygiene care
✔✔Hygiene and diagnosis - ✔✔Activity intolerance
Bathing self-care deficit
Dressing self-care deficit
Impaired physical mobility
Impaired oral mucous membrane
Ineffective health maintenance
,Risk for infection
✔✔Patient at risk for hygiene issues - ✔✔homeless, low socioeconomic status, those
with chronic illnesses, mentally ill, and extreme ages
✔✔hygiene planning - ✔✔Set goals and outcomes
Partner with the patient and family
Set priorities based on assistance required, extent of problems, nature of diagnoses
Teamwork and collaboration
Health care team members
Family
Community agencies
✔✔Hygiene Implementation - ✔✔Use caring to reduce anxiety, promote comfort.
Administer meds for symptoms before hygiene.
Be alert for patient's anxiety or fear.
Assist and prepare patients to perform hygiene as independently as possible.
Discuss signs and symptoms of problems.
Inform patients about community resources.
✔✔Bathing guidelines - ✔✔Provide privacy
Maintain safety
Maintain warmth
Promote independence
Anticipate needs
✔✔denture care guidelines - ✔✔Keep dentures covered in water when they are not
worn
Store in an enclosed, labeled cup with the cup placed on patient's bedside stand
Brush dentures with soft toothbrush and rinse with tepid water
✔✔QSEN - ✔✔Quality and Safety Education for Nurses
✔✔Hygiene Safety Guidelines - ✔✔Identify the patient with two identifiers.
Move from the cleanest to less clean areas.
Use clean gloves for contact with nonintact skin, mucous membranes, secretions,
excretions, or blood.
Test the temperature of water or solutions.
Use principles of body mechanics and safe patient handling.
Give proper direction to NAP when delegating.
✔✔EHR - ✔✔electronic health record
✔✔NCQA (National Committee for Quality Assurance) - ✔✔not for profit organization
dedicated to assessing and reporting on quality and performance of health care plans
, ✔✔TJC (The Joint Commission) - ✔✔A national agency that conducts surveys of
inpatient and ambulatory facilities and certifies their compliance with established quality
standards.
✔✔Guidelines for quality documentation and reporting - ✔✔FACCO
Factual - objective
Accurate - clear, easy to read
Complete - contains appropriate & essential info
Current - Timely
Organized
✔✔POMR - ✔✔Problem Oriented Medical Records that divide records into four sections
- the database, problem, treatment, and progress
✔✔soap - ✔✔subjective, objective, assessment, plan
✔✔SOAPIE - ✔✔subjective, objective, assessment, plan, intervention, evaluation
✔✔SOAPIER - ✔✔subjective, objective, assessment, plan, intervention, evaluation,
revision
✔✔PIE - ✔✔Problem, intervention, evaluation
✔✔DAR (focus charting) - ✔✔D-ata
A-ction
R-esponse
✔✔CBE - ✔✔Charting By Exception (documenting only deviations from norm)
✔✔Common Record-Keeping Forms - ✔✔Admission nursing history form
Flow sheets and graphic records
Patient care summary (Daily)
Standardized care plans or clinical care guidelines (CPGs)
Discharge summary forms
✔✔Standardized care plans or clinical care guidelines (CPGs) - ✔✔Preprinted,
established guidelines used to care for patients who have similar health problems
✔✔Admission nursing history form - ✔✔Guides the nurse through a complete
assessment to identify relevant nursing diagnoses or problems
✔✔Flow sheets and graphic records - ✔✔Help team members quickly see patient
trends over time and decrease time spent on writing narrative notes
SOLUTIONS RATED A+
✔✔Normal oral mucosa... - ✔✔light pink, soft, moist, smooth, and without lesions
✔✔Things that impair salivary secretion - ✔✔Medications, exposure to radiation, mouth
breathing, alcohol-based products
✔✔gingivitis - ✔✔inflammation of the gums
✔✔things that affect hair characteristics - ✔✔hormonal changes, nutrition, emotional
stress, physical stress, aging, infection, and other illnesses
✔✔alopecia - ✔✔hair loss
✔✔During hygiene, assess: - ✔✔emotional status, health promotion practices, health
care education needs
✔✔Factors influencing hygiene - ✔✔Social practices, personal preferences, body
image, socioeconomic status, health beliefs and motivation, cultural variables,
developmental stage, physical condition
✔✔critical thinking during hygiene - ✔✔Integrate nursing knowledge.
Consider developmental and cultural influences.
Think creatively.
Be nonjudgmental and confident.
Draw on your own experiences.
Rely on professional standards.
✔✔Nursing Process - ✔✔five-step systematic method for giving patient care; involves
assessing, diagnosing, planning, implementing, and evaluating (ADPIE)
✔✔Hygiene Assessment - ✔✔Ability to perform self care
skin
feet and nails
oral cavity
use of sensory aids
normal cultural hygiene care
✔✔Hygiene and diagnosis - ✔✔Activity intolerance
Bathing self-care deficit
Dressing self-care deficit
Impaired physical mobility
Impaired oral mucous membrane
Ineffective health maintenance
,Risk for infection
✔✔Patient at risk for hygiene issues - ✔✔homeless, low socioeconomic status, those
with chronic illnesses, mentally ill, and extreme ages
✔✔hygiene planning - ✔✔Set goals and outcomes
Partner with the patient and family
Set priorities based on assistance required, extent of problems, nature of diagnoses
Teamwork and collaboration
Health care team members
Family
Community agencies
✔✔Hygiene Implementation - ✔✔Use caring to reduce anxiety, promote comfort.
Administer meds for symptoms before hygiene.
Be alert for patient's anxiety or fear.
Assist and prepare patients to perform hygiene as independently as possible.
Discuss signs and symptoms of problems.
Inform patients about community resources.
✔✔Bathing guidelines - ✔✔Provide privacy
Maintain safety
Maintain warmth
Promote independence
Anticipate needs
✔✔denture care guidelines - ✔✔Keep dentures covered in water when they are not
worn
Store in an enclosed, labeled cup with the cup placed on patient's bedside stand
Brush dentures with soft toothbrush and rinse with tepid water
✔✔QSEN - ✔✔Quality and Safety Education for Nurses
✔✔Hygiene Safety Guidelines - ✔✔Identify the patient with two identifiers.
Move from the cleanest to less clean areas.
Use clean gloves for contact with nonintact skin, mucous membranes, secretions,
excretions, or blood.
Test the temperature of water or solutions.
Use principles of body mechanics and safe patient handling.
Give proper direction to NAP when delegating.
✔✔EHR - ✔✔electronic health record
✔✔NCQA (National Committee for Quality Assurance) - ✔✔not for profit organization
dedicated to assessing and reporting on quality and performance of health care plans
, ✔✔TJC (The Joint Commission) - ✔✔A national agency that conducts surveys of
inpatient and ambulatory facilities and certifies their compliance with established quality
standards.
✔✔Guidelines for quality documentation and reporting - ✔✔FACCO
Factual - objective
Accurate - clear, easy to read
Complete - contains appropriate & essential info
Current - Timely
Organized
✔✔POMR - ✔✔Problem Oriented Medical Records that divide records into four sections
- the database, problem, treatment, and progress
✔✔soap - ✔✔subjective, objective, assessment, plan
✔✔SOAPIE - ✔✔subjective, objective, assessment, plan, intervention, evaluation
✔✔SOAPIER - ✔✔subjective, objective, assessment, plan, intervention, evaluation,
revision
✔✔PIE - ✔✔Problem, intervention, evaluation
✔✔DAR (focus charting) - ✔✔D-ata
A-ction
R-esponse
✔✔CBE - ✔✔Charting By Exception (documenting only deviations from norm)
✔✔Common Record-Keeping Forms - ✔✔Admission nursing history form
Flow sheets and graphic records
Patient care summary (Daily)
Standardized care plans or clinical care guidelines (CPGs)
Discharge summary forms
✔✔Standardized care plans or clinical care guidelines (CPGs) - ✔✔Preprinted,
established guidelines used to care for patients who have similar health problems
✔✔Admission nursing history form - ✔✔Guides the nurse through a complete
assessment to identify relevant nursing diagnoses or problems
✔✔Flow sheets and graphic records - ✔✔Help team members quickly see patient
trends over time and decrease time spent on writing narrative notes
